PRONE POSITIONING OF OLDER ADULTS WITH COVID-19: A BRIEF REVIEW AND PROPOSED PROTOCOL
D.E. Brazier, N. Perneta, F.E. Lithander, E.J. Henderson
J Frailty Aging 2022;11(1)115-120
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.
D.E. Brazier ; N. Perneta ; F.E. Lithander ; E.J. Henderson (2021): Prone Positioning of Older Adults with COVID-19: A Brief Review and Proposed Protocol. The Journal of Frailty and Aging (JFA). http://dx.doi.org/10.14283/jfa.2021.30