The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial
Abstract
Background Risk factors for nosocomial pneumonia, such as gastro-oesophageal reflux and subsequent aspiration, can be reduced by semirecumbent body position in intensive-care patients. The objective of this study was to assess whether the incidence of nosocomial pneumonia can also be reduced by this measure.Methods This trial was stopped after the planned interim analysis. 86 intubated and mechanically ventilated patients of one medical and one respiratory intensive-care unit at a tertiary-care university hospital were randomly assigned to semirecumbent (n=39) or supine (n=47) body position. The frequency of clinically suspected and microbiologically confirmed nosocomial pneumonia (clinical plus quantitative bacteriological criteria) was assessed in both groups. Body position was analysed together with known risk factors for nosocomial pneumonia.Findings The frequency of clinically suspected nosocomial pneumonia was lower in the semirecumbent group than in the supine group (three of 39 [8%] vs 16 of 47 [34%]; 95% CI for difference 10.0-42.0, p=0.003). This was also true for microbiologically confirmed pneumonia (semirecumbent 2/39 [5%] vs supine 11/47 [23%]; 4.2-31.8, p=0.018). Supine body position (odds ratio 6.8 [1.7-26.7], p=0.006) and enteral nutrition (5.7 [1.5-22.8], p=0.013) were independent risk factors for nosocomial pneumonia and the frequency was highest for patients receiving enteral nutrition in the supine body position (14/28, 50%). Mechanical ventilation for 7 days or more (10.9 [3.0-40.4], p=0.001) and a Glasgow coma scale score of less than 9 were additional risk factors.Interpretation The semirecumbent body position reduces frequency and risk of nosocomial pneumonia, especially in patients who receive enteral nutrition. The risk of nosocomial pneumonia is increased by long-duration mechanical ventilation and decreased consciousness.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Raising of the head of the patient’s bed decreases immigration to the lungs of gastric microbiota compared with supine positioning,149 but this practice also compromises microbial elimination from the lungs”
From The microbiome and critical illness (2016) · cites this paper as [149]
Citations
Cites
Controlled Sedation with Alphaxalone-Alphadolone
Ramsay, M. A. E., Savege, T. M., Simpson, B. R. J., & Goodwin, R. (1974) · BMJ · doi:10.1136/bmj.2.5920.656 · Cited by 2,860
The Prevalence of Nosocomial Infection in Intensive Care Units in Europe
Vincent, J. (1995) · JAMA · doi:10.1001/jama.274.8.639 · Cited by 2,592
The Risk of Determining Risk with Multivariable Models
Concato, J., Feinstein, A. R., & Holford, T. R. (1993) · Annals of Internal Medicine · doi:10.7326/0003-4819-118-3-199302010-00009 · Cited by 1,129
Holtzman, D. J., Powell‐Griner, E., Bolen, J. C., & Rhodes, L. (2000) · PubMed · Cited by 1,110
Fagon, J.-Y., Chastre, J. E., Domart, Y., Trouillet, J., Pierre, J., Darne, C., & Gibert, C. (1989) · American Review of Respiratory Disease · doi:10.1164/ajrccm/139.4.877 · Cited by 819
Ventilator-Associated Pneumonia
Kollef, M. H. (1993) · JAMA · doi:10.1001/jama.270.16.1965 · Cited by 727
Cook, D., Guyatt, G. H., Marshall, J., Leasa, D. J., Fuller, H. D., Hall, R., Peters, S., Rutledge, F. S., Griffith, L. E., McLellan, A., et al. (1998) · New England Journal of Medicine · doi:10.1056/nejm199803193381203 · Cited by 726
Torres, A., Serra-Batlles, J., Ros, E., Piera, C., de la Bellacasa, J. P., Cobos, A., Lomeña, F., & Rodríguez-Roisin, R. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-116-7-540 · Cited by 721
Celis, R., Torres, A., Gatell, J. M., Almela, M., Rodriguez‐Roisin, R., & Agustí-Vidal, A. (1988) · CHEST Journal · doi:10.1378/chest.93.2.318 · Cited by 685
Guideline for Prevention of Nosocomial Pneumonia
Tablan, O. C., Anderson, L. J., Arden, N. H., Breiman, R. F., Butler, J. C., & McNeil, M. M. (1994) · Infection Control and Hospital Epidemiology · doi:10.1086/646989 · Cited by 578
Cited by
Sorted by citations
Items 701–800 of 1,000
Hospital-Acquired, Healthcare-Associated and Ventilator-Associated Pneumonia
Roch, A., Thomas, G., Hraiech, S., Papazian, L., & Powderly, W. G. (2016) · Elsevier eBooks · doi:10.1016/b978-0-7020-6285-8.00029-0 · Cited by 7
Predicting nosocomial lower respiratory tract infections by a risk index based system
Chen, Y., Shan, X., Zhao, J., Han, X., Tian, S., Chen, F., Su, X., Sun, Y., Huang, L., Grundmann, H., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-15765-z · Cited by 7
Management of Ventilator-associated Pneumonia
Ferrer, M., Valencia, M., & Torres, A. (2008) · Yearbook of intensive care and emergency medicine · doi:10.1007/978-3-540-77290-3_33 · Cited by 7
“Moreover, in another randomized study [23], this group studied the impact of body position on the development of VAP.”
BackgroundVentilator-Associated Pneumonia
Chastre, J. E. (2006) · Seminars in Respiratory and Critical Care Medicine · doi:10.1055/s-2006-933667 · Cited by 7
Hospital-Acquired, Health Care–Associated, and Ventilator-Associated Pneumonia
Ranes, J. L., Gordon, S. M., & Arroliga, A. C. (2010) · Elsevier eBooks · doi:10.1016/b978-1-4160-6643-9.00119-3 · Cited by 7
Miquel-Roig, C., Segura, P. P., Linero, C. H., & Pastor-Martínez, M. (2006) · Enfermería Clínica · doi:10.1016/s1130-8621(06)71224-4 · Cited by 7
Potassium sorbate reduces gastric colonization in patients receiving mechanical ventilation
Tulaimat, A., Laghi, F. A., Mikrut, K., Carey, R. B., & Budinger, G. R. S. (2005) · Journal of Critical Care · doi:10.1016/j.jcrc.2005.03.002 · Cited by 7
“This hypothesis is supported by the results of a recent clinical trial demonstrating a reduction in VAP rates of patients maintained in a semi-recumbent as compared with a supine position [27].”
ResultPneumonies acquises sous ventilation mécanique invasive et bronchopneumopathie chronique obstructive
Rammaert, B., Ader, F., & Nseir, S. (2007) · Revue des Maladies Respiratoires · doi:10.1016/s0761-8425(07)78507-8 · Cited by 7
Diagnose und Therapie der Sepsis
Reinhart, K., Brunkhorst, F. M., Bone, H.-G., Gerlach, H., Gründling, M., Kreymann, G., Kujath, P., Marggraf, G., Mayer, K., Meier‐Hellmann, A., et al. (2006) · Intensivmedizin und Notfallmedizin · doi:10.1007/s00390-006-0700-7 · Cited by 7
Álvarez-Lerma, F., García, M. S., Lorente, L., Vidal, F. G., Añón, J. M., Álvarez, J., Palomar, M., García, R., Arias, S., Vázquez‐Calatayud, M., et al. (2014) · Medicina Intensiva (English Edition) · doi:10.1016/j.medine.2013.12.001 · Cited by 7
Ahrens, T., & Vollman, K. M. (2003) · PubMed · Cited by 7
Wunderink, R. G. (2003) · CHEST Journal · doi:10.1378/chest.124.3.777 · Cited by 7
Semirecumbent position in intensive care patients
Tulleken, J. E., Spanjersberg, R., van der Werf, T. S., Zijlstra, J. G., & Ligtenberg, J. J. M. (2000) · The Lancet · doi:10.1016/s0140-6736(05)74753-x · Cited by 7
Escribano, J. A., Meseguer, I. H., & García-Quijada, R. C. (2011) · PubMed · doi:10.1590/s0212-16112011000800016 · Cited by 7
Dupont, H., Depuydt, P. O., & Abroug, F. (2016) · Intensive Care Medicine · doi:10.1007/s00134-015-4190-6 · Cited by 7
Evidenz-basierte Intensivmedizin
Graf, J., & Janssens, U. (2004) · Der Anaesthesist · doi:10.1007/s00101-004-0646-8 · Cited by 7
Torre, A., Cisneros-Garza, L. E., Castillo-Barradas, M., Navarro–Álvarez, N., Sandoval-Salas, R., González-Huezo, M. S., Pérez-Hernández, J. L., Méndez-Guerrero, O., Ruiz-Manríquez, J. A., Trejo-Estrada, R., et al. (2023) · Annals of Hepatology · doi:10.1016/j.aohep.2023.101140 · Cited by 6
2024 Year in Review: Ventilator-Associated Pneumonia
Ring, B. J. (2025) · Respiratory Care · doi:10.1089/respcare.13102 · Cited by 6
“12,18,19 In theory, the risk of gastric re fl ux and aspiration of gastric contents beyond the ETT is more signi fi cant when the head of the patient ’ s bed is 30 (cid:2) while supine, thus placing the patient at greater risk of developing VAP.”
del Cotillo-Fuente, M., & Valls-Matarín, J. (2014) · Enfermería Intensiva · doi:10.1016/j.enfi.2014.03.005 · Cited by 6
Gastmeier, P. (2009) · Der Internist · doi:10.1007/s00108-009-2413-z · Cited by 6
Prevention of Descending Pneumonia in Rats with Perflubron-delivered Tobramycin
Dickson, E. W., Doern, G. V., Trevino, L., Mazzoni, M. C., & Heard, S. O. (2003) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2003.tb00567.x · Cited by 6
Llauradó‐Serra, M., Ulldemolins, M., Baró, R. G., Coloma-Gómez, B., Alabart-Lorenzo, X., López-Gil, A., Bodí, M. A., Rodríguez, A. H., & Herrera, M. (2014) · Medicina Intensiva · doi:10.1016/j.medin.2014.07.009 · Cited by 6
Bastani, F., Birjandi, M., Haghani, H., & Sobhan, M. R. (2016) · Journal of Client-centered Nursing Care · doi:10.32598/jccnc.2.3.135 · Cited by 6
Endotracheal Tube and Respiratory Care
Mort, T. C., & Keck, J. P. (2013) · Elsevier eBooks · doi:10.1016/b978-0-323-22805-3.00009-8 · Cited by 6
Healthcare-Acquired Bacterial Infections
Lautenbach, E., & Abrutyn, E. (2009) · Springer eBooks · doi:10.1007/978-0-387-09843-2_26 · Cited by 6
Prevention of Ventilator-Associated Pneumonia
Hsieh, H.-Y., & Tuite, P. K. (2006) · Dimensions of Critical Care Nursing · doi:10.1097/00003465-200609000-00004 · Cited by 6
“The common barriers to hand hygiene include insufficient education, lack of access to facilities to clean the hands, staff attitudes, and heavy workload.11 It is important for nurses to remind themselves to wash their hands after every patient contact because good hand hygiene is one of the most essential but easily f…”
BackgroundInfluentialLemaire, M. (2009) · Réanimation · doi:10.1016/j.reaurg.2009.06.013 · Cited by 6
Alroumi, F., Sarwar, A., Grgurich, P. E., Lei, Y., Hudcova, J., & Craven, D. E. (2012) · Hospital Practice · doi:10.3810/hp.2012.02.949 · Cited by 6
Jalali, S. Z., Mojtabaei, S.-H., Heidarzadeh, A., Aghamahdi, F., & Ahmad-Soltani, M. (2012) · Europe PMC (PubMed Central) · Cited by 6
Immobilization and Disuse Syndrome
Sonoda, S. (2015) · リハビリテーション医学 : 日本リハビリテーション医学会誌 · doi:10.2490/jjrmc.52.265 · Cited by 6
Dunham, C. M., Hileman, B. M., Hutchinson, A. E., Antonaccio, T., Chance, E. A., Huang, G. S., Szmaj, G., Calabro, K. A., Bishop, C., & Schrickel, T. T. (2017) · Perioperative Medicine · doi:10.1186/s13741-017-0067-2 · Cited by 6
“…aspiration with lung inflammation (Kalinowski and Kirsch 2004; Smith and Ng 2003) and ventilatorassociated pneumonia (Ewig and Torres 2002; Torres et al. 1992; Ferrer and Artigas 2002; Keenan et al. 2002; Koeman et al. 2001; Fernandez-Crehuet et al. 1997; Drakulovic et al. 1999; Kollef 1993).”
BackgroundJuan-Díaz, M., Mateu‐Campos, L., Sánchez-Miralles, Á., Quintana, M. E. M., & Mesejo-Arizmendi, A. (2020) · Medicina Intensiva · doi:10.1016/j.medin.2019.12.012 · Cited by 6
Diagnosis and management of inhalation injury
Palmieri, T. L., & Gamelli, R. L. (2012) · Springer eBooks · doi:10.1007/978-3-7091-0348-7_11 · Cited by 6
Efecto de la insuflación de aire subglótico sobre la presión subglótica durante la deglución
Clarett, M., Andreu, M. F., Salvati, I. G., Donnianni, M., Montes, G., & Rodríguez, M. G. (2013) · Medicina Intensiva · doi:10.1016/j.medin.2013.01.003 · Cited by 6
Malekolkottab, M., Khalili, H., Mohammadi, M., Ramezani, M., & Nourian, A. (2017) · Journal of Comparative Effectiveness Research · doi:10.2217/cer-2016-0067 · Cited by 6
Conradie, E., Fourie, C. E., & Hanekom, S. D. (2017) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2017.04.004 · Cited by 6
Nosocomial Infections in the Pediatric Intensive Care Unit: Epidemiology and Control
Lacroix, J., Gauvin, F., Skippen, P. W., Cox, P. N., Langley, J. M., & Matlow, A. (2006) · Elsevier eBooks · doi:10.1016/b978-032301808-1.50093-6 · Cited by 6
Ventilatory Support of Patients with Sepsis or Septic Shock in Resource-Limited Settings
Neto, A. S., Schultz, M. J., Festić, E., Adhikari, N. K. J., Dondorp, A. M., Pattnaik, R., Pisani, L., Póvoa, P. M. S. R., Martín‐Loeches, I., & Thwaites, L. (2019) · Springer eBooks · doi:10.1007/978-3-030-03143-5_6 · Cited by 8
Reinhart, K., Brunkhorst, F. M., Bone, H.-G., Gerlach, H., Gründling, M., Kreymann, G., Kujath, P., Marggraf, G., Mayer, K., Meier‐Hellmann, A., et al. (2006) · Intensiv und Notfallbehandlung · doi:10.5414/ibp31003 · Cited by 6
Infections in intensive care; epidemiology and outcome
Ylipalosaari, P. (2007) · Cited by 6
Drinka, P. J., & Crnich, C. J. (2005) · Journal of the American Medical Directors Association · doi:10.1097/00130535-200509000-00009 · Cited by 6
Ventilator-Associated Pneumonia
(2008) · Critical Care Nurse · doi:10.4037/ccn2008.28.3.83 · Cited by 6
“, decreased level of consciousness; enteral tube in place), should have the head of the bed (HOB) elevated at an angle of 30 to 45 unless medically contraindicated.(1-7) (Level VI)”
Prevention measures of ventilator-associated pneumonia*
Deja, M., & Spies, C. (2008) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181932483 · Cited by 6
Seidner, D. L. (2002) · Nutrition in Clinical Practice · doi:10.1177/0115426502017003140 · Cited by 6
Keroack, M. A., Cerese, J., Cuny, J., Bankowitz, R. A., Neikirk, H. J., & Pingleton, S. K. (2006) · American Journal of Medical Quality · doi:10.1177/1062860605285732 · Cited by 6
“confirmed aspiration.(9) The performance measure for this practice was the attainment based on nursing documentation of head of the bed elevation as noted above or a higher activity level, such as dangling feet or getting out of bed on ventilator day 4.”
MethodNosocomial and ventilator-associated pneumonias: developing country perspective
Hasan, R. S., & Babar, S. I. (2002) · Current Opinion in Pulmonary Medicine · doi:10.1097/00063198-200205000-00007 · Cited by 6
Ewig, F. S., Dalhoff, K., (Lüdenscheid), J. L., Schaberg, T., Welte, T., & Wilkens, H. (2000) · Pneumologie · doi:10.1055/s-2000-8249 · Cited by 6
Ahrens, T. S., & Vollman, K. M. (2003) · Critical Care Nurse · doi:10.4037/ccn2003.23.5.s2 · Cited by 6
Nutrition Support in Critically Ill Patients
Molavi, I., & Con, J. (2022) · Wiley eBooks · doi:10.1002/9781119756781.ch19 · Cited by 7
Determinants of Hospital Stay, Mortality, and Readmission in Aspiration Pneumonia Patients
Yıldızeli, Ş. O. (2024) · European Journal of Geriatrics and Gerontology · doi:10.4274/ejgg.galenos.2024.2024-2-1 · Cited by 5
“The groups at particular risk encompass burn victims, sepsis patients, individuals with traumatic injuries, and those who recovering from surgical procedures (9).”
Device associated nosocomial infection in children
Navaeifar, M. R., & Rezai, M. S. (2013) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 5
Al-Alaiyan, S. A. (2017) · Journal of Pediatrics & Neonatal Care · doi:10.15406/jpnc.2017.07.00288 · Cited by 5
Rashid, K., Ansar, F., Khan, Y., Rashad, N., Rehman, H., Shah, S. Z., Ullah, S., & Waheed, M. A. (2022) · Nursing in Critical Care · doi:10.1111/nicc.12768 · Cited by 5
“Two studies, conducted in the US and Spain, reported that keeping the ventilator patients in a head-up position significantly decreases the occurrence of VAP and associated adverse outcomes.(25,26) However, in our study “Ventilated patients cared for in a head-up position” was the least compliant component in medical…”
BackgroundVariation in sepsis care: a wake-up call.
Hartman, M. E., & Angus, D. C. (2003) · Critical Care · doi:10.1186/cc2191 · Cited by 5
“Once intubated, patients should have spontaneous breathing trials [22], daily awakening [19], continuous or frequent subglottic suctioning [23], H2 blockade [24], and semirecumbent positioning [18].”
BackgroundCarter, K. J., Dunham, C. M., Castro, F., & Erickson, B. A. (2011) · PLoS ONE · doi:10.1371/journal.pone.0019177 · Cited by 5
“shows the probability break down of complications associated with transport to a MRI facility, increased intracranial pressure and aspiration resulting in ventilator associated pneumonia by early and late collar use”
BackgroundVentilator-Associated Pneumonia
Marik, P. E. (2010) · Springer eBooks · doi:10.1007/978-1-4419-5923-2_17 · Cited by 5
La décontamination digestive sélective : le feu est passé du rouge au vert
Textoris, J., Léone, M., Boyle, W. A., & Martin, C. M. P. (2005) · Annales Françaises d Anesthésie et de Réanimation · doi:10.1016/j.annfar.2005.02.004 · Cited by 5
Beovič, B., Matos, B., Boŝnjak, R., Seme, K., Mueller‐Premru, M., Hergouth, V. K., & Čižman, M. (2003) · International Journal of Antimicrobial Agents · doi:10.1016/s0924-8579(03)00079-7 · Cited by 5
Community-acquired pneumonia in elderly patients
Chang, H. (2010) · The Korean Journal of Internal Medicine · Cited by 5
Semi-recumbent Position in ICU
Li, T. S. T., Joynt, G. M., So, H., Gomersall, C. D., & Yap, F. H. Y. (2008) · Cited by 5
Reducing paediatric ventilator-associated pneumonia – a South African challenge!
Kunzmann, H., Dimitriades, K., Morrow, B. M., & Argent, A. C. (2016) · Southern African Journal of Critical Care · doi:10.7196/sajcc.2016.v32i1.243 · Cited by 5
“Following discussion and consensus, and using evidence from healthcare literature, it was decided that in addition to strict adherence to PICU infection control policies, the VAP bundle should consist of five elements: (i) Elevating the head of the bed to 30°, on the basis of the results of an adult randomised control…”
MethodMartí-Hereu, L., & Marañón, A. A. (2017) · Enfermería Intensiva · doi:10.1016/j.enfi.2017.02.004 · Cited by 5
Schmidt, S. B., Boltzmann, M., & Rollnik, J. D. (2018) · Die Rehabilitation · doi:10.1055/a-0642-1457 · Cited by 5
“Zur Pneumonieprophylaxe wird oft eine Oberkörperhochlagerung von 45 ° durchgeführt [8], wenngleich der Wert dieser Maßnahme zunehmend in Frage gestellt wird.”
Prevention of Ventilator-Associated Pneumonia in Adults
(2017) · Critical Care Nurse · doi:10.4037/ccn2017460 · Cited by 5
Prevention and Management of Ventilator-Associated Pneumonia
Park, S. Y., & Lee, H. B. (2014) · Korean Journal of Medicine · doi:10.3904/kjm.2014.86.5.537 · Cited by 5
“그 러나 외상성 뇌손상 환자들을 대상으로 한 다른 연구에서는 HAP의 발생을 줄이지 못했고 오히려 사망률을 증가시킨다 는 결과도 있어 향후 이에 대한 대규모 연구가 필요하리라 사료된다.”
InfluentialSemi-sitting Position in Neurosurgery: A Review
Silva, B., Cunha, C., Furtado, I., Valli, D. A. B., Filho, L. S., Marchini, L., Pereira, V. H. H., dos Passos, G. S., Dias, L., Dias, L., et al. (2016) · Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery · doi:10.1055/s-0036-1572507 · Cited by 5
Nutrition entérale chez l'adulte
Crenn, P. P. (2009) · EMC - Gastro-entérologie · doi:10.1016/s1155-1968(09)50955-8 · Cited by 5
Чучалин, А. Г., Sinopalnikov, A. I., Strachunsky, L. S., Kozlov, R. S., Руднов, В. А., Yakovlev, S. V., Стецюк, О. У., & Reshedko, G. (2005) · PULMONOLOGIYA · doi:10.18093/0869-0189-2005-0-3-13-36 · Cited by 5
Healthcare-Associated Infections
Srinivasan, L. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-82823-9.00037-4 · Cited by 6
Management of Ventilator-associated Pneumonia
Ferrer, M., Valencia, M., & Torres, A. (2008) · Springer eBooks · doi:10.1007/978-0-387-77383-4_33 · Cited by 5
Antiseptic impregnated endotracheal tubes, biofilms, and ventilator-associated pneumonia*
Sungur, M. O., & Akça, O. (2006) · Critical Care Medicine · doi:10.1097/01.ccm.0000242916.88916.43 · Cited by 5
Prise en charge des pneumonies acquises sous ventilation mécanique
Boyadjiev, I., Léone, M., Garnier, F., Albanèse, J., & Martin, C. M. P. (2006) · Annales Françaises d Anesthésie et de Réanimation · doi:10.1016/j.annfar.2006.03.001 · Cited by 5
Prevention of ventilator-associated pneumonia
Standring, D., & Oddie, D. (2011) · British Journal of Cardiac Nursing · doi:10.12968/bjca.2011.6.6.286 · Cited by 5
Die nosokomiale bakterielle Pneumonie*
Habscheid, W. (2008) · DMW - Deutsche Medizinische Wochenschrift · doi:10.1055/s-2008-1065240 · Cited by 5
Nosocomial or healthcare facility-related pneumonia in adults
Balaguera, H. U., Mir, J., & Craven, D. E. (2000) · Current Infectious Disease Reports · doi:10.1007/s11908-000-0038-4 · Cited by 5
Quality in quality improvement research - a new benchmark
Asher, N. R., & White, D. B. (2011) · Critical Care · doi:10.1186/cc10582 · Cited by 5
“Commentary Certain therapies have clearly established benefi ts for critically ill patients, such as semi-recumbent positioning to decrease the incidence of ventilator associated pneumonia, and anticoagulant prophylaxis to prevent deep venous thrombosis [1,2].”
BackgroundÉvaluation des soins et pneumopathies nosocomiales en réanimation
Girault, C., Tamion, F., & Beduneau, G. (2006) · Revue des Maladies Respiratoires · doi:10.1016/s0761-8425(06)71560-1 · Cited by 5
Prevention of Pneumonia in the Hospital Setting
Osmon, S., & Kollef, M. H. (2005) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2004.10.008 · Cited by 5
Richard, J.-C., & Lefebvre, J.-C. (2011) · Critical Care · doi:10.1186/cc10560 · Cited by 5
Semirecumbent position in intensive care patients
Röggla, G., & Röggla, M. (2000) · The Lancet · doi:10.1016/s0140-6736(05)74750-4 · Cited by 5
Predicting ventilator-associated pneumonia
McEnery, T., & Martín‐Loeches, I. (2020) · Annals of Translational Medicine · doi:10.21037/atm.2020.03.173 · Cited by 5
“The usual position is supine position (16).”
Nursing2007 Infection control survey report
Delahanty, K. M., & Myers, F. E. (2007) · Nursing · doi:10.1097/01.nurse.0000271808.79788.6c · Cited by 4
Mechanical Ventilation and Advanced Respiratory Support in the Cardiac Intensive Care Unit
Kenaan, M. A., & Hyzy, R. C. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-52993-8.00050-3 · Cited by 4
Hurley, J. C. (2024) · Antibiotics · doi:10.3390/antibiotics13040316 · Cited by 4
Prevention of Postoperative Pulmonary Problems Starts Intraoperatively
Poelaert, J., Szegedi, L., & Blot, S. I. (2013) · Springer eBooks · doi:10.1007/978-3-642-35109-9_43 · Cited by 4
“006) for supine position [63].”
Ventilator-Associated Pneumonia; A Concise Review
Chandler, B., & Hunter, J. D. (2009) · Journal of the Intensive Care Society · doi:10.1177/175114370901000109 · Cited by 4
Chlorhexidine-Based Oral Care and Ventilator-Associated Pneumonia
Bonten, M. J. M. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.14017 · Cited by 4
Les « dix commandements » de la nutrition entérale en réanimation
Raynard, B., & Sellami-Deletang, N. (2010) · Réanimation · doi:10.1016/j.reaurg.2010.04.003 · Cited by 4
Fitch, Z. W., Duquaine, D. C., Ohkuma, R., Schneider, E. B., & Whitman, G. J. R. (2014) · American Journal of Medical Quality · doi:10.1177/1062860614556743 · Cited by 4
“The relationship between HOB angle compliance and decreased rates of VAP has been established by prior studies.(1-4) It was not an aim of this study to do so again, in particular because the infrequent occurrence of VAP in the study unit would have prevented any meaningful comparisons over this short time period.”
Drehen und Wenden - „Was ist eigentlich möglich?”
Rothaug, O., Sabel, K., & Kaltwasser, A. (2008) · intensiv · doi:10.1055/s-2007-963799 · Cited by 4
Crane, B. A., Wininger, M., & Kunsman, M. (2015) · Advances in Skin & Wound Care · doi:10.1097/01.asw.0000471877.19459.85 · Cited by 4
“This population is a longterm, very ill cohort, for example, those on ventilator support (for whom risk is high for VAP) or with minimal self-care abilities (for whom there is high risk of aspiration), such that a moderate HOB elevation of 30 to 45 degrees would be indicated.(56,57) Moreover, this population typically…”
BackgroundCan We Achieve Zero Hospital-Acquired Pneumonia?
Alves, J., Peña-López, Y., Rojas, J. N., Campins, M., & Rello, J. (2018) · Current treatment options in infectious diseases/Current treatment options in infectious disease · doi:10.1007/s40506-018-0164-x · Cited by 4
Yaghoobi, M. H., Karami, P., Khaledi, A., Rafie, E., Sabahi, M., Habibipour, B., Bashar, F. R., & Sedighi, I. (2019) · Journal of Advances in Medical and Biomedical Research · doi:10.30699/jambs.27.123.1 · Cited by 4
“There are some common causes of concerns in HAI groups of pediatrics and neonates (8).”
BackgroundEndotracheal Tube and Respiratory Care
Mort, T. C., Keck, J. P., & Meisterling, L. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-2764-7.00047-6 · Cited by 4
Care Bundle for Ventilator-Associated Pneumonia in a Medical Intensive Care Unit in Northern Taiwan
Zeng, W.-P., Su, H., Chen, C.-W., Cheng, S., Chang, L., Tzeng, W., & Tzeng, B. (2015) · Journal of Medical Sciences · doi:10.4103/1011-4564.156013 · Cited by 4
Yogun Bakimla Hizli Kucaklasma (Fast Hugs)
Şenoğlu, N., Köse, I., Zincircioğlu, Ç., & Erbay, R. H. (2014) · Türk yoğun bakım derneği dergisi/Türk yoğun bakım dergisi · doi:10.4274/tybdd.69885 · Cited by 4
“Mekanik ventilasyon uygulanan hastalarda başın 30-45 derece yükseltilmesinin gastroösefagial reflü ve nazokomiyal pnömoni insidansını azalttığı bulunmuştur (30,31).”
Asadullah, ., I., & Sri Ardila, N. (2017) · Saintika Medika · doi:10.22219/sm.v11i1.4197 · Cited by 4
Martí-Hereu, L., & Marañón, A. A. (2017) · Enfermería Intensiva (English ed ) · doi:10.1016/j.enfie.2017.02.003 · Cited by 4
Sepsis Management in Resource-Limited Settings
Arslantaş, M. K., & Özdemir, H. (2019) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000004536 · Cited by 4
Lheureux, O., & Preiser, J. (2019) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000000626 · Cited by 4
“The relationship between enteral nutrition and, aspiration and ventilator-associated pneumonia (VAP) has been investigated during the last decades.”
ResultInfluential
Metadata
- Authors
- Drakulovic, M. B., Torres, A., Bauer, T. T., Nicolas, J. M., Nogué, S., & Ferrer, M.
- Affiliations
- Hospital Clínic de Barcelona (ES)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1999-11
- Volume
- 354
- Issue
- 9193
- Pages
- 1851-1858
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2143385226
- Cited by
- 1,243
- References
- 37
- Citations by year
- 2026: 15 · 2025: 13 · 2024: 19 · 2023: 19 · 2022: 22 · 2021: 20 · 2020: 19 · 2019: 20 · 2018: 25 · 2017: 44 · 2016: 40 · 2015: 50 · 2014: 60 · 2013: 58 · 2012: 61
- FWCI
- 31.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Keywords
- nosocomial pneumonia, semi-recumbent position, mechanical ventilation, intensive care unit patients, enteral nutrition, risk factors, mechanical ventilation duration, Glasgow Coma Scale
- MeSH terms
- Aged, Analysis of Variance, Cross Infection, Enteral Nutrition, Female, Humans, Intensive Care Units, Male, Middle Aged, Pneumonia, Aspiration, Posture, Respiration, Artificial, Risk Factors, Spain, Time Factors, Incidence, Logistic Models, Odds Ratio, Supine Position, Hospital Mortality
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
