Evidence map›Paper›PMID 39984994›Full record

ArticleBMC nursing2025

The effect of prone positioning on ventilator parameters, blood gas levels, and ventilator-associated pneumonia in intensive care unit patients: a randomized controlled trial.

Burcu Dedeoğlu Demir, Nuray Enç, Şermin Börekçi

Registry-linked trialAbstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05760716 (The Effect of Prone Position Use on Ventilator Mode, Blood Gas and Ventilator-Associated Pneumonia in Intensive Care Patients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05760716 completednot on this map

The Effect of Prone Position Use on Ventilator Mode, Blood Gas and Ventilator-Associated Pneumonia in Intensive Care Patients

TypeobservationalSponsorIstanbul Arel UniversityRan2021 to 2022Enrolled80ConditionsIntensive Care Unit SyndromeArmspracticing prone position
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Burcu Dedeoğlu DemirFaculty of Health Sciences Department of Nursing, Istanbul Arel University, Cevizlibag Campus, Merkez Efendi Mah. Eski Londra Asfaltı Cd. No:1/3, Cevizlibağ- Zeytinburnu, Istanbul, 34010, Turkey. burcudemir@arel.edu.tr.ORCID http://orcid.org/0000-0003-1836-2897
Nuray EnçFlorence Nightingale Faculty Of Nursing, Istanbul University-Cerrahpasa, Abide-i Hürriyet Cd, 34381, Şişli/İstanbul, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-2219-9124
Şermin BörekçiCerrahpasa Faculty of Medicine, Department of Internal Medicine, Department of Thoracic Diseases, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-0089-1312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study was planned to compare the prone position and non-prone position groups and to evaluate arterial blood gas results, mechanical ventilator values and ventilator-associated pneumonia (VAP) status before, during, and after patients were brought back to the non-prone position.

designThis study is a randomized controlled trial with a parallel-group design and a 1:1 allocation ratio. A block randomisation method was used to ensure balanced allocation between two groups.

settingThe research was conducted in the 14-bed and 26-bed general ICUs of two private hospitals on the European side of Istanbul.

participantsThe 94 eligible participants were randomly divided into two groups. 52 participants were assigned to the prone position group, while 42 participants were assigned to the non-prone position group, which served as the control group. In the end, 40 participants were in each group.

interventionThe intervention involved placing patients in the prone position and monitoring their arterial blood gas results, mechanical ventilator values, and VAP status at multiple stages: before, during, and after returning them to the non-prone position. Each patient was followed for a minimum of 5 days.

resultsThe majority of the participants were male (51.2%) and aged 45-64 (48.8%). The comparison of experimental and control groups indicated statistically significant difference in saturation, FiO₂, inspiratory-expiratory tidal volume, and blood gas levels of the patients in the treatment group (p = 0.001; p < 0.01).

conclusionsThe change in the experimental group was greater than in the control group. In conclusion, the mechanical ventilator parameters and blood gas levels of the patients in the treatment group were better than those of the patients in the control group. It is recommended as an effective practice in patients receiving prone position mechanical ventilation (MV). CLINICAL TRIAL REGISTRATION NUMBER AND REGISTRATION DATE: NCT05760716/ March 6, 2023 (This trial was registered retrospectively at ClinicalTrials.gov (Registration Number: NCT05760716) after its completion due to demanded revisions. The integrity of the data and adherence to the study protocol were ensured throughout. The trial adhered to ethical standards (ethics committee approval, informed consent) even if it was not registered prospectively).

Indexed as

Arterial blood gasIntensive careMechanical ventilatorsProne positionVentilator-associated pneumonia

Identifiers

PMID39984994
PMCPMC11846282

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.