Reduced critical care demand with early CPAP and proning in COVID-19 at Bradford: A single-centre cohort.

ABSTRACT:

Background

Guidance in COVID-19 respiratory failure has favoured early intubation, with concerns over the use of CPAP. We adopted early CPAP and self-proning, and evaluated the safety and efficacy of this approach.

Methods

This retrospective observational study included all patients with a positive COVID-19 PCR, and others with high clinical suspicion. Our protocol advised early CPAP and self-proning for severe cases, aiming to prevent rather than respond to deterioration. CPAP was provided outside critical care by ward staff supported by physiotherapists and an intensive critical care outreach program. Data were analysed descriptively and compared against a large UK cohort (ISARIC).

Results

559 patients admitted before 1 May 2020 were included. 376 were discharged al

SUBMITTER: Lawton T 

PROVIDER: S-EPMC9679910 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature