- Recommendation ID
- NG191/18
- Question
What is the effectiveness of awake body positioning in improving outcomes for people in hospital with COVID-19 who are not intubated and have higher oxygen needs?
- Any explanatory notes
(if applicable) Suggested PICO (Population, Intervention, Comparator, Outcomes)
P: people in hospital with COVID-19 who are not intubated and have higher oxygen needs
I: awake body positioning
C: standard care or a different specified awake body position
O:
• adherence to and compliance with body position (including total duration of awake body positioning and duration of each body positioning session)
• patient reported outcomes including dyspnoea, anxiety, delirium, pain, discomfort, breathlessness, impact on sleep
• mortality
• time to non-invasive respiratory support
• intubation
• length of hospital stay
• admission to intensive care unit
• complications (for example: pneumothorax, pneumomediastinum, delirium, intolerance of positioning or haemodynamic instability)
Subgroups:
• mean duration of body positioning
• people on general wards, and those with do-not-intubate goals of care
• supplemental oxygen type
• adults aged 50 years and older
• children aged 12 years and younger
• disease severity
• sex
• ethnic background
• religion or belief
• deprivation or socioeconomic status
• frailty
• BMI of 30 or higher
• pregnant women (including gestational age)
• people with learning disability or physical disability (or both)
• people who use aids (for example, spectacles, hearing aids)
• comorbidities (chronic obstructive pulmonary disease, hypertension, diabetes, coronary heart disease, chronic kidney disease, cancer, cerebral vascular disease, obesity)
Source guidance details
- Comes from guidance
- COVID-19 rapid guideline: managing COVID-19
- Number
- NG191
- Date issued
- March 2021
Other details
Is this a recommendation for the use of a technology only in the context of research? | No |
Is it a recommendation that suggests collection of data or the establishment of a register? | No |
Last Reviewed | 09/03/2022 |