Role of Attending Practice Variability in Prone Positioning Initiation: A Retrospective Cohort Study.

ABSTRACT:

Background

Prone positioning is underused, despite mortality benefits. Prior studies highlight that patient-independent factors may influence prone positioning rates, but attending-specific contributions are unknown.

Research question

Does significant variability in prone positioning rates exist among attending physicians?

Study design and methods

This is a retrospective cohort study of 514 adults receiving mechanical ventilation in a tertiary-care medical or surgical ICU from January 1, 2015, through June 30, 2024. Inclusion criteria included Pao₂ to Fio₂ ratio of ≤ 150 with Fio₂ of ≥ 60% and positive end-expiratory pressure of ≥ 5 cm H₂O within 0 to 36 hours and 36 to 72 hours of intubation. The primary outcome was prone p

SUBMITTER: Barker AK 

PROVIDER: S-EPMC12652998 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature