Status:

TERMINATED

Prone Positioning in Awake Patients With COVID-19 Requiring Hospitalization

Lead Sponsor:

University of Utah

Conditions:

Respiratory Failure

COVID-19

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Acute respiratory distress syndrome (ARDS) is a major complication among patients with severe disease. In a report of 138 patients with COVID-19, 20% developed ARDS at a median of 8 days after the ons...

Detailed Description

In December 2019, an outbreak of a novel coronavirus (SARS-CoV-2) emerged in Wuhan, China and rapidly spread worldwide. The World Health Organization (WHO) declared the outbreak a pandemic on March 11...

Eligibility Criteria

Inclusion

  • Adult (age ≥ 18 years)
  • Suspected or Confirmed COVID-19 (Suspected: High clinical suspicion AND pending COVID-19 assay; Confirmed: Positive COVID-19 assay within 10 days)
  • Scheduled for admission or already admitted to an inpatient hospital bed
  • Patients must be enrolled within 48 hours of hospital admission

Exclusion

  • Pregnant
  • Prisoner
  • Contraindication to prone positioning: known increased intracranial pressure \>30 mm Hg or cerebral perfusion pressure \<60 mm Hg, increased abdominal pressure or risk for abdominal compartment syndrome, massive hemoptysis requiring urgent intervention, tracheal surgery or sternotomy during previous 14 days, facial surgery or serious facial trauma within 14 days, pacemaker implantation within 48 hours, unstable spine, femur, or pelvic fractures, chest tube, mean arterial pressure less than 65 mm Hg
  • Lung transplant
  • Burns on more than 20% of body surface
  • Chronic respiratory failure requiring: mechanical ventilation via endotracheal device (e.g. tracheostomy tube, orotracheal tube, or nasotracheal tube)
  • Inability to change position from supine to prone and prone to supine without assistance
  • Receiving end of life care, comfort measures only, or hospice

Key Trial Info

Start Date :

April 29 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 6 2020

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT04368000

Start Date

April 29 2020

End Date

August 6 2020

Last Update

December 3 2020

Active Locations (1)

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1

University of Utah Health Sciences Center

Salt Lake City, Utah, United States, 84132