Body position for preventing ventilator-associated pneumonia for critically ill patients: a systematic review and network meta-analysis.

ABSTRACT:

Background

The evidence about the best body position to prevent ventilator-associated pneumonia (VAP) is unclear. The aim of this study was to know what the best body position is to prevent VAP, shorten the length of intensive care unit (ICU) and hospital stay, and reduce mortality among patients undergoing mechanical ventilation (MV).

Methods

We performed a network meta-analysis of randomized controlled trials including intubated patients undergoing MV and admitted to an ICU. The assessed interventions were different body positions (i.e., lateral, prone, semi-recumbent) or alternative degrees of positioning in mechanically ventilated patients.

Results

Semi-recumbent and prone positions showed a risk reduction of VAP incidence (RR: 0.38, 95% CI: 0.25-0.52) and mortali

SUBMITTER: Pozuelo-Carrascosa DP 

PROVIDER: S-EPMC8864849 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature