Open AccessCompliance to not only prone but also lateral and supine positioning improves outcome in hospitalised COVID‐19 patients
Author(s) -
Ateş İhsan,
Erden Abdulsamet,
Gürler Elif Kübra,
Çağlayan Adem,
Güçbey Özge,
Karakaş Özlem,
Şahiner Enes Seyda,
Güven Serdar Can,
İzdeş Seval,
Küçükşahin Orhan,
Omma Ahmet
Publication year - 2021
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/ijcp.14673
Subject(s) - medicine , prone position , supine position , intensive care unit , intubation , emergency medicine , covid-19 , psychological intervention , intensive care medicine , disease , surgery , infectious disease (medical specialty) , psychiatry
Abstract Background Positioning of the patient is a common strategy to increase oxygenation in the management of acute respiratory distress syndrome. The aim of this study is to demonstrate the effects of our positioning approach on disease outcomes in COVID‐19 patients with respiratory failure, by comparing patients compliant to positioning and not. Methods COVID‐19 patients who were admitted to our internal medicine inpatient clinic and developed hypoxaemia and underwent positioning during hospital stay were retrospectively investigated for compliance to positioning. Rates of mortality, intensive care unit admission, intubation, initiation of anti‐inflammatory treatment and length of hospital stay were compared between patients with and without compliance to positioning. Results A total of 144 patients were enrolled in this study (97 compliant with positioning, 47 incompliant with positioning). Rates of ICU admission (7.2% vs 25.5%, p < .001), anti‐inflammatory treatment initiation (68% vs 97.9%, p < .001) and length of hospital stay (5 (2‐16) days vs 12 (3‐20) days, p < .001) were significantly reduced in patients compliant with positioning. Conclusion Prone or other positioning should be considered in patients with noninvasive oxygen support for the potential to reduce rates of intensive care unit admissions, airway interventions, anti‐inflammatory treatment initiation and mortality.