Evidence map›Paper›PMID 40637389›Full record

ArticlePediatric pulmonology2025

The Effect of Limiting Anterior Chest Wall Movement With a Weighted Blanket on Comfort, Oxygenation, and Ventilation Homogeneity in Nonventilated Infants and Children Admitted to Hospital With Lower Respiratory Tract Infections: An Exploratory Pilot Study.

Eleonora Lozano-Ray, Andrew C Argent, Alison Lupton-Smith, Brenda M Morrow

Abstract read
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In one paragraph

Article in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

4 authors.

Eleonora Lozano-RayDepartment of Paediatrics, School of Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-9470-6423
Andrew C ArgentDepartment of Paediatrics, School of Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Alison Lupton-SmithPhysiotherapy Department, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-5753-1625
Brenda M MorrowDepartment of Paediatrics, School of Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-5193-918X

Funding

Mrs. Eleonora Lozano Ray received support for article research from the University of Cape Town National Research Foundation of South Africa, the University of Cape Town Faculty of Health Science Department of Paediatrics research award, the South African Society of Physiotherapy, and the Critical Care Society of South Africa. Dr. Andrew C. Argent received funding from legal firms requesting medico legal advice and for travel, accommodation, and registration for conferences. Dr. Brenda M. Morrow's institution received funding from Society of Critical Care Medicine and the National Research Foundation; she received funding from the University of Cape Town, the Brazilian Physiotherapy Association, the Critical Care Society of Southern Africa, the South African Society of Physiotherapy, and EduPro Corp.
6 · The paper itself

Abstract

objectivesThe objectives of this exploratory study were to describe the safety, comfort, and effects of applying a weighted blanket to restrict anterior chest movement on oxygenation, and regional ventilation in clinically stable, nonventilated infants, and children hospitalized with lower respiratory tract infections (LRTIs). Our hypothesis is that the application of a weighted blanket would not adversely affect comfort levels or oxygenation in nonventilated infants and children with LRTIs.

methodA prospective, exploratory interventional pilot study of nonventilated children and infants aged 2 months to 9 years of age admitted to hospital for the management of a LRTI. Comfort and pain scores, vital signs (heart rate [HR], respiratory rate [RR], oxygen saturation, and blood pressure), and electrical impedance tomography (EIT) measurements were captured at baseline, immediately and at 5 min, 10 min, and 30 min after application of the blanket.

resultsThirty children (median interquartile range [IQR] 8.31 months old [2.46-22.27]; 16 [53.30%] males), received the intervention, and were included in the analysis. Just over half of the children recruited were admitted with a clinical diagnosis of pneumonia (n = 17; 56.70%). No adverse events were recorded during the study intervention. Overall, oxygen saturation increased from median (IQR) 97% (91-100) to 100% (93-100) (p < 0.001); COMFORT-B score improved from median (IQR) 13 (6-14) to 11 (6-16) (p = 0.02) from baseline to 30 min postintervention and there was no significant change in the faces, legs, activity, cry, and consolability (FLACC) pain scale.

conclusionThe application of a weighted blanket in nonventilated infants and children with mild LRTI was well tolerated, with no adverse effects and was associated with improvements in comfort levels and SpO

Indexed as

Patient ComfortRespiratory Tract InfectionsThoracic WallChildChild, PreschoolFemaleHospitalizationHumansInfantMaleMovementOxygenOxygen SaturationPilot ProjectsProspective StudiesRespiratory RateOxygenbronchiolitiscomfortoxygenation and ventilation homogeneitySouth Africaweighted blanket

Identifiers

PMID40637389
PMCPMC12243703

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LicenceCC BY-NC-ND
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Registered trials

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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.