Self-proning in COVID-19 patients on low-flow oxygen therapy: a cluster randomised controlled trial.


Journal

ERJ open research
ISSN: 2312-0541
Titre abrégé: ERJ Open Res
Pays: England
ID NLM: 101671641

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 28 09 2020
accepted: 22 01 2021
entrez: 15 3 2021
pubmed: 16 3 2021
medline: 16 3 2021
Statut: epublish

Résumé

Prone positioning as a complement to oxygen therapy to treat hypoxaemia in coronavirus disease 2019 (COVID-19) pneumonia in spontaneously breathing patients has been widely adopted, despite a lack of evidence for its benefit. We tested the hypothesis that a simple incentive to self-prone for a maximum of 12 h per day would decrease oxygen needs in patients admitted to the ward for COVID-19 pneumonia on low-flow oxygen therapy. 27 patients with confirmed COVID-19 pneumonia admitted to Geneva University Hospitals were included in the study. 10 patients were randomised to self-prone positioning and 17 to usual care. Oxygen needs assessed by oxygen flow on nasal cannula at inclusion were similar between groups. 24 h after starting the intervention, the median (interquartile range (IQR)) oxygen flow was 1.0 (0.1-2.9) L·min Self-prone positioning in patients with COVID-19 pneumonia requiring low-flow oxygen therapy resulted in a clinically meaningful reduction of oxygen flow, but without reaching statistical significance.

Identifiants

pubmed: 33718487
doi: 10.1183/23120541.00692-2020
pii: 00692-2020
pmc: PMC7869594
pii:
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

©The authors 2021.

Déclaration de conflit d'intérêts

Conflict of interest: A. Kharat has nothing to disclose. Conflict of interest: E. Dupuis-Lozeron has nothing to disclose. Conflict of interest: C. Cantero has nothing to disclose. Conflict of interest: C. Marti has nothing to disclose. Conflict of interest: O. Grosgurin has nothing to disclose. Conflict of interest: S. Lolachi has nothing to disclose. Conflict of interest: F. Lador has nothing to disclose. Conflict of interest: J. Plojoux has nothing to disclose. Conflict of interest: J-P. Janssens has nothing to disclose. Conflict of interest: P.M. Soccal has nothing to disclose. Conflict of interest: D. Adler has nothing to disclose.

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Auteurs

Aileen Kharat (A)

Division of Lung Diseases, Geneva University Hospitals, Geneva, Switzerland.
Montreal University Hospital Center, Montreal, QC, Canada.

Elise Dupuis-Lozeron (E)

University of Geneva Medical School, Geneva, Switzerland.
Division of Clinical Epidemiology, Geneva University Hospitals, Geneva, Switzerland.

Chloé Cantero (C)

Division of Lung Diseases, Geneva University Hospitals, Geneva, Switzerland.

Christophe Marti (C)

University of Geneva Medical School, Geneva, Switzerland.
Division of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland.

Olivier Grosgurin (O)

Division of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland.

Sanaz Lolachi (S)

Division of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland.

Frédéric Lador (F)

Division of Lung Diseases, Geneva University Hospitals, Geneva, Switzerland.
University of Geneva Medical School, Geneva, Switzerland.

Jérôme Plojoux (J)

Division of Lung Diseases, Geneva University Hospitals, Geneva, Switzerland.
University of Geneva Medical School, Geneva, Switzerland.

Jean-Paul Janssens (JP)

Division of Lung Diseases, Geneva University Hospitals, Geneva, Switzerland.
University of Geneva Medical School, Geneva, Switzerland.

Paola M Soccal (PM)

Division of Lung Diseases, Geneva University Hospitals, Geneva, Switzerland.
University of Geneva Medical School, Geneva, Switzerland.

Dan Adler (D)

Division of Lung Diseases, Geneva University Hospitals, Geneva, Switzerland.
University of Geneva Medical School, Geneva, Switzerland.

Classifications MeSH