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The PROVENT-C19 registry: A study protocol for international multicenter SIAARTI registry on the use of prone positioning in mechanically ventilated patients with COVID-19 ARDS

Author

Listed:
  • Silvia De Rosa
  • Nicolò Sella
  • Emanuele Rezoagli
  • Giulia Lorenzoni
  • Dario Gregori
  • Giacomo Bellani
  • Giuseppe Foti
  • Tommaso Pettenuzzo
  • Fabio Baratto
  • Giorgio Fullin
  • Francesco Papaccio
  • Mario Peta
  • Daniele Poole
  • Fabio Toffoletto
  • Salvatore Maurizio Maggiore
  • Paolo Navalesi
  • The SIAARTI Study Group

Abstract

Background: The worldwide use of prone position (PP) for invasively ventilated patients with COVID-19 is progressively increasing from the first pandemic wave in everyday clinical practice. Among the suggested treatments for the management of ARDS patients, PP was recommended in the Surviving Sepsis Campaign COVID-19 guidelines as an adjuvant therapy for improving ventilation. In patients with severe classical ARDS, some authors reported that early application of prolonged PP sessions significantly decreases 28-day and 90-day mortality. Methods and analysis: Since January 2021, the COVID19 Veneto ICU Network research group has developed and implemented nationally and internationally the “PROVENT-C19 Registry”, endorsed by the Italian Society of Anesthesia Analgesia Resuscitation and Intensive Care…’(SIAARTI). The PROVENT-C19 Registry wishes to describe 1. The real clinical practice on the use of PP in COVID-19 patients during the pandemic at a National and International level; and 2. Potential baseline and clinical characteristics that identify subpopulations of invasively ventilated patients with COVID-19 that may improve daily from PP therapy. This web-based registry will provide relevant information on how the database research tools may improve our daily clinical practice. Conclusions: This multicenter, prospective registry is the first to identify and characterize the role of PP on clinical outcome in COVID-19 patients. In recent years, data emerging from large registries have been increasingly used to provide real-world evidence on the effectiveness, quality, and safety of a clinical intervention. Indeed observation-based registries could be effective tools aimed at identifying specific clusters of patients within a large study population with widely heterogeneous clinical characteristics. Trial registration: The registry was registered (ClinicalTrial.Gov Trials Register NCT04905875) on May 28,2021.

Suggested Citation

  • Silvia De Rosa & Nicolò Sella & Emanuele Rezoagli & Giulia Lorenzoni & Dario Gregori & Giacomo Bellani & Giuseppe Foti & Tommaso Pettenuzzo & Fabio Baratto & Giorgio Fullin & Francesco Papaccio & Mari, 2022. "The PROVENT-C19 registry: A study protocol for international multicenter SIAARTI registry on the use of prone positioning in mechanically ventilated patients with COVID-19 ARDS," PLOS ONE, Public Library of Science, vol. 17(12), pages 1-13, December.
  • Handle: RePEc:plo:pone00:0276261
    DOI: 10.1371/journal.pone.0276261
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    References listed on IDEAS

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    1. Chen, Ming-Hui & Ibrahim, Joseph G. & Sinha, Debajyoti, 2004. "A new joint model for longitudinal and survival data with a cure fraction," Journal of Multivariate Analysis, Elsevier, vol. 91(1), pages 18-34, October.
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