Respiratory failure & ventilation

Impact of Prone Position in COVID-19 Patients on Extracorporeal Membrane Oxygenation*

Crit Care MedPublished Retrospective cohort study

Main finding · In-hospital mortalityResult — go to the resultOdds ratio 0.49 CI 0.29–0.84

Authors' conclusion

Prone position may be beneficial in patients supported by venovenous ECMO for COVID-19-related ARDS but more data are needed to draw definitive conclusions.

Study context

Population
Patients on venovenous extracorporeal membrane oxygenation (ECMO) for COVID-19-related acute respiratory distress syndrome (ARDS), 41 centresof 647 in 41 centres
Participants
517 patients
Exposure
Prone vs supine position during venovenous ECMO
  • Pronen = 364
  • Supinen = 153reference
Outcome
In-hospital mortality
Methodological detailsmulticentre, propensity-score matched
  • Multicentre
  • Propensity-score matched

Main finding

As reported in the abstract

Odds ratio

0.49

CI 0.29–0.84

P = 0.010

Events by group

Prone vs Supine
OR 0.49 (CI 0.29–0.84); P = 0.010

Observational data: associations, not effects.

Further findings

Mortality, propensity score-matched pairs

P = 0.085

Mortality, patients alive at decannulation (propensity-matched)

P = 0.029

  • Mortality, propensity score-matched pairs: 153 propensity score-matched pairs

Original publication

Impact of Prone Position in COVID-19 Patients on Extracorporeal Membrane Oxygenation*. Crit Care Med. Published 11 November 2022. doi:10.1097/ccm.0000000000005714

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