Early prone positioning therapy for patients with mild COVID-19 disease

Copyright © 2020 Elsevier España, S.L.U. All rights reserved..

OBJECTIVE: In December 2019, Wuhan, China, experienced an outbreak of coronavirus disease 2019 (COVID-19). Some patients admitted to our hospital were treated with early prone positioning (PP). Here, we analyzed its clinical significance.

METHODS: This was a retrospective observational study. We defined the early PP group as mild COVID-19 patients who were placed into a prone position within 24h of admission; others served as the control group. We recorded basic data and outcomes of early PP and compared the results to those of controls.

RESULTS: After 1 day of treatment, oxygenation was greater in the early PP group than in the control group (P/F: 421.6±39.74 vs. 382.1±38.84mmHg [1mmHg=0.133kPa], p<0.01). And early PP group spent less total time in prone position (11.1±4.17 vs. 16.9±5.20 days, p<0.01), and required shorter hospitalization duration (12.2±4.49 vs. 23.2±4.83 days, p<0.001).

CONCLUSIONS: Early PP treatment can improve hypoxia and shorten the prone position time and hospitalization duration in mild COVID-19 patients. It is a potential clinically applicable intervention.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:156

Enthalten in:

Medicina clinica - 156(2021), 8 vom: 23. Apr., Seite 386-389

Sprache:

Englisch

Beteiligte Personen:

Liu, Xiaoyi [VerfasserIn]
Liu, Hui [VerfasserIn]
Lan, Qing [VerfasserIn]
Zheng, Xiangde [VerfasserIn]
Duan, Jun [VerfasserIn]
Zeng, Fanwei [VerfasserIn]

Links:

Volltext

Themen:

ARDS
COVID-19
Hipoxemia
Hypoxemia
Journal Article
Observational Study
Posición en decúbito prono
Prone position
SARS-CoV-2
SDRA

Anmerkungen:

Date Completed 20.04.2021

Date Revised 20.04.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.medcli.2020.11.036

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320410846