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Impact of reinforced awake proning on outcomes of COVID-19 pnemonia

Conditions
Coronavirus as the cause of diseases classified elsewhere, (2) ICD-10 Condition: J128||Other viral pneumonia,
Registration Number
CTRI/2021/06/034340
Brief Summary

With the ongoing COVID 19 pandemic a large number of patients are hospitalized with the need for supplemental O2. Awake proning has been shown to improve outcomes in patients. However patients find it difficult to comply especially as they do not have their family members with them. This study is being done to test the utility of education, reinforcement and trackers on the patient’s compliance to proning and in turn the effect on outcomes.

Detailed Description

Not available

Recruitment & Eligibility

Status
Other
Sex
All
Target Recruitment
302
Inclusion Criteria

CONSENTING COVID 19 PATIENTS HOSPITALISED FOR MILD,MODERATE,SEVERE DISEASE.

Exclusion Criteria
  • 1.Inability to prone due to mechanical reasons 2.Heart failure NYHA Class 3/4 3.Decompensated Chronic Liver Disease with ascites 4.Presence of Pneumothorax or Pneumomediastinum 5.Critically Ill patients 6.Intubated patients 7.Morbid obesity 8.Pregnancy 9.Unstable Fractures 10.Acute Hypercapnic respiratory failure 11.Deep Vein Thrombosis (untreated<48hrs) 12.Other contraindications to Prone position documented in the Case record by the treating physician.
  • 13.Intervention delayed beyond 48 hours of admission.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Need for invasive or non invasive ventilation or the occurence of death.At baseline, then daily till 7 days in both arms. After this all patients will be followed up till discharge or death. Final outcome will be recorded at that time.
Secondary Outcome Measures
NameTimeMethod
Resolution of hypoxia and the need for escalation of care.At baseline, and then daily for 7 days.

Trial Locations

Locations (1)

ST JOHNS MEDICAL COLLEGE & HOSPITAL

🇮🇳

Bangalore, KARNATAKA, India

ST JOHNS MEDICAL COLLEGE & HOSPITAL
🇮🇳Bangalore, KARNATAKA, India
Dr Soumya
Principal investigator
08022065834
drsoumya239@gmail.com

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