Prospective Study on the Prevalence on the Use of Prone Positioning in ARDS Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 736
- 试验地点
- 1
- 主要终点
- Prevalence of the use of the prone position in ARDS
研究概览
简要总结
Prone positioning has been shown to improve survival in patients with acute respiratory distress syndrome (ARDS). However, a recent large observational study found that prone positioning was used in only 7% of all ARDS patients, and 16% in the severe category. However, this study did not focus on the prone position per se. In present study, the investigators would like to explore the rate of use of prone positioning in ARDS patients and the reasons why this treatment was not applied. The present study is one-day prevalence study repeated four times over one year.
The hypothesis is that the rate of use of prone position is greater than 50% in the severe ARDS category.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1.ARDS criteria (Berlin definition) fulfilled the day of the study, whatever the ARDS stage. The onset of ARDS could have been established at any time between ICU admission and study day but ARDS criteria must be still present the day of the study. The ARDS criteria are listed below
- •Within 1 week of a known clinical insult or new or worsening respiratory symptoms
- •Bilateral opacities-not fully explained by effusions, lobar/lung collapse, or nodules
- •Respiratory failure not fully explained by cardiac failure or fluid overload. Need objective assessment (eg, echocardiography) to exclude hydrostatic edema if no risk factor present
- •2.PaO2/FIO2 ≤ 300 with PEEP ≥ 5 cmH2O
- •3.Age ≥ 18 years
- •4.Intubated or tracheotomized and mechanically ventilated
排除标准
- •Patient non intubated the day of the study
- •No criteria for ARDS the day of the study even if these criteria were present between ICU admission and day of the study
结局指标
主要结局
Prevalence of the use of the prone position in ARDS
时间窗: Day 1
Number of patients with ARDS receiving prone position divided by number of patients with ARDS on the day of the study
次要结局
- PaO2/FIO2(Day 1)
- Duration of prone position session(Day 1)
- Prevalence of the use of the prone position in each ARDS category(Day 1)
- Occurence of reasons for not using prone position in ARDS patients(Day 1)
- PaO2(Day 1)