Biography & Net Worth: Studies confirm that prone position improves survival in hospitalized COVID patients

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Large reviews have shown that using oxygen to hospitalized COVID-19 patients significantly improves their chances of survival.

Research on non-intubated patients, published in peer-reviewed journals respiratory care, As a way to improve, it provides an important validation of practices that are pervasive in COVID units. Oxygen intake and clinical outcome.

“A non-invasive way to improve a patient’s prone position. Air “We will raise the level while reducing the need for high oxygen therapy,” said an intern in internal medicine at the University of Toledo School of Medicine and Life Sciences and head of the paper said author Dr. Azura Belan. However, its effects on non-intubated patients have not been evaluated in depth.”

Patients can tolerate 100% oxygen for a short time, but prolonged use of pure oxygen can damage the lungs. The prone position, or belly down, helps keep the lungs open and helps reduce oxygen levels needed to maintain bodily function.

Beran and a team of Utoledo researchers analyzed 14 different studies that compared the clinical outcomes of COVID-19 patients with no tubes. prone position for people who lay on their back while receiving oxygen therapy.

They found that patients in the prone position had a mortality rate of 17.9%, while those in the prone position had a death rate of 25.7%.

“We know that the prone position improves oxygenation,” Belan said. “This analysis is the largest of its kind to date and shows that it also underestimates the number of deaths among hospitalized COVID-19 patients.”

Studies have also found that the prone position during oxygen therapy can potentially reduce the need for more invasive mechanical ventilation.

A combined analysis of all 14 studies showed no statistically significant difference in the number of patients who were finally intubated. However, looking at only five randomized controlled trials, researchers found a significant reduction in intubation in patients placed in the prone position while receiving oxygen therapy.

In these five studies, researchers found that 30.2% of patients adopting the prone position eventually required intubation, compared to 36.9% of patients who adopted the prone position. Did.

Dr. Ragheb Asali, professor of medicine, director of internal medicine training programs and lead author of the dissertation, said this type of research is very important because COVID-19 continues to spread and causes serious illness and death. I said there is.

Asali, who heads the Department of Pulmonary Emergency and Sleep Medicine, said several medical centers are exploring the idea of ​​creating a “prone position team” that can help nursing staff move patients in and out. I mentioned that this paper is particularly timely. prone position.

“Some scientists are discussing the potential for COVID-19 to be endemic, so we need a better answer to standardize the care of COVID patients,” he said. “Our hope is that this study will inspire larger randomized controlled trials and answer questions with greater confidence.”

Beran, a third-year intern at Utoledo, also bases this work on the work, while the evidence in the paper guides the benefits to be used by physicians treating COVID-19. The prone position of an undiagnosed patient said this might help.

“I’m lucky to have an assistant teacher here,” Belan said. “I am here at U Toledo working with many faculty members on several research projects. We are always encouraged and supported to continue our academic pursuits. This is because we as a resident and better doctor evolve. I think it helps to be.”


How aware state can prevent intubation in COVID-19 patients


for more information:
Azizullah Beran et al, Effect of potential status on clinical outcomes of non-intubated subjects with COVID-19: comparative systematic review and meta-analysis, respiratory care (2021). DOI: 10.4187 /respcare.09362

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University of Toledo

Citation: Tendency positioning improves survival in hospitalized COVID patients, https://medicalxpress.com/news/2021-12-prone-positioning-survival-hospitalized-covid.html Study from 2021 12 confirms it Retrieved on March 15 ( December 15, 2021)

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