Effect of Prone Positioning in Patients with Moderate COVID-19 Pneumonia Admitted to Ward at a Tertiary Care Hospita
COVID -19 pneumonia can progress to severe disease in 5% of patients requiring intensive care management, which can put an excessive burden on health care systems. Prone positioning has been shown to improve oxygenation and decrease lung injury in patients with COVID-19 pneumonia and can be used a...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Liaquat National Hospital and Medical College
2022-06-01
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| Series: | Liaquat National Journal of Primary Care |
| Subjects: | |
| Online Access: | https://journals.lnh.edu.pk/lnjpc/pdf/c95bb929-3692-48b9-b902-99afb140b1a1.pdf |
| Summary: | COVID -19 pneumonia can progress to severe disease in 5% of patients requiring intensive care management, which can put an
excessive burden on health care systems. Prone positioning has been shown to improve oxygenation and decrease lung injury in
patients with COVID-19 pneumonia and can be used as an adjunctive treatment to delay intubation. The objective of this study is to
assess the effect of prone positioning in patients admitted to the COVID ward, with Moderate COVID-19 Pneumonia. This experimental
study was conducted at Liaquat National Hospital. A quasi-experimental study design was applied. Patients with hypoxemia SpO2
< 94% were assisted to prone and semi-prone for up to 2 hours at a time for multiple sessions. Parameters like SaO2
, PaO2
/FiO2
,
hours of proning and changes and X-rays were recorded daily and pre and post-intervention values were compared. Paired t-test
and Wilcoxon sign test were used to compare continuous parameters. A two-tailed p-value less than 5% of the level of significance
was defined as statistically significant. 20 patients fulfilling the inclusion criteria were enrolled. Median hours of prone positioning
were 48.5. The median hospital stay was 7.5 days. At baseline, mean PaO2
/FiO2
ratio was 342±91.87 and at the time of discharge,
it was 412.30±105.97 which is a statistically significant improvement from baseline (p=0.040). 50% of patients showed improvement
in X-rays. One patient was intubated and all the patients were discharged. The sample collected in the current showed that prone
positioning is a safe and feasible approach to improve oxygenation in moderate-severe COVID-19 pneumonias. However, studies
with a larger sample size are recommended to further verify the findings of this study |
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| ISSN: | 2707-3521 2708-9134 |