- Awake prone positioning (APP) for at least 10 hours/day is associated with higher survival without intubation in COVID-19 patients with acute hypoxemic respiratory failure.
- A meta-analysis of 14 randomized clinical trials comprising 3,019 participants demonstrated the benefits of APP compared to supine positioning.
- Prolonged duration of APP confers greater benefits.
- Lead study author: Jian Luo of the Respiratory Medicine Unit and Oxford National Institute for Health and Care Research Biomedical Research Centre at NDM Experimental Medicine at the University of Oxford.
- Subgroup analyses revealed more pronounced effects of APP in specific patient groups based on age, body mass index, timing of implementation, and clinical parameters.
Source: JAMA Internal Medicine