1. Compliance to not only prone but also lateral and supine positioning improves outcome in hospitalised COVID‐19 patients
- Author
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Ihsan Ates, Abdulsamet Erden, Orhan Küçükşahin, Özge Güçbey, Ahmet Omma, Enes Seyda Şahiner, Serdar Can Güven, Seval Izdes, Elif Kübra Gürler, Özlem Karakaş, and Adem Çağlayan
- Subjects
medicine.medical_specialty ,Supine position ,medicine.medical_treatment ,law.invention ,law ,mental disorders ,Prone Position ,medicine ,Humans ,Intubation ,Retrospective Studies ,Original Paper ,Respiratory Distress Syndrome ,Respiratory distress ,SARS-CoV-2 ,business.industry ,COVID-19 ,General Medicine ,Oxygenation ,Original Papers ,Respiration, Artificial ,Intensive care unit ,Compliance (physiology) ,Intensive Care Units ,Infectious Diseases ,Respiratory failure ,Emergency medicine ,Airway ,business - 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
- Published
- 2021
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