{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T12:30:18Z","timestamp":1784205018062,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T00:00:00Z","timestamp":1648684800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Canadian Respiratory Journal"],"published-print":{"date-parts":[[2022,3,31]]},"abstract":"<jats:p>Background. The effects of prone positioning (PP) on patients with acute respiratory distress syndrome (ARDS) caused by pulmonary contusion (PC) are unclear. We sought to determine the efficacy of PP among patients whose ARDS was caused by PC. Methods. A retrospective observational study was performed at an intensive care unit (ICU) from January 2017 to June 2021. ARDS patients with PaO2\/FiO2 (P\/F)\u2009&lt;\u2009150\u2009mmHg were enrolled. During the study period, we enrolled 121 patients in the PP group and 117 in the control group. The changes in vital signs, laboratory tests, and compliance of the respiratory system (Crs) were recorded for 3 consecutive days. The mechanical ventilation time, duration of ICU stay, complications, extubation rate, 28-day ventilator-free days, and mortality were also recorded. Results. In the PP group, the P\/F and Crs increased over time. Compared to the control group, the P\/F and Crs improved in the PP group over 3 consecutive days (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>&lt;<\/a:mo>\n                        <a:mn>0.05<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>). Furthermore, the PP group also had shorter total mechanical ventilation time (5.1\u2009\u00b1\u20091.4 vs. 9.3\u2009\u00b1\u20093.1 days, <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                        <c:mo>&lt;<\/c:mo>\n                        <c:mn>0.05<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>) and invasive ventilation time (4.9\u2009\u00b1\u20091.2 vs. 8.7\u2009\u00b1\u20092.7 days, <jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                        <e:mo>&lt;<\/e:mo>\n                        <e:mn>0.05<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>), shorter ICU stay (7.4\u2009\u00b1\u20091.8 vs. 11.5\u2009\u00b1\u20093.6days, <jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>P<\/g:mi>\n                        <g:mo>&lt;<\/g:mo>\n                        <g:mn>0.05<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>), higher extubation rate (95.6% vs. 84.4%, <jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mi>P<\/i:mi>\n                        <i:mo>&lt;<\/i:mo>\n                        <i:mn>0.05<\/i:mn>\n                     <\/i:math>\n                  <\/jats:inline-formula>), less atelectasis (15 vs. 74, <jats:inline-formula>\n                     <k:math xmlns:k=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\">\n                        <k:mi>P<\/k:mi>\n                        <k:mo>&lt;<\/k:mo>\n                        <k:mn>0.05<\/k:mn>\n                     <\/k:math>\n                  <\/jats:inline-formula>) and pneumothorax (17 vs. 24, <jats:inline-formula>\n                     <m:math xmlns:m=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\">\n                        <m:mi>P<\/m:mi>\n                        <m:mo>&gt;<\/m:mo>\n                        <m:mn>0.05<\/m:mn>\n                     <\/m:math>\n                  <\/jats:inline-formula>), more 28-day ventilator-free days (21.6\u2009\u00b1\u20095.2 vs. 16.2\u2009\u00b1\u20097.2 days, <jats:inline-formula>\n                     <o:math xmlns:o=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M8\">\n                        <o:mi>P<\/o:mi>\n                        <o:mo>&lt;<\/o:mo>\n                        <o:mn>0.05<\/o:mn>\n                     <\/o:math>\n                  <\/jats:inline-formula>), and lower mortality (4.4% vs. 13.3%, <jats:inline-formula>\n                     <q:math xmlns:q=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M9\">\n                        <q:mi>P<\/q:mi>\n                        <q:mo>&lt;<\/q:mo>\n                        <q:mn>0.05<\/q:mn>\n                     <\/q:math>\n                  <\/jats:inline-formula>). Conclusions. Among PC cases with moderate to severe ARDS, PP can correct hypoxemia more quickly, improve Crs, reduce atelectasis, increase the extubation rate, shorten mechanical ventilation time and length of ICU stay, and reduce mortality.<\/jats:p>","DOI":"10.1155\/2022\/4579030","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T17:20:57Z","timestamp":1648747257000},"page":"1-8","source":"Crossref","is-referenced-by-count":3,"title":["Effects of Prone Positioning for Patients with Acute Respiratory Distress Syndrome Caused by Pulmonary Contusion: A Single-Center Retrospective Study"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0834-7095","authenticated-orcid":true,"given":"Xiaoyi","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Critical Care Medicine, The Central Hospital of Dazhou, Dazhou 635000, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Liu","sequence":"additional","affiliation":[{"name":"Ophthalmology, The Central Hospital of Dazhou, Dazhou 635000, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilian","family":"Liu","sequence":"additional","affiliation":[{"name":"Nosocomial Infection Control Department, The Central Hospital of Dazhou, Dazhou 635000, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenlai","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, The Central Hospital of Dazhou, Dazhou 635000, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Lan","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, The Central Hospital of Dazhou, Dazhou 635000, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1685-0117","authenticated-orcid":true,"given":"Jun","family":"Duan","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Clinical Research Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7355-0850","authenticated-orcid":true,"given":"Xiangde","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, The Central Hospital of Dazhou, Dazhou 635000, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.22038\/ijbms.2019.32357.8258"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-020-02081-9"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.594"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1177\/0885066619887666"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-020-00324-1"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2020.12.006"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.2147\/dddt.s258921"},{"issue":"3","key":"8","first-page":"215","article-title":"Application progress of awake prone position ventilation strategy in patients with hypoxic respiratory failure","volume":"20","author":"M. Qi","year":"2021","journal-title":"Chinese Journal of Respiratory and Critical Care Medicine"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-02956-w"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.medcli.2020.11.036"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1000563"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.5669"},{"issue":"1","key":"13","first-page":"33","article-title":"Acute respiratory distress syndrome: ten rules","volume":"1","author":"Y. Yang","year":"2015","journal-title":"Chinese Journal of Critical Care & Intensive Care Medicine"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1530\/eje-11-0148"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1097\/aln.0b013e3181b764d2"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201703-0548ST"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4912-z"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200005043421801"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1097\/01.ccm.0000147445.73344.3a"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.11.53"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-010-0599-9"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.159.3.9802090"},{"issue":"14","key":"23","first-page":"1200","article-title":"Effects of prone position ventilation on inflammatory factors in blood and bronchial alveolar lavage fluid of acute respiratory distress syndrome dogs caused by pulmonary and extrapulmonary insults","volume":"84","author":"L. X. Xie","year":"2004","journal-title":"Zhonghua Yixue Zazhi"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-018-5378-3"}],"container-title":["Canadian Respiratory Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crj\/2022\/4579030.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crj\/2022\/4579030.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crj\/2022\/4579030.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T17:21:03Z","timestamp":1648747263000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crj\/2022\/4579030\/"}},"subtitle":[],"editor":[{"given":"Alice","family":"M. Turner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,3,31]]},"references-count":24,"alternative-id":["4579030","4579030"],"URL":"https:\/\/doi.org\/10.1155\/2022\/4579030","relation":{},"ISSN":["1916-7245","1198-2241"],"issn-type":[{"value":"1916-7245","type":"electronic"},{"value":"1198-2241","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3,31]]}}}