Timings for Awake Prone Positioning in Covid-19 Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 475
- 试验地点
- 1
- 主要终点
- mortality rate
研究概览
简要总结
COVID-19 is an infectious disease caused by a virus called SARS-CoV-2. The spread rate and mortality rate of the virus have had a significant impact on global health and economic systems. Comprehensive treatment and supportive care are required to help COVID-19 patients recover. During the treatment of COVID-19, the respiratory system of patients may be affected, and measures need to be taken to support respiratory function. Currently, awake prone positioning(APP) is an effective method for treating respiratory failure when mechanical ventilation is not feasible or unavailable.
In the prone position, the patient's face is facing the ground, the chest is sinking, and the abdomen is rising. This posture can improve alveolar ventilation and blood flow distribution, reduce pulmonary edema and pulmonary vascular resistance. In addition, the prone position can also improve the coordination of respiratory muscles, promote pulmonary expectoration, and increase functional residual capacity. Although the prone position has been widely used, there is still some controversy over when to use it. Some studies have shown that using the APP for early-stage COVID-19 patients can reduce mortality rates and respiratory dependence time, while others believe that using the APP in the later stages may increase the risk of lung injury.
Therefore, it is necessary to further study when to use the APP and its impact on treatment effectiveness and safety. Such research may need to consider multiple factors, such as the patient's clinical symptoms, the severity of lung lesions, lung function indicators, and the duration of using the prone position. Determining the optimal time to use the APP will help guide clinical physicians to better apply this treatment strategy in the treatment of COVID-19 patients. In addition, the prone position can also be used in the treatment of other respiratory system diseases, so relevant research can also provide references and inspiration for the treatment of other diseases.
The goal of this observational study is to learn about the details which might optimize the effect of APP in COVID-19 patients. The main questions it aims to answer are:
- The optimal time to start in the prone position
- the optimal duration of APP treatment
- the strategies to improve the tolerance of the awake prone position
详细描述
- Setting and design
Retrospectively collect relevant data from the electronic medical records of COVID-19 patients who were admitted to the research center from December 2022 to February 2023. 2. Study Participants
Convenient sampling of COVID-19 patients admitted to the research center from December 2022 to February 2023.
Inclusion criteria:
- age 18 years or older;
- laboratory-confirmed COVID-19 patients;
- radiographic evidence of pulmonary inflammation;
- clear consciousness and ability to communicate verbally;
- patients who have undergone prone position ventilation at least once during hospitalization;
Exclusion criteria:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age 18 years or older;
- •laboratory-confirmed COVID-19 patients;
- •radiographic evidence of pulmonary inflammation;
- •clear consciousness and ability to communicate verbally;
- •patients who have undergone prone position ventilation at least once during hospitalization;
排除标准
- •Patients who were mechanically ventilated with oral intubation immediately after admission or 2 h after admission.
结局指标
主要结局
mortality rate
时间窗: From December 2022 to February 2023
hospital mortality
次要结局
- Rate of adverse respiratory outcomes(From December 2022 to February 2023)