Summary of findings 2. Summary of findings table ‐ Supine compared to good‐lung dependent for acute respiratory distress in hospitalised infants and children (ARDs).
Supine compared to good‐lung dependent for acute respiratory distress in hospitalised infants and children (ARDs) | ||||||
Patient or population: acute respiratory distress in hospitalised infants and children (ARDs) Setting: hospital (paediatric critical care unit) Intervention: supine Comparison: good‐lung dependent | ||||||
Outcomes | Anticipated absolute effects* (95% CI) | Relative effect (95% CI) | № of participants (studies) | Certainty of the evidence (GRADE) | Comments | |
Risk with good‐lung dependent | Risk with supine | |||||
Mortality (respiratory events) ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported this outcome |
Oxygen saturation (SaO2) ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported this outcome |
PaO2 follow‐up: range 15 minutes to 45 minutes | The mean paO2 was 111.92 mmHg | mean 3.44 mmHg higher (23.12 lower to 30 higher) | ‐ | 50 (1 RCT) | ⊕⊝⊝⊝ Very lowa,b,c | |
Blood gases (PaCO2) ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported this outcome |
Lung function (PaO2/FiO2 ratio) ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported this outcome |
Oxygenation index (FiO2% X MPAW/PaO2) ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported this outcome |
Potential adverse outcomes (episodes of apnoea) ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported this outcome |
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: confidence interval | ||||||
GRADE Working Group grades of evidence High certainty: we are very confident that the true effect lies close to that of the estimate of the effect. Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different. Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect. Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect. | ||||||
See interactive version of this table: https://gdt.gradepro.org/presentations/#/isof/isof_question_revman_web_423282959442933151. |
a We identified significant issues with the randomisation process as well as concealment of allocation b A very wide and imprecise confidence intervals (CI), suggesting possible benefit or harm c A very small single study