Outcomes of prone-lateral positioning in COVID-19 confirmed patients : a retrospective cohort single-center study / Lea Dianne C. Ayuyao.

Contributor(s):

Ayuyao, Lea Dianne C., MD [principal investigator]

Language: english Publication details: Fairview, Quezon City: Department of Internal Medicine, FEU-NRMF, 2021.Description: tables; (in folder) + with flash drive (soft copy)Content type:

text

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unmediated

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volume

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LOC classification:

MED 2021 0001

Summary: Abstract: Acute Respiratory Distress Syndrome (ARDS) is a life-threatening complication of Covid-19 infection which caused at least five million mortalities globally. In the Philippines, 14% of our cases resulted to serve infections with 5% of these patients requiring intensive care unit admissions which may require intubation and mechanical ventilation (MV). However, due to poor MV/patient ratio in the country, alternative airway managements in ARDS should be explored. Self-proning or Prone-Lateral Positioning is an established maneuver which is said to improve oxygenation in AIDS. In this retrospective study, we collected clinical data in oxygen-requiring Covid-19 confirmed patients and explored the outcomes in those who underwent proning and those who did not. 124 patients admitted from January to August 2021 were oxygen-requiring and 65.2% were advised and tolerated self-proning. The outcomes observed were mortality, number of hospital days, and eventual need for intubation. At the end of the study, we report that there is significantly lower mortality and lesser number of patients requiring advanced airways in the proned group. However, there was no significant difference in the numbers of hospital days and days to death between the proned and unproned groups. It is recommended that future studies focus on a prospective design to effectively observe proper prone-lateral positioning to better assess the effect of the maneuver on oxygenation and to improve patients' ability to tolerate this non-invasive intervention.

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Item type	Current library	Call number	Status	Notes	Date due	Barcode
Room Use	Far Eastern University - Nicanor Reyes Medical Foundation Research	MED 2021 0001 (Browse shelf(Opens below))	Available	with flash drive (soft copy)		R000826

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Includes bibliographical references.

Abstract: Acute Respiratory Distress Syndrome (ARDS) is a life-threatening complication of Covid-19 infection which caused at least five million mortalities globally. In the Philippines, 14% of our cases resulted to serve infections with 5% of these patients requiring intensive care unit admissions which may require intubation and mechanical ventilation (MV). However, due to poor MV/patient ratio in the country, alternative airway managements in ARDS should be explored. Self-proning or Prone-Lateral Positioning is an established maneuver which is said to improve oxygenation in AIDS. In this retrospective study, we collected clinical data in oxygen-requiring Covid-19 confirmed patients and explored the outcomes in those who underwent proning and those who did not. 124 patients admitted from January to August 2021 were oxygen-requiring and 65.2% were advised and tolerated self-proning. The outcomes observed were mortality, number of hospital days, and eventual need for intubation. At the end of the study, we report that there is significantly lower mortality and lesser number of patients requiring advanced airways in the proned group. However, there was no significant difference in the numbers of hospital days and days to death between the proned and unproned groups. It is recommended that future studies focus on a prospective design to effectively observe proper prone-lateral positioning to better assess the effect of the maneuver on oxygenation and to improve patients' ability to tolerate this non-invasive intervention.

Research - Department of Medicine

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