Non-ventilated Prone Positioning in the COVID-19 Population

Completed · Not applicable

Conditions studied: COVID-19, Proning, Oxygenation, Length of Stay

In brief

In the COVID-19 healthcare crisis, one possible treatment therapy that has generated the most discussion is that of proning, or the position in which the patient lays face down as opposed to face up for a period of time. As the pandemic continues, this method has been more widely adopted to increase oxygen saturation in patients in respiratory distress. While proning research is both ongoing and extensive in the ICU population of COVID-19 patients, minimal research has been conducted with acute care patients. The researchers aim to address this gap with this study. The researchers used a systematic approach to educate patients and staff about patient self-proning, implementing self-proning every 2 hours, and monitoring escalation of oxygen levels, as well as length of stay in the acute care unit. The researchers hypothesized an improvement in oxygen saturation levels as evidenced by no escalation of respiratory care (i.e. higher levels of oxygen needed, transfer to higher level of care), resulting in shorter lengths of stay for the intervention population.

Key facts

Study ID: NCT05957588
Run by: Baylor St. Luke's Medical Center
People needed: 216
Starts: 2021-10-01
Expected to finish: 2022-04-01
Last updated by the study team: 2023-07-24

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

patients that were confirmed COVID-19 positive on an acute-care, telemetry-monitored, non-ICU unit and were considered hypoxemic
conscious, oriented and independently mobile patients
subjects were patients 18 years and older

You may not qualify if…

negative for COVID 19
patients in ICU settings
patients in acute respiratory distress
patients in hemodynamic instability (systolic blood pressure below 90) or arrhythmia
patients with altered mental status
patients with unstable spine/thoracic injury
patients with recent abdominal surgery
patients with significant pressure ulcers (above stage 1)
pregnant patients past the 2nd trimester
patients that have concerning neurological issues (such as seizures)
Patients that are unable to change positions independently

Where it is running

Baylor St. Luke's Medical Center — Houston, Texas, United States

Full record on ClinicalTrials.gov

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