Individual research recommendation details

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