Rationale and Design of the Awake Prone Position for Early Hypoxemia in COVID-19 Study Protocol: A Clinical Trial.


Journal

Annals of the American Thoracic Society
ISSN: 2325-6621
Titre abrégé: Ann Am Thorac Soc
Pays: United States
ID NLM: 101600811

Informations de publication

Date de publication:
09 2021
Historique:
pubmed: 2 3 2021
medline: 7 9 2021
entrez: 1 3 2021
Statut: ppublish

Résumé

The unprecedented public health burdens of coronavirus disease (COVID-19) have intensified the urgency of identifying effective, low-cost treatments that limit the need for advanced life support measures and improve clinical outcomes. However, personal protective equipment and staffing shortages, disease virulence, and infectivity have created significant barriers to traditional clinical trial practices. We present the novel design of a pragmatic, adaptive, multicenter, international, prospective randomized controlled clinical trial evaluating the safety and effectiveness of awake prone positioning in spontaneously breathing patients with COVID-19 (APPEX-19 [Awake Prone Position for Early Hypoxemia in COVID-19]). Key innovations of this trial include

Identifiants

pubmed: 33647225
doi: 10.1513/AnnalsATS.202009-1124SD
pmc: PMC8489858
doi:

Banques de données

ClinicalTrials.gov
['NCT04344587']

Types de publication

Clinical Trial Protocol Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1560-1566

Subventions

Organisme : NHLBI NIH HHS
ID : T32 HL007035
Pays : United States

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Auteurs

Michael A Garcia (MA)

Division of Pulmonary, Allergy, Sleep and Critical Care, Department of Medicine, The Pulmonary Center.

Garrett L Rampon (GL)

Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Kansas School of Medicine, Kansas City, Kansas.

Gheorghe Doros (G)

Department of Biostatistics, and.

Shijing Jia (S)

Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Michigan School of Medicine, Ann Arbor, Michigan; and.

Nikhil Jagan (N)

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Creighton University Medical Center, Creighton University, Omaha, Nebraska.

Kari Gillmeyer (K)

Division of Pulmonary, Allergy, Sleep and Critical Care, Department of Medicine, The Pulmonary Center.

Andrew Berical (A)

Division of Pulmonary, Allergy, Sleep and Critical Care, Department of Medicine, The Pulmonary Center.

James Hudspeth (J)

Section of General Internal Medicine.

Michael Ieong (M)

Division of Pulmonary, Allergy, Sleep and Critical Care, Department of Medicine, The Pulmonary Center.

Katherine L Modzelewski (KL)

Section of Endocrinology, Diabetes, Nutrition, and Weight Management, Department of Medicine.

Elissa M Schechter-Perkins (EM)

Department of Emergency Medicine, Boston University School of Medicine, Boston, Massachusetts.

Craig S Ross (CS)

Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts.

Justin M Rucci (JM)

Division of Pulmonary, Allergy, Sleep and Critical Care, Department of Medicine, The Pulmonary Center.

Steven Simpson (S)

Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Kansas School of Medicine, Kansas City, Kansas.

Allan J Walkey (AJ)

Division of Pulmonary, Allergy, Sleep and Critical Care, Department of Medicine, The Pulmonary Center.

Nicholas A Bosch (NA)

Division of Pulmonary, Allergy, Sleep and Critical Care, Department of Medicine, The Pulmonary Center.

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Classifications MeSH