{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T06:29:46Z","timestamp":1775284186796,"version":"3.50.1"},"reference-count":48,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T00:00:00Z","timestamp":1645660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare the effect of prehospital noninvasive positive pressure ventilation (NIPPV) and standard care for severe respiratory distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Severe respiratory distress is an important cause of death in adult patients. There is a growing body of research exploring the benefits of nasal intermittent positive pressure ventilation (NIPPV) for patients undergoing severe respiratory distress. However, a systematic review is needed to synthesise and summarise this body of knowledge to identify the effectiveness of NIPPV. This is an update of a meta\u2010analysis first published in 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Meta\u2010analysis based on PRISMA guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Databases including PubMed, Embase, Scopus and the Cochrane Library databases were electronically searched to identify randomised controlled trials (RCTs) that reported NIPPV therapy for adult patients with severe respiratory distress. The retrieval time is limited from inception to August 2021. Two reviewers independently screened literature, extracted data and assessed risk bias of included studies. Meta\u2010analysis was performed by using STATA 11.0 software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 10 studies involving 1465 patients were included. The meta\u2010analysis results showed that compared with standard care, CPAP therapy decreased intubation rate (RR\u00a0=\u00a00.43, 95% CI: 0.27\u20130.67, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001, <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00.0%), reduced hospital stay (WMD\u00a0=\u00a0\u22124.19, 95% CI: \u22125.62, \u22122.77) and ICU stay (WMD\u00a0=\u00a0\u22120.65, 95% CI: \u22121.09, \u22120.20) for patients with severe respiratory distress. However, no significant effects of NIPPV were observed on in\u2010hospital mortality (RR\u00a0=\u00a00.83, 95% CI: 0.64\u20131.07) and ICU admission rate (RR\u00a0=\u00a00.93, 95% CI: 0.73\u20131.19).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adult patients with NIPPV treatment for severe respiratory distress had a significantly lower intubation rate and shorter hospital and ICU stay, compared with those with standard care. However, no effect of NIPPV on in\u2010hospital mortality was observed. Further study is needed by enrolling large\u2010sample original studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Among patients with severe respiratory distress, prehospital NIPPV, compared with standard care, was associated with lower intubation rate and shorter hospital and ICU stay in our study. Although our meta\u2010analysis did not find a relationship between prehospital NIPPV and in\u2010hospital mortality and ICU admission rate, which may be limited by the number of studies included and the small sample size. However, our study still suggested that the use of prehospital NIPPV was beneficial to the condition of patients with severe respiratory distress.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16224","type":"journal-article","created":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T04:56:37Z","timestamp":1645764997000},"page":"3327-3337","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Prehospital noninvasive positive pressure ventilation for severe respiratory distress in adult patients: An updated meta\u2010analysis"],"prefix":"10.1111","volume":"31","author":[{"given":"Meng","family":"Meng","sequence":"first","affiliation":[{"name":"Nursing Department of the Eighth Medical Center of PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junhong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine The 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