Prone Positioning of Older Adults with COVID-19: A Brief Review and Proposed Protocol

Prone Positioning of Older Adults with COVID-19: A Brief Review and Proposed Protocol

COVID-19 disproportionately affects older people, with higher rates of infection and a higher risk of adverse outcomes. A brief review of literature was undertaken to inform development of a protocol describing the indications and process of prone positioning to aid the management of COVID-19 infect...

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Bibliographic Details
Published in:The Journal of frailty & aging Vol. 11; no. 1; pp. 115 - 120
Main Authors: Brazier, D E, Perneta, N, Lithander, F E, Henderson, E J
Format: Journal Article
Language:English
Published: France Springer Nature B.V 01-01-2022
Springer International Publishing
Subjects:
Aged
Brief Reports
Clinical medicine
Continuous positive airway pressure
Coronaviruses
COVID-19
Efficacy
English language
Humans
Infections
Intensive care
Literature reviews
Mechanical ventilation
Medical screening
Older people
Patient Positioning
Positioning
Prone
Prone Position
Respiratory diseases
United States > US
COVID-19
Prone position
older adults
pandemic
non-pharmaceutical interventions
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Summary:COVID-19 disproportionately affects older people, with higher rates of infection and a higher risk of adverse outcomes. A brief review of literature was undertaken to inform development of a protocol describing the indications and process of prone positioning to aid the management of COVID-19 infection in non-mechanically ventilated, awake older adults. PubMed was searched up to 14th January 2021 to identify English language papers that described prone positioning procedures used in non-mechanically ventilated patients. Data were pooled to inform the development of a prone positioning protocol for use in hospital ward environments. The protocol was trialled and refined during routine clinical practice. Screening of 146 articles yielded five studies detailing a prone positioning protocol. Prone positioning is a potentially feasible and tolerated treatment adjunct for hypoxaemia in older adults with COVID-19. Future studies should further establish the efficacy, safety, and tolerability in respiratory illnesses in non-intensive care settings.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:2260-1341
2273-4309
DOI:10.14283/jfa.2021.30