Predictors of intubation in COVID-19 patients undergoing awake proning in the emergency department.

ABSTRACT:

Background

Awake prone positioning (PP) has been used to avoid intubations in hypoxic COVID-19 patients, but there is limited evidence regarding its efficacy. Moreover, clinicians have little information to identify patients at high risk of intubation despite awake PP. We sought to assess the intubation rate among patients treated with awake PP in our Emergency Department (ED) and identify predictors of need for intubation.

Methods

We conducted a multicenter retrospective cohort study of adult patients admitted for known or suspected COVID-19 who were treated with awake PP in the ED. We excluded patients intubated in the ED. Our primary outcome was prevalence of intubation during initial hospitalization. Other outcomes were intubation within 48 h of admission and mortality.

SUBMITTER: Downing J 

PROVIDER: S-EPMC8188753 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature