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Effect of early awake prone positioning application on prognosis in patients with acute respiratory failure due to COVID-19 pneumonia: a retrospective observational study.
Altinay, Mustafa; Sayan, Ismet; Turk, Hacer Sebnem; Cinar, Ayse Surhan; Sayin, Pinar; Yucel, Tugba; Islamoglu, Serkan; Ozkan, Melis Turkel; Cetiner, Ilay.
Afiliación
  • Altinay M; Istanbul Sisli Hamidiye Etfal Health Practice and Research Center, University of Health Sciences, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
  • Sayan I; Istanbul Sisli Hamidiye Etfal Health Practice and Research Center, University of Health Sciences, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
  • Turk HS; Istanbul Sisli Hamidiye Etfal Health Practice and Research Center, University of Health Sciences, Department of Anesthesiology and Reanimation, Istanbul, Turkey. Electronic address: hacersebnem@yahoo.com.tr.
  • Cinar AS; Istanbul Sisli Hamidiye Etfal Health Practice and Research Center, University of Health Sciences, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
  • Sayin P; Istanbul Sisli Hamidiye Etfal Health Practice and Research Center, University of Health Sciences, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
  • Yucel T; Istanbul Sisli Hamidiye Etfal Health Practice and Research Center, University of Health Sciences, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
  • Islamoglu S; Istanbul Sisli Hamidiye Etfal Health Practice and Research Center, University of Health Sciences, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
  • Ozkan MT; Istanbul Sisli Hamidiye Etfal Health Practice and Research Center, University of Health Sciences, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
  • Cetiner I; Istanbul Sisli Hamidiye Etfal Health Practice and Research Center, University of Health Sciences, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
Braz J Anesthesiol ; 72(2): 194-199, 2022.
Article en En | MEDLINE | ID: mdl-34411633
BACKGROUND: We evaluated the effect of early awake prone position administration on oxygenation and intubation requirements and short-term mortality in patients with acute respiratory failure due to coronavirus disease 2019 (COVID-19) pneumonia. METHODS: This is an observational-cohort study. Patients receiving mask oxygen therapy in our intensive care units because of acute respiratory failure due to COVID-19 pneumonia were included. The Awake Prone Position (APP) group consisted of patients who were applied awake prone position, whereas non-APP group consisted of patients who were not applied awake prone position. PaCO2, PaO2, pH, SpO2 values and PaO2/FiO2 ratios were recorded at the beginning and 24th hour. Demographic data, comorbidities, intubation requirements, ventilator-free days, length of intensive care unit stay and short-term mortality of the patients were recorded. RESULTS: The data of total 225 patients were examined, and 48 patients who met our study criteria were included. At the 24th hour, the median SpO2 value of the APP group was 95%, the median PaO2 value was 82 mmHg, whereas the SpO2 value of the non-APP group was 90% and the PaO2 value was 66 mmHg. (p = 0.001, p = 0.002). There was no statistically significant difference between the groups in length of intensive care unit stay and ventilator-free days, but short-term mortality and intubation requirements was lower in the APP group (p = 0.020, p = 0.001) CONCLUSION: Awake prone position application in patients receiving non-rebreather mask oxygen therapy for respiratory failure due to COVID-19 pneumonia improves oxygenation and decreases the intubation requirements and mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Dificultad Respiratoria / Insuficiencia Respiratoria / COVID-19 Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Braz J Anesthesiol Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Dificultad Respiratoria / Insuficiencia Respiratoria / COVID-19 Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Braz J Anesthesiol Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil