Efficacy of prone ventilation in adult patients with acute respiratory failure: a meta-analysis.
Identifieur interne : 000361 ( Main/Exploration ); précédent : 000360; suivant : 000362Efficacy of prone ventilation in adult patients with acute respiratory failure: a meta-analysis.
Auteurs : Ravindranath Tiruvoipati [Royaume-Uni] ; Mansoor Bangash ; Bradley Manktelow ; Giles J. PeekSource :
- Journal of critical care [ 0883-9441 ] ; 2008.
Descripteurs français
- KwdFr :
- Consommation d'oxygène (physiologie), Durée du séjour (statistiques et données numériques), Décubitus ventral (MeSH), Essais contrôlés randomisés comme sujet (MeSH), Humains (MeSH), Incidence (MeSH), Interprétation statistique de données (MeSH), Pneumopathie infectieuse sous ventilation assistée (épidémiologie), Syndrome de détresse respiratoire de l'adulte (mortalité), Syndrome de détresse respiratoire de l'adulte (thérapie), Unités de soins intensifs (MeSH), Ventilation artificielle (effets indésirables).
- MESH :
- effets indésirables : Ventilation artificielle.
- mortalité : Syndrome de détresse respiratoire de l'adulte.
- physiologie : Consommation d'oxygène.
- statistiques et données numériques : Durée du séjour.
- thérapie : Syndrome de détresse respiratoire de l'adulte.
- épidémiologie : Pneumopathie infectieuse sous ventilation assistée.
- Décubitus ventral, Essais contrôlés randomisés comme sujet, Humains, Incidence, Interprétation statistique de données, Unités de soins intensifs.
English descriptors
- KwdEn :
- Data Interpretation, Statistical (MeSH), Humans (MeSH), Incidence (MeSH), Intensive Care Units (MeSH), Length of Stay (statistics & numerical data), Oxygen Consumption (physiology), Pneumonia, Ventilator-Associated (epidemiology), Prone Position (MeSH), Randomized Controlled Trials as Topic (MeSH), Respiration, Artificial (adverse effects), Respiratory Distress Syndrome, Adult (mortality), Respiratory Distress Syndrome, Adult (therapy).
- MESH :
- adverse effects : Respiration, Artificial.
- epidemiology : Pneumonia, Ventilator-Associated.
- mortality : Respiratory Distress Syndrome, Adult.
- physiology : Oxygen Consumption.
- statistics & numerical data : Length of Stay.
- therapy : Respiratory Distress Syndrome, Adult.
- Data Interpretation, Statistical, Humans, Incidence, Intensive Care Units, Prone Position, Randomized Controlled Trials as Topic.
Abstract
PURPOSE
The use of prone ventilation in acute respiratory failure has been investigated by several randomized controlled trials in the recent past. To date, there has been no systematic review or meta-analysis of these trials.
MATERIAL AND METHODS
Systematic literature search was performed between 1966 and July 2006 to identify randomized trials evaluating prone ventilation. Outcome measures included mortality, changes in oxygenation, incidence of pneumonia, duration of mechanical ventilation, intensive care unit (ICU) and hospital stay, cost-effectiveness, and adverse effects including pressure sores, endotracheal tube, or intravascular catheter complications.
RESULTS
Prone ventilation was not associated with reduction in mortality, but improvement in oxygenation was statistically significant (mean difference, 21.2 mm Hg; P < .001). There was no significant difference in incidence of pneumonia, ICU stay, and endotracheal tube complications. There was a trend toward an increased incidence of pressure sores in prone ventilated patients (odds ratio = 1.95; 95% confidence interval, 0.09-4.15; P = .08). The data on other outcomes were not suitable for meta-analysis.
CONCLUSIONS
The use of prone ventilation is associated with improved oxygenation. It is not associated with a reduction in mortality, pneumonia, or ICU stay and may be associated with an increased incidence of pressure sores.
DOI: 10.1016/j.jcrc.2007.09.003
PubMed: 18359427
Affiliations:
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To date, there has been no systematic review or meta-analysis of these trials.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>Systematic literature search was performed between 1966 and July 2006 to identify randomized trials evaluating prone ventilation. Outcome measures included mortality, changes in oxygenation, incidence of pneumonia, duration of mechanical ventilation, intensive care unit (ICU) and hospital stay, cost-effectiveness, and adverse effects including pressure sores, endotracheal tube, or intravascular catheter complications.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Prone ventilation was not associated with reduction in mortality, but improvement in oxygenation was statistically significant (mean difference, 21.2 mm Hg; P < .001). There was no significant difference in incidence of pneumonia, ICU stay, and endotracheal tube complications. There was a trend toward an increased incidence of pressure sores in prone ventilated patients (odds ratio = 1.95; 95% confidence interval, 0.09-4.15; P = .08). The data on other outcomes were not suitable for meta-analysis.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The use of prone ventilation is associated with improved oxygenation. It is not associated with a reduction in mortality, pneumonia, or ICU stay and may be associated with an increased incidence of pressure sores.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18359427</PMID><DateCompleted><Year>2008</Year><Month>08</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0883-9441</ISSN><JournalIssue CitedMedium="Print"><Volume>23</Volume><Issue>1</Issue><PubDate><Year>2008</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Journal of critical care</Title></Journal><ArticleTitle>Efficacy of prone ventilation in adult patients with acute respiratory failure: a meta-analysis.</ArticleTitle><Pagination><MedlinePgn>101-10</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcrc.2007.09.003</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The use of prone ventilation in acute respiratory failure has been investigated by several randomized controlled trials in the recent past. To date, there has been no systematic review or meta-analysis of these trials.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Systematic literature search was performed between 1966 and July 2006 to identify randomized trials evaluating prone ventilation. Outcome measures included mortality, changes in oxygenation, incidence of pneumonia, duration of mechanical ventilation, intensive care unit (ICU) and hospital stay, cost-effectiveness, and adverse effects including pressure sores, endotracheal tube, or intravascular catheter complications.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Prone ventilation was not associated with reduction in mortality, but improvement in oxygenation was statistically significant (mean difference, 21.2 mm Hg; P < .001). There was no significant difference in incidence of pneumonia, ICU stay, and endotracheal tube complications. There was a trend toward an increased incidence of pressure sores in prone ventilated patients (odds ratio = 1.95; 95% confidence interval, 0.09-4.15; P = .08). The data on other outcomes were not suitable for meta-analysis.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The use of prone ventilation is associated with improved oxygenation. It is not associated with a reduction in mortality, pneumonia, or ICU stay and may be associated with an increased incidence of pressure sores.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tiruvoipati</LastName><ForeName>Ravindranath</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of ECMO, Glenfield Hospital, Leicester, LE3 9QP, UK. travindranath@hotmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bangash</LastName><ForeName>Mansoor</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Manktelow</LastName><ForeName>Bradley</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Peek</LastName><ForeName>Giles J</ForeName><Initials>GJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Crit Care</MedlineTA><NlmUniqueID>8610642</NlmUniqueID><ISSNLinking>0883-9441</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003627" MajorTopicYN="N">Data Interpretation, Statistical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010101" MajorTopicYN="N">Oxygen Consumption</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D053717" MajorTopicYN="N">Pneumonia, Ventilator-Associated</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016684" MajorTopicYN="Y">Prone Position</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="N">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="Y">Respiration, Artificial</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012128" MajorTopicYN="N">Respiratory Distress Syndrome, Adult</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2007</Year><Month>05</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2007</Year><Month>09</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2007</Year><Month>09</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>3</Month><Day>25</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>8</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>3</Month><Day>25</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18359427</ArticleId><ArticleId IdType="pii">S0883-9441(07)00150-5</ArticleId><ArticleId IdType="doi">10.1016/j.jcrc.2007.09.003</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Bangash, Mansoor" sort="Bangash, Mansoor" uniqKey="Bangash M" first="Mansoor" last="Bangash">Mansoor Bangash</name><name sortKey="Manktelow, Bradley" sort="Manktelow, Bradley" uniqKey="Manktelow B" first="Bradley" last="Manktelow">Bradley Manktelow</name><name sortKey="Peek, Giles J" sort="Peek, Giles J" uniqKey="Peek G" first="Giles J" last="Peek">Giles J. Peek</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Tiruvoipati, Ravindranath" sort="Tiruvoipati, Ravindranath" uniqKey="Tiruvoipati R" first="Ravindranath" last="Tiruvoipati">Ravindranath Tiruvoipati</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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