ArticleCHEST critical care2025
Role of Attending Practice Variability in Prone Positioning Initiation: A Retrospective Cohort Study.
Article in CHEST critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
Who cites it
3 citing papers in PubMed.
- Prone Positioning in a North American Cohort of Hypoxemic Patients on Mechanical Ventilation.Critical care medicine · 2026Observational
- An Electronic Health Record-Based Classifier for Moderate-to-Severe Acute Respiratory Distress Syndrome With Persistent Hypoxemia.Critical care medicine · 2026Observational
- Prone Positioning in a North American Cohort of Hypoxemic Patients on Mechanical Ventilation.medRxiv : the preprint server for health sciences · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundProne positioning is underused, despite mortality benefits. Prior studies highlight that patient-independent factors may influence prone positioning rates, but attending-specific contributions are unknown. RESEARCH QUESTION: Does significant variability in prone positioning rates exist among attending physicians? STUDY DESIGN AND
methodsThis is a retrospective cohort study of 514 adults receiving mechanical ventilation in a tertiary-care medical or surgical ICU from January 1, 2015, through June 30, 2024. Inclusion criteria included Pao
resultsAmong 514 patients eligible for prone positioning, 87 patients (17%) underwent prone positioning. Significant attending-level variability in prone positioning was noted among the 48 attendings included in the analysis, with risk- and reliability-adjusted rates ranging from 14.9% to 74.2% and a median OR among attending physicians of 2.6 (95% CI, 1.7-5.2). This effect size was associated more strongly with prone positioning than a 30-mm Hg decrease in Pao
interpretationOur results show that large variation in prone positioning practices exists among attending providers, and future work should consider attending-focused and system-wide interventions as potential novel targets to improve prone positioning rates.
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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.