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Record W2016379505 · doi:10.1136/ebn.5.2.52

Prone positioning for acute respiratory failure improved short term oxygenation but not survival

2002· letter· en· W2016379505 on OpenAlexaff
Maureen Meade

Bibliographic record

VenueEvidence-Based Nursing · 2002
Typeletter
Languageen
FieldMedicine
TopicRespiratory Support and Mechanisms
Canadian institutionsMcMaster University
Fundersnot available
KeywordsMedicineARDSSupine positionOxygenationAcute respiratory failureMechanical ventilationInternal medicineAnesthesiaSurgeryLung

Abstract

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Gattinoni L, Tognoni G, Pesenti A , et al, for the Prone-Supine Study Group. Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med2001 Aug 23; 345 : 568 –73 [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: Does prone positioning for ≥ 6 hours each day for 10 days improve survival of patients with acute lung injury or the acute respiratory distress syndrome (ARDS)? Randomised (allocation concealed), unblinded, controlled trial with 6 months of follow up. 28 intensive care units (ICUs) in Italy and 2 in Switzerland. 304 patients (mean age 58 y, 68% men) who were receiving mechanical ventilation and met the following modified criteria for acute lung injury or ARDS: ratio of partial pressure of arterial oxygen (PaO2) to fraction of inspired oxygen (FiO2) ≤ 200 with a positive end expiratory pressure (PEEP) ≥ 5 cm of water, or a PaO2:FiO2 ratio ≤ 300 with a PEEP ≥ 10 cm water; radiographic evidence of … [1]: {openurl}?query=rft.jtitle%253DNew%2BEngland%2BJournal%2Bof%2BMedicine%26rft.stitle%253DNEJM%26rft.aulast%253DGattinoni%26rft.auinit1%253DL.%26rft.volume%253D345%26rft.issue%253D8%26rft.spage%253D568%26rft.epage%253D573%26rft.atitle%253DEffect%2Bof%2BProne%2BPositioning%2Bon%2Bthe%2BSurvival%2Bof%2BPatients%2Bwith%2BAcute%2BRespiratory%2BFailure%26rft_id%253Dinfo%253Adoi%252F10.1056%252FNEJMoa010043%26rft_id%253Dinfo%253Apmid%252F11529210%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1056/NEJMoa010043&link_type=DOI [3]: /lookup/external-ref?access_num=11529210&link_type=MED&atom=%2Febnurs%2F5%2F2%2F52.atom [4]: /lookup/external-ref?access_num=000170562900003&link_type=ISI

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.055
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.070
GPT teacher head0.332
Teacher spread0.262 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2002
Admission routes1
Has abstractyes

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