Determine the Impact of Prone Positioning in Covid-19 Patients

Imran, Muhammad; Rashed, Khalifa Rahat; Ali, Amjad; Anjum, Jahangir; Fuaad, Muazzam; Safdar, Talal

doi:10.53350/pjmhs211571864

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…Our results were comparable to the previous researches. [18,19] We found that 55 (64.7%) patients had moderate disease while 30 (35.3%) had severity of disease among all cases. [18] Symptoms such as fever, cough, and dyspnea were the most often reported in both groups.…”

Section: Discussionmentioning

confidence: 69%

“…[18,19] We found that 55 (64.7%) patients had moderate disease while 30 (35.3%) had severity of disease among all cases. [18] Symptoms such as fever, cough, and dyspnea were the most often reported in both groups. The majority of patients showed bilateral lung involvement with interstitial infiltrates, followed by consolidation and unilateral infiltrates, according to the findings.…”

Section: Discussionmentioning

confidence: 69%

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Effectiveness of Prone Position among Patients with Acute Respiratory Disease (COVID-19)

Abdullah¹,

Khan²,

Babur³

2022

PJMHS

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Objective: Aim of current study is to determine the effectiveness of prone position in patients presented with severe coronavirus disease. Study Design: Observational /Retrospective study Place and Duration: King Salman Armed Forces Hospital Tabuk KSA. Feb 2021-Dec 2021 Methods: This research comprised a total of 85 patients with respiratory failure who were admitted to the ICU. Patients ranged in age from 20 to 75. After obtaining written permission from each patient, demographic information such as age, gender, and BMI was collected. A and B were the two groups of patients that were studied. Group A included 40 patients with COVID-19 who completed prone position testing, whereas group II included 45 patients as a comparison group. During the 15-day follow up period, patients in group A were remained in a prone posture whereas those in group B were subjected to invasive ventilation. Outcomes among both groups were compared in terms of mortality, hospital stay and reduction in intubation rate. Analyzation of data was completed by using SPSS 24.0 version. Results: The majority of the patients were men, with 60 (70.6%) of the total, while the others were females, with 25 (29.4%). The mean age of the patients in the prone posture group was 48.12 years, with a mean BMI of 27.5 kg/m2, whereas the mean age of the patients in the control group was 50.4 years, with a mean BMI of 27.9 kg/m2. The average time spent in the prone position was 6.08 hours. When comparing the prone group to the controlled group, the mean PF ratio was higher in the former. The average length of stay in group A was 7.2 days, whereas the average length of stay in group B was 10.5 days. Group A had a death rate of 2 (5%), while group B had a mortality rate of 5 (11.1%). Conclusion: As a result of this research, we came to the conclusion that the prone position was an effective and safe approach for reducing intubation, mortality, and hospital stay in patients of COVID-19. After this procedure, no side effects were observed. Keywords: Respiratory Failure, Mortality, Prone Position, Covid-19,

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 69%

Effectiveness of Prone Position among Patients with Acute Respiratory Disease (COVID-19)

Abdullah¹,

Khan²,

Babur³

2022

PJMHS

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Awake prone positioning for patients with COVID-19-related respiratory failure: a systematic review and meta-analysis

Graziani,

Rigutini,

Bartolini

et al. 2023

Intern Emerg Med

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The role of awake prone positioning (aPP) in patients with acute hypoxemic respiratory failure is debated. We performed a systematic review and meta-analysis to evaluate the role of aPP in acute respiratory failure related to COronaVIrus Disease-19 (COVID-19). Studies reporting on the clinical course of patients with acute respiratory failure related to COVID-19 treated or not treated by aPP were included in the systematic review and meta-analysis (ProsperoID: CRD42022333211). The primary study outcome was the composite of in-hospital death or orotracheal intubation; the individual components of the primary outcome were secondary study outcomes. The composite of in-hospital death or orotracheal intubation was available for 6 studies (1884 patients), five randomized and one prospective; a significant reduction in the risk of this outcome was observed in patients treated vs. not treated by aPP (33.5% vs. 39.8%; OR 0.73, 95% CI 0.60–0.89; I2 0%). In-hospital death was reported in 34 studies (6808 patients) and occurred in 17.4% vs. 23.5% of patients treated or not treated with aPP (random effect OR 0.60, 95% CI 0.46–0.79; I2 59%); orotracheal intubation was observed in 25.8% vs. 32.7% of patients treated or not treated with aPP (27 studies, 5369 patients; random effect OR 0.85, 95% CI 0.56–1.27; I2 84%). aPP reduces the risk for death or orotracheal intubation in patients with acute respiratory failure related to COVID-19. Further studies should be conducted to confirm the clinical benefit of aPP outside the ICU.Registration Prospero ID: CRD42022333211.

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Determine the Impact of Prone Positioning in Covid-19 Patients

Cited by 2 publications

References 16 publications

Effectiveness of Prone Position among Patients with Acute Respiratory Disease (COVID-19)

Effectiveness of Prone Position among Patients with Acute Respiratory Disease (COVID-19)

Awake prone positioning for patients with COVID-19-related respiratory failure: a systematic review and meta-analysis

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