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Dergiler / Journal of Health Sciences and Medicine / 2026 / Volume: 5 Issue: 2

Comparison of prone position effectiveness with percentage of injured lung area in awake non - intubated COVID-19 patients

Canan Gürsoy(MUĞLA SITKI KOÇMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-0658-9138
Özge Oral Tapan(MUĞLA SITKI KOÇMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-1499-3747
Emrah Doğan(MUĞLA SITKI KOÇMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-9446-2294
Turhan Togan(MUĞLA SITKI KOÇMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-5490-8888
Semra Demirbilek(MUĞLA SITKI KOÇMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-7721-4582
Sayfa
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Yayın Tarihi
2022-03-15
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

However, it should be kept in mind that as the damage to the lung increases, the expected recovery might not be possible.

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Amaç & Hipotez:Aim: Prone position plays a key role in the treatment of both non-intubated and intubated patients because COVID-19 associated respiratory failure is gas exchange abnormalities based on shunt and dead-space ventilation.
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Temel Bulgular & Veri:In this study, we aimed to compare the effect of prone position applied in awake non-intubated COVID-19 patients with percentage of injured lung area.
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Sonuç & Katkı:However, it should be kept in mind that as the damage to the lung increases, the expected recovery might not be possible.
🔬Tür:Clinical Research
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Acute hypoxemic respiratory failure · COVID-19 · prone position

Abstract

Aim: Prone position plays a key role in the treatment of both non-intubated and intubated patients because COVID-19 associated respiratory failure is gas exchange abnormalities based on shunt and dead-space ventilation. In this study, we aimed to compare the effect of prone position applied in awake non-intubated COVID-19 patients with percentage of injured lung area. Material and Method: 65 patients with awake, non-intubated were included in this prospective, single-center study. Percentage of injured lung area was calculated using chest computer tomography taken during diagnosis of patients. The prone position cycle was applied as 6 hours prone, 4-6 hours supine position. Results: The mean of percentage of injured lung area was 25.16±13.81. When percentage of injured lung area groups were compared with the 0th, 6th, 24th and 48th hour SpO2/FIO2 ratio and respiratory frequency; while the SpO2/FIO2 ratio increased in all hours with prone position in the 0-10% and 10-30% groups, a decrease was observed in the SpO2/FIO2 ratio over time in the ≥ 30% group. Conclusions: The prone position is a safe and effective application that causes improvement in SpO2/FIO2 ratio and RR in awake non-intubated COVID-19 patients with less damage to the lung. However, it should be kept in mind that as the damage to the lung increases, the expected recovery might not be possible.

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Bu Makaleye Atıf Yap

Gürsoy, C., Tapan, Ö. O., Doğan, E., Togan, T., Demirbilek, S. (2022). Comparison of prone position effectiveness with percentage of injured lung area in awake non - intubated COVID-19 patients. Journal of Health Sciences and Medicine, Volume: 5 Issue: 2. https://doi.org/10.32322/jhsm.1031996

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Kaynakça (17)

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