Cochrane · systematic review · CD003645
Positioning for acute respiratory distress in hospitalised infants and children
Bhandari, AP, Nnate, DA, Vasanthan, L, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
Acute Respiratory InfectionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
9
No studies
19
Included studies
NR
No studies 19 · 67.9%Ungraded 0 · 0%Very low 7 · 25%Low 2 · 7.1%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings table ‐ Prone compared to supine for acute respiratory distress in hospitalised infants and children (ARDs)
Population: acute respiratory distress in hospitalised infants and children (ARDs)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (respiratory events) ‐ not reported Summary of findings table ‐ Prone vs supine | no estimate extracted | NR | No studies |
Oxygen saturation (SaO2) Summary of findings table ‐ Prone vs supine | no estimate extracted | 1 study · 30 participants | Very low Downgraded: risk of bias, imprecision |
Blood gases (PO2) Summary of findings table ‐ Prone vs supine | no estimate extracted | 1 study · 99 participants | Low Downgraded: imprecision |
PaCO2 Summary of findings table ‐ Prone vs supine | no estimate extracted | 1 study · 99 participants | Low Downgraded: imprecision |
Lung function (PaO2/FiO2 ratio) Summary of findings table ‐ Prone vs supine | no estimate extracted | 2 studies · 121 participants | Very low Downgraded: risk of bias, imprecision |
Oxygenation index (FiO2% X MPAW/PaO2) Summary of findings table ‐ Prone vs supine | no estimate extracted | 2 studies · 121 participants | Very low Downgraded: risk of bias, imprecision |
Potential adverse outcomes (extubation) Summary of findings table ‐ Prone vs supine | OR 0.57 [0.13, 2.54] | 1 study · 102 participants | Very low Downgraded: risk of bias, imprecision |
Summary of findings table ‐ Supine compared to good‐lung dependent for acute respiratory distress in hospitalised infants and children (ARDs)
Population: acute respiratory distress in hospitalised infants and children (ARDs)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (respiratory events) ‐ not reported Summary of findings table ‐ Supine vs good‐lung dependent | no estimate extracted | NR | No studies |
Oxygen saturation (SaO2) ‐ not reported Summary of findings table ‐ Supine vs good‐lung dependent | no estimate extracted | NR | No studies |
PaO2 Summary of findings table ‐ Supine vs good‐lung dependent | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision |
Blood gases (PaCO2) ‐ not reported Summary of findings table ‐ Supine vs good‐lung dependent | no estimate extracted | NR | No studies |
Lung function (PaO2/FiO2 ratio) ‐ not reported Summary of findings table ‐ Supine vs good‐lung dependent | no estimate extracted | NR | No studies |
Oxygenation index (FiO2% X MPAW/PaO2) ‐ not reported Summary of findings table ‐ Supine vs good‐lung dependent | no estimate extracted | NR | No studies |
Potential adverse outcomes (episodes of apnoea) ‐ not reported Summary of findings table ‐ Supine vs good‐lung dependent | no estimate extracted | NR | No studies |
Summary of findings table ‐ Supine compared to good‐lung independent for acute respiratory distress in hospitalised infants and children
Population: acute respiratory distress in hospitalised infants and children
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (respiratory events) ‐ not reported Summary of findings table ‐ Supine vs good‐lung independent | no estimate extracted | NR | No studies |
Oxygen saturation (SaO2) ‐ not reported Summary of findings table ‐ Supine vs good‐lung independent | no estimate extracted | NR | No studies |
PaO 2 Summary of findings table ‐ Supine vs good‐lung independent | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision |
Blood gases (PCO2) ‐ not reported Summary of findings table ‐ Supine vs good‐lung independent | no estimate extracted | NR | No studies |
Lung function (PaO2/FiO2 ratio) ‐ not reported Summary of findings table ‐ Supine vs good‐lung independent | no estimate extracted | NR | No studies |
Oxygenation index (FiO2% X MPAW/PaO2) ‐ not reported Summary of findings table ‐ Supine vs good‐lung independent | no estimate extracted | NR | No studies |
Potential adverse outcomes (episodes of apnoea) ‐ not reported Summary of findings table ‐ Supine vs good‐lung independent | no estimate extracted | NR | No studies |
Summary of findings table ‐ Good‐lung independent compared to good‐lung dependent positioning for acute respiratory distress in hospitalised infants and children
Population: acute respiratory distress in hospitalised infants and children
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (respiratory events) ‐ not reported Summary of findings table ‐ Good‐lung independent vs good‐lung dependent positioning | no estimate extracted | NR | No studies |
Oxygen saturation (SaO2) ‐ not reported Summary of findings table ‐ Good‐lung independent vs good‐lung dependent positioning | no estimate extracted | NR | No studies |
PaO 2 (cross‐over trial) Summary of findings table ‐ Good‐lung independent vs good‐lung dependent positioning | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision |
Blood gases (PaCO2) ‐ not reported Summary of findings table ‐ Good‐lung independent vs good‐lung dependent positioning | no estimate extracted | NR | No studies |
Lung function (PaO2/FiO2 ratio) ‐ not reported Summary of findings table ‐ Good‐lung independent vs good‐lung dependent positioning | no estimate extracted | NR | No studies |
Oxygenation index (FiO2% X MPAW/PaO2) ‐ not reported Summary of findings table ‐ Good‐lung independent vs good‐lung dependent positioning | no estimate extracted | NR | No studies |
Potential adverse outcomes (episodes of apnoea) ‐ not reported Summary of findings table ‐ Good‐lung independent vs good‐lung dependent positioning | no estimate extracted | NR | No studies |