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Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.12439/2942
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dc.contributor.authorRollinson T.C.-
dc.contributor.authorMcDonald L.A.-
dc.contributor.authorRose J.-
dc.contributor.authorEastwood G.-
dc.contributor.authorCosta-Pinto R.-
dc.contributor.authorModra L.-
dc.contributor.authorAkinori M.-
dc.contributor.authorBacolas Z.-
dc.contributor.authorAnstey J.-
dc.contributor.authorBates S.-
dc.contributor.authorBradley S.-
dc.contributor.authorDumbrell J.-
dc.contributor.authorFrench C.-
dc.contributor.authorGhosh A.-
dc.contributor.authorHaines K.-
dc.contributor.authorHaydon T.-
dc.contributor.authorHodgson C.L.-
dc.contributor.authorHolmes J.-
dc.contributor.authorLeggett N.-
dc.contributor.authorMcGain F.-
dc.contributor.authorMoore C.-
dc.contributor.authorNelson K.-
dc.contributor.authorPresneill J.-
dc.contributor.authorRotherham H.-
dc.contributor.authorSaid S.-
dc.contributor.authorYoung M.-
dc.contributor.authorZhao P.-
dc.contributor.authorUdy A.-
dc.contributor.authorSerpa Neto A.-
dc.contributor.authorChaba A.-
dc.contributor.authorBellomo R.-
dc.date.accessioned2025-04-02T22:19:58Z-
dc.date.available2025-04-02T22:19:58Z-
dc.date.copyright2025-
dc.date.created20250319-
dc.date.issued2025-03-01-
dc.identifier.citationAustralian critical care : official journal of the Confederation of Australian Critical Care Nurses. 38(2) (pp 101117), 2025. Date of Publication: 01 Mar 2025.-
dc.identifier.issn1036-7314-
dc.identifier.urihttps://hdl.handle.net/20.500.12439/2942-
dc.description.abstractBACKGROUND AND AIMS: Prone positioning is commonly applied to improve gas exchange in mechanically ventilated patients with coronavirus disease 2019 (COVID-19)-related acute respiratory distress syndrome (ARDS). Whilst prone positioning is effective, specific complications may arise. We aimed to assess the prevalence of specific complications related to prone positioning in patients mechanically ventilated for COVID-19-related ARDS. DESIGN: Multicentre, retrospective observational study. METHOD(S): Multi-centre observational study of mechanically ventilated patients with COVID-19-related ARDS admitted to intensive care units in Melbourne, Australia, from August to November 2021. Data on baseline characteristics, prone positioning, complications, and patient outcomes were collected. RESULT(S): We assessed 553 prone episodes in 220 patients across seven sites (mean +/- standard deviation age: 54 +/- 13 years, 61% male). Overall, 58% (127/220) of patients experienced at least one prone-positioning-related complication. Pressure injury was the most prevalent (n = 92/220, 42%) complication reported. Factors associated with increased risk of pressure injury were male sex (adjusted odds ratio = 1.15, 95% confidence interval: [1.02-1.31]) and the total number of prone episodes (adjusted odds ratio = 1.11, 95% confidence interval: [1.07-1.15]). Device dislodgement was the next most common complication, occurring in 28 of 220 (13%) patients. There were no nerve or retinal injuries reported. CONCLUSION(S): Pressure injuries and line dislodgement were the most prevalent complications associated with prone positioning of patients mechanically ventilated for COVID-19. The risk of pressure injuries was associated with male sex and the number of prone positioning episodes.Copyright � 2024 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.-
dc.titleComplications associated with prone positioning in mechanically ventilated COVID-19 patients: A multicentre, retrospective observational study.-
dc.typeJournal article-
dc.description.affiliates(Rollinson) Department of Intensive Care, Austin Health, Melbourne, VIC, Australia; Department of Physiotherapy, Austin Health, Melbourne, VIC, Australia; Department of Physiotherapy, The University of Melbourne, Melbourne, VIC, Australia; Institute for Breathing and Sleep, Melbourne, VIC, Australia|(McDonald, Rose) Department of Intensive Care, Austin Health, Melbourne, VIC, Australia; Department of Physiotherapy, Austin Health, Melbourne, VIC, Australia|(Eastwood) Department of Intensive Care, Austin Health, Melbourne, VIC, Australia; Data Analytics Research and Evaluation Centre, The University of Melbourne and Austin Hospital, Melbourne, VIC, Australia; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia|(Costa-Pinto, Modra) Department of Intensive Care, Austin Health, Melbourne, VIC, Australia; Department of Critical Care, The University of Melbourne, Melbourne, VIC, Australia|(Akinori, Chaba) Department of Intensive Care, Austin Health, Melbourne, VIC, Australia|(Bacolas) Department of Physiotherapy, Austin Health, Melbourne, VIC, Australia|(Anstey, Moore, Presneill, Rotherham) Department of Intensive Care, Royal Melbourne Hospital, Melbourne, VIC, Australia|(Bates, French, McGain) Department of Critical Care, The University of Melbourne, Melbourne, VIC, Australia; Department of Intensive Care, Western Health, VIC, Australia|(Bradley) Department of Intensive Care, Alfred Health, VIC, Australia; Department of Physiotherapy, Alfred Health, VIC, Australia|(Dumbrell, Zhao) Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia|(Ghosh, Said) Department of Intensive Care, Northern Health, VIC, Australia|(Haines, Leggett) Department of Critical Care, The University of Melbourne, Melbourne, VIC, Australia; Department of Intensive Care, Western Health, VIC, Australia; Department of Physiotherapy, Western Health, VIC, Australia|(Haydon, Holmes) Department of Critical Care Medicine, St Vincent's Hospital, Melbourne, VIC, Australia|(Hodgson) Department of Critical Care, The University of Melbourne, Melbourne, VIC, Australia; Department of Intensive Care, Alfred Health, VIC, Australia; Department of Physiotherapy, Alfred Health, VIC, Australia; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia|(Nelson) Department of Physiotherapy, Alfred Health, VIC, Australia|(Young) Department of Intensive Care, Alfred Health, VIC, Australia|(Udy) Department of Intensive Care, Alfred Health, VIC, Australia; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia|(Serpa Neto) Department of Intensive Care, Austin Health, Melbourne, VIC, Australia; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia|(Bellomo) Department of Intensive Care, Austin Health, Melbourne, VIC, Australia; Department of Critical Care, The University of Melbourne, Melbourne, VIC, Australia; Department of Intensive Care, Royal Melbourne Hospital, Melbourne, VIC, Australia; Data Analytics Research and Evaluation Centre, The University of Melbourne and Austin Hospital, Melbourne, VIC, Australia; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia-
dc.publisher.placeAustralia-
dc.description.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/39406618/-
dc.identifier.doihttps://dx.doi.org/10.1016/j.aucc.2024.09.002-
dc.identifier.journaltitleAustralian critical care : official journal of the Confederation of Australian Critical Care Nurses-
dc.type.studyortrialClinical trial-
dc.subject.keywordsArtificial ventilation-
dc.subject.keywordsCoronavirus Disease 2019-
dc.contributor.nhauthorAngaj Ghosh-
dc.contributor.nhauthorSimone Said-
dc.description.nhaffiliation(Ghosh, Said) Department of Intensive Care, Northern Health, VIC, Australia-
item.grantfulltextnone-
item.cerifentitytypePublications-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal article-
item.fulltextNo Fulltext-
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