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Henny Suzana Mediani
Fakultas Keperawatan Universitas Padjadjaran
Agriculture, Biological Sciences & Forestry Arts Humanities Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : Jurnal NERS

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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 Aan Nur’aeni Abas, Latifa Hidayani Adila, Raisa Ahmad Yamin Ai Mardhiyah Ai Mardhiyah Ai Mardhiyah AI MARDHIYAH, AI Akbar, M. Agung Alifa Rufaida Anastasia Anna Anita Setyawati Anita Tiara Anjani Fikri Annita Olo Argi Virgona Bangun Audi Siti Sarah Avicena Farhan Ramadhan Azzahra Salsabila Bambang Aditya Nugraha Barkah Waladani Bhekti Imansari Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Chandra Isabella H.P Chatarina Surya Chatarina Suryaningsih Dadang Purnama Dadang Rochman DaiIa DahIia Rojabani Devita Madiuw Dewi Umu Kulsum Dheni Koerniawan Dwi Ningsih Handayani Setianing Budi Eka Puspita Ema Arum Rukmasari Emaliyawati, Etika - Ermiati Ermiati Etika Emaliyawati Evi Nurjanah Fanny Adistie Fanny Adistie Fauziah Rudhiati Fitria, Nita Fitria, Nita francisca sri susilaningsih Fristalia, Mikaela D. Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Gusgus Ghraha Ramdhanie Hafitriany, Syifa Aulia Hana Rizmadewi Agustina Helmy Hazmi Hendrawati Hendrawati Hidayat, Nenden Rostini Iceu Amira DA Ihsar, Aini Hayati Iin Inayah Iin Inayah Iin Inayah, Iin Ike Sintia Suci Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Indah Benita Tiwery Inni Zakiyah Iqra S Iwan Shalahuddin Iyus Yosep Juniarti, Neti Laili Rahayuwati Lesmana, Sena Lestari, Andini Tri Lilis Lusiani Lilis Mamuroh Linlin Lindayani Mamat Lukman Maria komariah Maya Atikasuri Mega Nurrahmatiani Meri Anggryni Mikaela D. Fristalia Millenika, Valencia Trie Muntiq Jannatunna’im Murtilita, Murtilita Murtiningsih Murtiningsih Nabilah, Nurul Azmi Nadia Amelia Rindiarti Nenden Nur Asriyani Maryam Nenden Nur Asriyani Maryam Nita Fitria Novi Novianti Novita Marcelina Kana Wadu Noviyanti Noviyanti Nunung Nurjanah Nunung Nurjanah Nurafni, Ratu Nuraziza Fatturahmi Firdianty Nurhakim, Furkon Nurul Taopik Maulud Olga Sandrela Mahendra Padila Padila Panduragan, Santhna Letchmi Pratiwi, Yayu Rai Nurussakinah Raisa Adila Ratnawati, Ai Siti Ratu Nurafni Riezky Fajri Septiani Rifda Nur Achriyana Arif Rifki Febriansyah Rindiarti, Nadia Amelia Riska Fauziah Nurmala Rizka Muliani Rusna Tahir Saifudin, I Made Moh. Yanuar Salsabila, Azzahra Santi MuIyani Selly Amalia Nurhasanah Sena Lesmana Setiawati Setiawati Shabarina, Adilla Sherly Manurung Sifa Nur Afriani Sifa Nuraini Sifva Fauziah Sinta Dwi Ananda Siti Fatimah Siti Yuyun Rahayu Siti Yuyun Rahayu Fitri Sonia Dwiastuti Pratiwi Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Purnama Alam Sri Wulandari Sri wulandari Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sulastini, Sulastini Tahir, Rusna Tan, Julianus Yudhistira Tejaningsih, Oktaviani Tetti Solehati Tetti Solehati Tetti Solehati Tetti Solehati Theresia Eriyani Theresia Eriyani Tita Puspita Ningrum, Tita Puspita Titin Sutini Titin Sutini, Titin Titis Kurniawan Togatorop, Via Eliadora Tuti Pahria Valencia Trie Millenika Vera Rosaria Indah Wahib Abdul Rahman Wahyu Ilahi Waladani, Barkah Windy Rakhmawati Windy Rakhmawati Wiwi Mardiah Wiwi Mardiah Wiwi Mardiah, Wiwi Yanti Hermayanti Yanti Hermayanti Yayat Suryati Yayu Pratiwi Zabidah Putit