Effectiveness of Prone Position among Patients with Acute Respiratory Disease (COVID-19)
Muhammad Bilal Abdullah, Naveed Noor Khan, Waseem Babur
1449
ABSTRACT
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,
ABSTRACT
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,