p-Index From 2021 - 2026
6.391
P-Index
Claim Missing Document
Check
Articles

Found 1 Documents
Search
Journal : Jurnal NERS

Effectiveness of prone position with its moderating factors in non-intubated acute respiratory distress syndrome patients: a meta-analysis Tan, Julianus Yudhistira; Togatorop, Via Eliadora; Koerniawan, Dheni; Kosasih, Cecep Eli; Mediani, Henny Suzana
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.60867

Abstract

Introduction: While numerous meta-analyses have explored the efficacy of awake prone position (APP), most have concentrated solely on intubation rate among Covid-19 patients without comprehensively identifying the influencing factors. This study aims to evaluate the efficacy of APP along with its moderating factors on oxygenation, intubation rate, and mortality in non-intubated acute respiratory distress syndrome (ARDS) patients. Methods: We conducted a systematic search in PubMed, Web of Science, and CINAHL from inception to December 2022. JBI critical appraisal tools were used to assess the study quality. Random-effects model was employed to calculate pooled standardized mean difference for continuous outcomes and risk ratio for dichotomous outcomes. Results: Among the 39 studies included, most patients were suffering from Covid-19, using conventional oxygen therapy, and receiving APP outside the ICU. APP significantly improved the PaO2/FiO2 ratio (SMD=0.70, 95% CI=0.51-0.88) and SpO2/FiO2 ratio (SMD=0.76, 95% CI=0.51-1.01), while also reducing the risk of intubation (RR=0.66, 95% CI=0.51-0.85) and mortality (RR=0.62, 95% CI=0.49-0.78). Factors including severity, respiratory device, body mass index, detail of position, use of medication assistance, total duration, follow-up time, position at follow-up, and study design significantly influence the effectiveness of APP. APP did not lead to significant improvements in length of stay and adverse events Conclusions: APP is a safe and beneficial intervention, enhancing oxygenation and reducing intubation and mortality rates in non-intubated ARDS patients. Importantly, various patient and intervention characteristics should be taken into account when implementing APP. Further well-designed experimental studies are needed to strengthen the evidence base.
Co-Authors Aan Nuraeni Aat Sriati Adila, Raisa agus rahmat Agusti, Adriyan Dwi Agustin Agustin Ahmad Yamin Amaliah, Lili Anastasia Anna Andini, Melina Rike anisah rahmawati Anwar, Tabihul Apparesya, Nabila Afifah Arifani, Nisa Asep Solahudin Astilia, Astilia Ayu Prawesti Priambodo Ayu, Rahadiani Azalia Melati Putri Azzahra, Meza Belindiani Bilqiis A, Andini Budiman Budiman Budiman, Ganjar Wisnu Chaerunisa, Nanda chania, Astilia Christina, Mikha Darmawan, Tasya Alfainninda Putri Darmayanti Darmayanti Dewi Yulianti Bisri Dheni Koerniawan Diana Ulfah Donny Nurhamsyah Elvi Juliansyah Jamari Etika Emaliyawati Eva Susanti Fasya Fadillah, Jasmine Fithriyah, Noor Fithriyah, Noor Fitriani Rahayu Handayani, Audia Handayani, Wening Harlasgunawan, Alia Rahmi Hartiah Haroen Hartinah, Siti Harun, Hasniatisari Hasna K, Nisrina Henny Suzana Mediani Herman, Regina Yasmine Hidayat, Alegra Asiah Iin Inayah, Iin Ilham Taufik Nurilhami Iqbal Pramukti Iqroansyah, Rifa Ikbal Islamah, Rachelya Nurfirdausi Istiazahra, Dylla Iwan Purnawan Jawiah Jawiah, Jawiah Jayusman, Muhamad Ifadh Arifqy Juniar, Shafira Juniarti, Neti Kharisma, Puji Adi Kristiano, Yahya Endra Kumalasari, Regina Indah Kusman Ibrahim Kusuma, Widya Tresna Lastari, Vina Fuji Lumbantobing, Valentina BM Mamat Lukman, Mamat Marlinda, Yani Masela, Victor Carlos Mediana, Henny Suzana Melinda, Fera Millenika, Valencia Trie Mira Trisyani Mubaroq, Bagja Al Mujahidah, Gita Mulyati, Titin Mustakimah, Siti Napisah, Pipih Nia Ratnasari Nintyas, Felantina Restyar Noviani Megatami Nur'aeni, Aan Nur'aeni, Aan Nurafni, Ratu Nurasifa, Melani Nurfirdausi Islamah, Rachelya Nurhidayah, Ida Nurul Aulia, Syifa Nur’aeni, Aan Nur’Aini , Erina Oman Hendi Permana, Iwan Permana, Septa Pravidanti, Findhya Rachma Purwanto, Maitza Orita Savita Puspita, Nezla Puspita, Tantri Puspitasari, Neneng Ratnanengsih Puspitasari, Neneng Ratnanengsih Rabbani, Hasna Rahayu, Yuliana Sri Rahmawati, Ai Rahmawati, Syoifa Rais, Yulia Rais, Yulia Ramdhona, Dinyatul Arba Realita, Chikita Regita, Aulia Putri Ria Bandiara Ria Eviyantini Sitorus, Ria Eviyantini Riki Kurniawan Rimadania, Deshita Rindiarti, Nadia Amelia Riska Audina Risma Juniarti Rismawati, Ima Ristina Mirwanti, Ristina Rizki Romadona Rudiyana, Hikmat Rumahorbo, Hotma Sakti, Dimas Wibawa Salaam, Nuursalaamah Abdatus Salsabila, Azzahra Salsabila, Khalishah Samdjaya, Lu'lu Nadiyya Sari, Citra Windani Mambang Sari, Wulan Puspita Sasmito, Priyo Savitri, Lisa Noviana Sayu Putu Yuni Paryati Sely Novianty Setiawan, Deris Riandi Setiawati, Pipit Fitri Shabrina, Raden Maghfira Izzany Sheizi Prista Sari Sholihah, Amalia Rizki Siti Fauziah Solihah, Amalia Rizqi Sri Sumartini Sri Susilawati Sugiharto, Firman Supriyadi, Dede Sutisna, Fitri Nur Megasari Tafwidhah, Yuyun Tan, Julianus Yudhistira Tanjung, Rifani Okti Putri Taslam, Afni Faddilah Tetti Solehati Tetti Solehati Titin Mulyati Titin Mulyati Togatorop, Via Eliadora Triesna, Meuthia Saulikha Udin Rosidin Utari Yunie Atrie Verawaty, Rotua Rina Yadi Supriyadi Yanny Trisyani Yanti Hermayanti Yayat Hidayat Yayat Hidayat Yudiana, Mila Yulia Sofiatin Zaenal, Zabina Syaharani