Early prone positioning therapy for patients with mild COVID-19 disease.

Abstract:

OBJECTIVE:In December 2019, Wuhan, China, experienced an outbreak of coronavirus disease 2019 (COVID-19). Some patients admitted to our hospital were treated with early prone positioning (PP). Here, we analyzed its clinical significance. METHODS:This was a retrospective observational study. We defined the early PP group as mild COVID-19 patients who were placed into a prone position within 24h of admission; others served as the control group. We recorded basic data and outcomes of early PP and compared the results to those of controls. RESULTS:After 1 day of treatment, oxygenation was greater in the early PP group than in the control group (P/F: 421.6±39.74 vs. 382.1±38.84mmHg [1mmHg=0.133kPa], p<0.01). And early PP group spent less total time in prone position (11.1±4.17 vs. 16.9±5.20 days, p<0.01), and required shorter hospitalization duration (12.2±4.49 vs. 23.2±4.83 days, p<0.001). CONCLUSIONS:Early PP treatment can improve hypoxia and shorten the prone position time and hospitalization duration in mild COVID-19 patients. It is a potential clinically applicable intervention.

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Liu X,Liu H,Lan Q,Zheng X,Duan J,Zeng F

doi

10.1016/j.medcli.2020.11.036

subject

Has Abstract

pub_date

2020-12-26 00:00:00

eissn

0025-7753

issn

1578-8989

pii

S0025-7753(20)30884-8

pub_type

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    abstract:BACKGROUND AND OBJECTIVE:We intended to know the degree of agreement between the quality of life's perception of patients with home nutritional support and that of their main caregiver in the different dimensions. We also aimed to establish the predictive ability of the health-related quality of life (HRQL) punctuation...

    journal_title:Medicina clinica

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    journal_title:Medicina clinica

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    journal_title:Medicina clinica

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    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章,随机对照试验

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    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

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    abstract:BACKGROUND:Erythema induratum of Bazin (BEI), is included in the group of cutaneous granulomatous lobulillar panniculitis. The aethiopathogenic association between EI and tuberculosis can not rely on the clinicohistological features of these panniculitis and M. tuberculosis has never been isolated from BEI lesions. Det...

    journal_title:Medicina clinica

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  • Evaluation of the activity of rheumatoid arthritis in clinical practice. Agreement between self-rated clinimetric evaluation and clinical evaluation with activity indexes: DAS28, CDAI and SDAI.

    abstract:INTRODUCTION AND OBJECTIVE:To achieve control of rheumatoid arthritis (RA) it is necessary to be able to evaluate its activity. The American College of Rheumatology (ACR) recommends for this purpose indexes of activity that can be performed by the patient (PAS-II and RAPID-3) and IA including medical evaluation with la...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2017.02.025

    authors: Horta-Baas G,Pérez Bolde-Hernández A,Hernández-Cabrera MF,Vergara-Sánchez I,Romero-Figueroa MDS

    更新日期:2017-10-11 00:00:00

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    abstract::Spain is one of the european countries with a lowest mortality rate by cardiovascular diseases (although they are the leading cause of mortality) and, specifically, by ischemic heart disease. The trends in the last 16 years for which data are available point to a reduction of the former in 1.07% in males and 1.53% in ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

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    authors: Banegas Banegas JR,Rodríguez Pérez P,Rodríguez Artalejo F,Martín Moreno JM,González Enríquez J

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    journal_title:Medicina clinica

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    authors: García Rodríguez JF,Mariño Callejo A,Lorenzo García MV,de Juan Prego J,Díaz Peromingo JA,Sesema Sánchez P

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  • [Dysbaric accident in deep sea fishing].

    abstract::The case of a dysbaric accident with occurred in a professional athlete during a national competition is herein reported. The clinical symptoms and response to treatment in a depressurization chamber in addition to CT controls should alert physicians in coastal areas in which this sport is carried out in order to take...

    journal_title:Medicina clinica

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    更新日期:1995-05-20 00:00:00

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    abstract:BACKGROUND:To evaluate the fat consumption and main sources of specific fatty acids in adults from the south and north of Spain. SUBJECTS AND METHODS:Dietary data from 25,816 women and 15,635 men, aged 29-69 years, participants in the European Prospective Study on Cancer and Nutrition (EPIC) recruited in the north (As...

    journal_title:Medicina clinica

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    journal_title:Medicina clinica

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    journal_title:Medicina clinica

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    authors: López Dupla JM,Rodríguez Pérez A,Martínez Martínez P,de Castro Carpeño J,Lavilla Uriol P,Gil Aguado A

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    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(00)71430-8

    authors: García Delgado I,Gil-Fraguas L,Robles E,Martínez G,Hawkins F

    更新日期:2000-05-27 00:00:00