Article ; Online: Awake prone positioning for COVID-19 acute hypoxemic respiratory failure in Tunisia.
2023 Volume 38, Issue 3, Page(s) 271–277
Abstract: Background: In this study, we explored whether awake prone position (PP) can impact prognosis of severe hypoxemia coronavirus disease 2019 (COVID-19) patients.: Methods: This was a prospective observational study of severe, critically ill adult COVID- ...
| Abstract | Background: In this study, we explored whether awake prone position (PP) can impact prognosis of severe hypoxemia coronavirus disease 2019 (COVID-19) patients. Methods: This was a prospective observational study of severe, critically ill adult COVID-19 patients admitted to the intensive care unit. Patients were divided into two groups: group G1, patients who benefited from a vigilant and effective PP (>4 hours minimum/24) and group G2, control group. We compared demographic, clinical, paraclinical and evolutionary data. Results: Three hundred forty-nine patients were hospitalized during the study period, 273 met the inclusion criteria. PP was performed in 192 patients (70.3%). The two groups were comparable in terms of demographic characteristics, clinical severity and modalities of oxygenation at intensive care unit (ICU) admission. The mean PaO2/ FIO2 ratios were 141 and 128 mm Hg, respectively (P=0.07). The computed tomography scan was comparable with a critical >75% in 48.5% (G1) versus 54.2% (G2). The median duration of the daily PP session was 13±7 hours per day. The average duration of spontaneous PP days was 7 days (4-19). Use of invasive ventilation was lower in the G1 group (27% vs. 56%, P=0.002). Healthcare-associated infections were significantly lower in G1 (42.1% vs. 82%, P=0.01). Duration of total mechanical ventilation and length of ICU stay were comparable between the two groups. Mortality was significantly higher in G2 (64% vs. 28%, P=0.02). Conclusions: Our study confirmed that awake PP can improve prognosis in COVID-19 patients. Randomized controlled trials are needed to confirm this result. |
|---|---|
| Language | English |
| Publishing date | 2023-08-21 |
| Publishing country | Korea (South) |
| Document type | Journal Article |
| ZDB-ID | 3003021-3 |
| ISSN | 2586-6060 ; 2586-6052 |
| ISSN (online) | 2586-6060 |
| ISSN | 2586-6052 |
| DOI | 10.4266/acc.2023.00591 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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