Evidence map›Paper›PMID 39458527›Full record

ArticleNutrients2024

The Influence of Prone Positioning on Energy and Protein Delivery in COVID-19 Patients Requiring ECMO Support.

Marlene Hintersteininger, Patrick Haselwanter, Mathias Maleczek, Daniel Laxar, Martina Hermann, Alexander Hermann, Nina Buchtele, Thomas Staudinger, Christian Zauner, Mathias Schneeweiss-Gleixner

Abstract read
In one paragraph

Article in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marlene HintersteiningerDepartment of Medicine III, Clinical Division of Gastroenterology and Hepatology, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0009-0004-6095-8971
Patrick HaselwanterDepartment of Medicine III, Clinical Division of Gastroenterology and Hepatology, Medical University of Vienna, 1090 Vienna, Austria.
Mathias MaleczekDepartment of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-1431-0742
Daniel LaxarDepartment of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna, 1090 Vienna, Austria.
Martina HermannDepartment of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-4669-2482
Alexander HermannDepartment of Medicine I, Intensive Care Unit 13i2, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0001-6103-7884
Nina BuchteleDepartment of Medicine I, Intensive Care Unit 13i2, Medical University of Vienna, 1090 Vienna, Austria.
Thomas StaudingerDepartment of Medicine I, Intensive Care Unit 13i2, Medical University of Vienna, 1090 Vienna, Austria.
Christian ZaunerDepartment of Medicine III, Clinical Division of Gastroenterology and Hepatology, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-9585-5903
Mathias Schneeweiss-GleixnerDepartment of Medicine III, Clinical Division of Gastroenterology and Hepatology, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0009-0001-5296-1212

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastrointestinal dysfunction is a common complication of medical nutrition therapy in critically ill patients. Whether prone positioning leads to a deterioration in gastrointestinal function has not been fully clarified. Thus, we aimed to analyze the influence of prone positioning on the tolerance of medical nutrition therapy.

methodsWe conducted a retrospective analysis of 102 SARS-CoV-2 infected patients with venovenous extracorporeal membrane oxygenation support (VV ECMO). Gastric residual volume (GRV) was used to assess the tolerance of enteral nutrition.

resultsNutritional data were collected for 2344 days. Undernutrition was observed in 40.8%, with a significantly higher incidence on days in prone position (48.4% versus 38.6%,

conclusionsProne position was associated with lower tolerance of enteral nutrition, as indicated by an increased GRV. As a result, reduced enteral nutritional support was administered.

Indexed as

COVID-19Energy IntakeEnteral NutritionExtracorporeal Membrane OxygenationSARS-CoV-2AdultAgedCritical IllnessDietary ProteinsFemaleHumansMaleMiddle AgedPatient PositioningProne PositionRetrospective StudiesDietary ProteinsCOVID-19critical careECMOmedical nutrition therapyprone position

Identifiers

PMID39458527
PMCPMC11510455

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.