Source avec lien : The Journal of Frailty & Aging, 11(1). 10.14283/jfa.2021.30
Le COVID-19 touche de manière disproportionnée les personnes âgées, avec des taux d’infection plus élevés et un risque plus important de résultats indésirables. Une brève revue de la littérature a été entreprise afin d’informer le développement d’un protocole décrivant les indications et le processus de positionnement sur le ventre pour faciliter la gestion de l’infection par le COVID-19 chez les personnes âgées éveillées et non ventilées mécaniquement.
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.