Evidence map›Paper›PMID 40073366›Full record

Trial reportPloS one2025

Oral fluid supplementation for the prevention of post-dural puncture headache: A noninferiority randomized controlled trial.

Emmanuelle Cartron, Christelle Volteau, Maxime Leroy, Annastasia Voisine, Jérôme Emmanuel Dauvergne, Céline Ballet, Jean-Philippe Talarmin, Marie-Annick Quéau, Marylène Catinault, Emmanuelle Gazeau and 3 more

Registry-linked trialAbstract readEquivalence TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02859233 (Role of Prophylaxis by Oral Fluid Supplementation in Prevention of Postdural Puncture Headache), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT02859233 nacompletednot on this map

Role of Prophylaxis by Oral Fluid Supplementation in Prevention of Postdural Puncture Headache: A Non-inferiority Randomized Controlled Trial

TypeinterventionalSponsorNantes University HospitalRan2016 to 2019Enrolled554ConditionsPostdural Puncture HeadacheArmsLack of hyperhydration
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Emmanuelle CartronDepartment of Nursing, Université Paris Cité, Paris, France.ORCID 0000-0003-4253-9939
Christelle VolteauDirection de la Recherche et de l'Innovation, CHU Nantes, Nantes, France.
Maxime LeroyBiostatistics Department, CHU Lille, Lille France.
Annastasia VoisineDirection de la Recherche et de l'Innovation, CHU Nantes, Nantes, France.
Jérôme Emmanuel DauvergneService d'anesthésie réanimation, Hôpital Laënnec, CHU Nantes, Nantes, France.ORCID 0000-0002-9687-1059
Céline BalletService des urgences, CHD Vendée, La Roche Sur Yon, France.
Jean-Philippe TalarminService des Maladies Infectieuses, CH Cornouailles, Quimper, France.
Marie-Annick QuéauService des Maladies Infectieuses, CH Cornouailles, Quimper, France.ORCID 0000-0002-4791-4219
Marylène CatinaultCH Le Mans,1 Le Mans, France.
Emmanuelle GazeauService de médecine - polyneurologie, Cholet, France.
Carole HaubertinEmergency Department, CHU Angers, Angers, France.
Romain CharreauService de neurologie, CHR Orléans, Orléans, France.
David BoutoilleDepartment of Infectious Diseases, CHU Nantes, Nantes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM(S): To investigate the impact of the absence of specific advice for oral fluid intake, compared to supplementation water intake on the occurrence of post-dural puncture headache.

designA prospective, open-label, non-inferiority, multicenter trial including hospitalized patients requiring a diagnostic lumbar puncture in seven hospitals in France.

methodsPatients were randomly allocated (1:1) either to receive no specific advice on oral fluid intake (FREE-FLUID), or to be encouraged to drink 2 liters of water (CONTROL) within the 2 hours after lumbar puncture. The primary outcome was the post-dural puncture headache rate within the 5 days after lumbar puncture, with a non-inferiority margin of 10%. The secondary outcome was the time-to-post-dural puncture headache onset between Day 0 and Day 5.

resultsFrom November 2016 and July 2019, we have included 554 participants. The primary outcomes occurs in 33.1% patients in the FREE-FLUID group, versus 38.0% in the CONTROL group with adjusted difference of 3.7%.

conclusionAmong patients who had lumbar puncture, our study shows the noninferiority of the absence of specific advice on water intake after a lumbar puncture, compared with advice to increase oral fluid to prevent a post-dural puncture headache. IMPACT: The value of questioning the appropriateness of non-evidence-based nursing care may allow time to be devoted to more relational and comforting care. REPORTING

methodThe study adheres to the CONSORT reporting guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

trial registrationClinical Trials.gov (NCT02859233, August 9, 2016).

Indexed as

DrinkingFluid TherapyPost-Dural Puncture HeadacheSpinal PunctureAdultAgedFemaleFranceHumansMaleMiddle AgedProspective Studies

Identifiers

PMID40073366
PMCPMC11903041

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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.