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Use of prone position in spontaneous breathing in patients with COVID-19 Cover

Figures & Tables

Fig.1.

Mortality of the two groups over time
Mortality of the two groups over time

Cox regression analysis with factors associated with mortality in patients with covid 19

Exp (B)Waldp95% CI for EXP (B)
Involvement pulmonary1.2991.2950.2550.8282.040
SAPS-31.0050.6070.4360.9921.018
NIV time0.9880.6200.4310.9581.019
Age1.0163.4420.0640.9991.034
Gender1.5233.7020.0540.9922.338
Time of onset of symptoms1.0080.1460.7030.9691.048
Chronic arterial disease0.9660.0090.9250.4691.991
Awake Prone position0.5585.2160.0220.3380.921

General characteristics of patients admitted to the ICU with COVID-19

VariablesSupine position (n=437)Awake prone position (n=289)p
Age, years63.5 ± 17.456.8 ± 13.70.001*

Gender, male, n (%)259.0 (59.4)200.0 (69.2)0.007*

Comorbidities
Diabetes Mellitus, n (%)142.0 (32.6)87.0 (30.1)0.472
Systemic arterial hypertension, n (%)218.0 (50.0)129.0 (55.4)0.157
Chronic heart failure, n (%)28.0 (6.4)15.0 (5.0)0.238
Dyslipidemia, n (%)94.0 (21.6)52.0 (18.0)0.241
COPD, n (%)28.0 (6.4)18.0 (6.2)0.917
Chronic arterial disease, n (%)35.0 (8.0)11.0 (3.0)0.020*
Obesity, n (%)104.0 (23.9)95.0 (32.9)0.080
Onset of symptoms, days7.0 (4.0–9.0)8.0 (6.0–10.0)0.001*
SAPS-352.0 (32.5–63.5)45.0 (29.0–53.0)0.001*

Involvement pulmonary on chest tomography 0.001*
0–25% changes, n (%)150.0 (34.5)51.0 (17.7)
25–50% changes, n (%)214.0 (49.2)185.0 (64.2)
>50% changes, n (%)71.0 (16.3)52.0 (18.1)

Variables analyzed during the ICU stay in patients with COVID-19

VariablesSupine position (n=437)Awake prone position (n=289)p
Non-invasive ventilation, n (%)284.0 (65.0)225.0 (77.9)0.001*
Non-invasive ventilation, days2.0 (1.0–5.0)3.0 (2.0–5.0)0.008*
High flow therapy, n (%)221.0 (50.6)228.0 (78.9)0.001*
High flow therapy, days3.0 (2.0–6.0)4.0 (2.0–6.0)0.006*
Mechanical ventilation, n (%)219.0 (50.1)141.0 (48.8)0.727
Mechanical ventilation, days13.0 (7.0–23.5)12.0 (7.0–28.0)0.475
Moderate or severe ARDS in the first 24 hours after intubation (PaO2/FiO2 ratio <200)122.0 (27.9)82.0 (28.3)0.896
Prone in Mechanical Ventilation, n (%)88.0 (20.3)52.0 (18.0)0.655
Tracheostomized in the ICU, n (%)69.0 (15.8)46.0 (15.9)0.963
Hemodialysis, n (%)87.0 (19.9)44.0 (15.2)0.258
ICU time, days20.0 (12.0–34.5)17.0 (12.0–30.0)0.120
Length of hospital stay, days27.0 (12.0–36.0)23.0 (11.50–33.5)0.730
Mortality, n (%)118.0 (27.1)40.0 (13.9)0.001*
DOI: https://doi.org/10.2478/jccm-2025-0015 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 149 - 156
Submitted on: May 9, 2024
Accepted on: Mar 7, 2025
Published on: Apr 30, 2025
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Rodrigo Cerqueira Borges, Isadora Salvador Rocco, Camila Botana Alves Ferreira, Mauricio Kenzo Tobara, Cristiane Helena Papacidero, Vanessa Chaves Barreto Ferreira, Andrey Wirgues Sousa, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.