Evaluación de la respuesta a la posición prono en pacientes despiertos hospitalizados con COVID-19
DOI:
https://doi.org/10.1590/1809-2950/21018529012022PTPalabras clave:
COVID-19, Coronavirus, Posición Prona, Intubación, Unidades de Cuidados Intensivos.Resumen
El propósito de este estudio fue evaluar los efectos agudos de los tipos de respuesta a la posición prona (PP) en los pacientes despiertos hospitalizados por COVID-19. Se realizó un estudio prospectivo, unicéntrico, con la participación de 32 pacientes hospitalizados por COVID-19 y con el uso de oxígeno suplementario. La respuesta a la posición prono se realizó durante 30 minutos. Después de la prueba, se orientó que los pacientes permanezcan en la PP diariamente según su tolerancia. Se registraron las variables saturación de oxígeno (SpO2), frecuencia cardiaca, frecuencia respiratoria, índice ROX y tasa de ingreso a la unidad de cuidados intensivos (UCI). Un total de 25 pacientes (78,1%) respondieron a la PP, de los cuales 13 (40,6%) tuvieron respuesta persistente y 12 (37,5%) presentaron respuesta transitoria. Siete pacientes (21,9%) no respondieron. Los pacientes con respuestas persistentes y transitorias presentaron un incremento de la SpO2 (p<0,001) y el índice ROX (p=0,001 y p<0,001, respectivamente), y una reducción de las frecuencias cardiaca (p=0,01 y p=0,02, respectivamente) y respiratoria (p=0,003 y p=0,001, respectivamente). No hubo diferencia en ninguna de las variables en los pacientes que no respondieron a la PP. La tasa de ingreso en la UCI de pacientes que tuvieron una respuesta persistente, transitoria o que no respondieron a la PP fue de un 30,8% (4/13), un 41,7% (5/12) y un 57,1% (4/7), respectivamente. Se concluye que los pacientes que respondieron a la PP tuvieron una reducción de las frecuencias cardiaca y respiratoria, incremento del índice ROX, sin interferir en la tasa de hospitalización
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Derechos de autor 2022 Angélica Bologna Raposo, Alice Haniuda Moliterno, João Pedro Lucas Neves Silva, Rafael Varago Fabri, Ana Paula Coelho Figueira Freire, Francia Lopes Pacagnelli
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.