PROSEVA
Prone Positioning in Severe ARDS
Patient / Population Intervention / Exposition Comparaison Critère de jugement
In 466 patients with severe ARDS (P/F <150), early prone positioning ≥16 h/day reduced 28-day mortality compared with supine ventilation.
N
466
Schéma
Multicentre RCT, France
Critère
28-day all-cause mortality
Pertinence
1
Résultat16.0% vs 32.8% (HR 0.39; 95% CI 0.25–0.63). 90-d mortality 23.6% vs 41.0%.
Guérin C, et al. N Engl J Med. 2013;368(23):2159-2168. 10.1056/NEJMoa1214103
Discussion et critique
Strongest mortality signal in ARDS after ARMA; success required experienced proning teams.