Publication:
Body position for preventing ventilator-associated pneumonia for critically ill patients: a systematic review and network meta-analysis.

dc.contributor.authorPozuelo-Carrascosa, Diana P
dc.contributor.authorCobo-Cuenca, Ana Isabel
dc.contributor.authorCarmona-Torres, Juan Manuel
dc.contributor.authorLaredo-Aguilera, Jose Alberto
dc.contributor.authorSantacruz-Salas, Esmeralda
dc.contributor.authorFernandez-Rodriguez, Ruben
dc.contributor.funderEuropean Regional Development Fund (ERDF)
dc.contributor.funderFondo Europeo de Desarrollo Regional (FEDER)
dc.date.accessioned2023-05-03T13:35:20Z
dc.date.available2023-05-03T13:35:20Z
dc.date.issued2022-02-09
dc.description.abstractThe evidence about the best body position to prevent ventilator-associated pneumonia (VAP) is unclear. The aim of this study was to know what the best body position is to prevent VAP, shorten the length of intensive care unit (ICU) and hospital stay, and reduce mortality among patients undergoing mechanical ventilation (MV). We performed a network meta-analysis of randomized controlled trials including intubated patients undergoing MV and admitted to an ICU. The assessed interventions were different body positions (i.e., lateral, prone, semi-recumbent) or alternative degrees of positioning in mechanically ventilated patients. Semi-recumbent and prone positions showed a risk reduction of VAP incidence (RR: 0.38, 95% CI: 0.25-0.52) and mortality (RR: 0.70, 95% CI: 0.50-0.91), respectively, compared to the supine position. The ranking probabilities and the surface under the cumulative ranking displayed as the first best option of treatment the semi-recumbent position to reduce the incidence of VAP (71.4%), the hospital length of stay (68.9%), and the duration of MV (67.6%); and the prone position to decrease the mortality (89.3%) and to reduce the ICU length of stay (59.3%). Cautiously, semi-recumbent seems to be the best position to reduce VAP incidence, hospital length of stay and the duration of MV. Prone is the most effective position to reduce the risk of mortality and the ICU length of stay, but it showed no effect on the VAP incidence.
dc.description.versionSi
dc.identifier.citationPozuelo-Carrascosa DP, Cobo-Cuenca AI, Carmona-Torres JM, Laredo-Aguilera JA, Santacruz-Salas E, Fernandez-Rodriguez R. Body position for preventing ventilator-associated pneumonia for critically ill patients: a systematic review and network meta-analysis. J Intensive Care. 2022 Feb 22;10(1):9
dc.identifier.doi10.1186/s40560-022-00600-z
dc.identifier.issn2052-0492
dc.identifier.pmcPMC8864849
dc.identifier.pmid35193688
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8864849/pdf
dc.identifier.unpaywallURLhttps://jintensivecare.biomedcentral.com/track/pdf/10.1186/s40560-022-00600-z
dc.identifier.urihttp://hdl.handle.net/10668/20375
dc.issue.number1
dc.journal.titleJournal of intensive care
dc.journal.titleabbreviationJ Intensive Care
dc.language.isoen
dc.organizationInstituto Maimónides de Investigación Biomédica de Córdoba-IMIBIC
dc.page.number14
dc.publisherBioMed Central
dc.pubmedtypeJournal Article
dc.pubmedtypeReview
dc.relation.publisherversionhttps://jintensivecare.biomedcentral.com/articles/10.1186/s40560-022-00600-z
dc.rightsAttribution 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectBody position
dc.subjectProne
dc.subjectSemi-recumbent
dc.subjectSupine
dc.subjectVentilator-associated pneumonia
dc.subject.decsConducta de reducción del riesgo
dc.subject.decsMetaanálisis en red
dc.subject.decsNeumonía asociada al ventilador
dc.subject.decsPosición supina
dc.subject.decsProbabilidad
dc.subject.decsRespiración artificial
dc.subject.decsUnidades de cuidados intensivos
dc.subject.meshRespiration, artificial
dc.subject.meshPneumonia, ventilator-associated
dc.subject.meshProne position
dc.subject.meshSupine position
dc.subject.meshNetwork meta-analysis
dc.subject.meshIntensive care units
dc.subject.meshProbability
dc.subject.meshRisk reduction behavior
dc.titleBody position for preventing ventilator-associated pneumonia for critically ill patients: a systematic review and network meta-analysis.
dc.typeResearch article
dc.type.hasVersionVoR
dc.volume.number10
dspace.entity.typePublication

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