Effect of Extended Prone Positioning in Intubated COVID-19 Patients with Acute Respiratory Distress Syndrome, a Revision Letter

被引：0
|
作者：
Ferriere-Steinert, Santiago [1 ]
Acevedo de la Barra, Maximiliano [1 ]
Neman, Alexandra [1 ]
Vergara Ceron, Tamara [1 ]
Cornejo, Rodrigo A. [2 ,3 ]
Gajardo, Abraham I. vn J. [2 ,4 ]
机构：
[1] Univ Chile, Sch Med, Santiago, Chile
[2] Univ Chile, Dept Med, Unidad Pacientes Crit, Hosp Clin, Santiago, Chile
[3] Ctr Acute Resp Crit Illness ARCI, Santiago, Chile
[4] Univ Chile, Inst Biomed Sci, Fac Med, Program Pathophysiol, Santiago, Chile
来源：
JOURNAL OF INTENSIVE CARE MEDICINE | 2024年
关键词：
extended prone positioning; prolonged prone positioning; prone position; COVID-19; acute respiratory distress syndrome;
D O I：
10.1177/08850666241286484
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
The systematic review and meta-analysis performed by Kang et al about the effect of extended prone positioning in intubated COVID-19 patients with ARDS presents valuable findings on the effectiveness and safety of extended prone positioning, but also raises several concerns which require clarifications. The inclusion of observational studies without any control group, the use of crude rather than adjusted estimates in key variables from observational studies, an error in data extraction from randomized clinical trials, and the employment of odds ratios rather than risk ratios, may mislead interpretations of the aforementioned intervention.
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