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Table 3 Variations in physiological and ventilatory parameters during the first (n = 42), the second (n = 37) and the third (n = 31) proning sessions

From: Physiological response to prone positioning in intubated adults with COVID-19 acute respiratory distress syndrome: a retrospective study

 

Overall

Success

Failure

p value

Variation in PaO2/FiO2, mmHg, from pre-PP to end-PP

1st pronation

 + 75 (+ 54 to + 114)

 + 86 (+ 66 to + 125)

 + 58 (+ 10 to + 73)

0.001

2nd pronation

 + 69 (+ 33 to + 123)

 + 74 (+ 34 to + 126)

 + 50 (+ 8 to + 117)

0.53

3rd pronation

 + 48 (+ 24 to + 68)

 + 52 (+ 16 to + 74)

 + 45 (+ 26 to + 69)

0.80

Variation in FiO2, from pre-PP to end-PP

1st pronation

− 0.20 (− 0.33 to − 0.15)

− 0.25 (− 0.38 to − 0.17)

− 0.18 (− 0.24 to − 0.02)

0.02

2nd pronation

− 0.10 (− 0.30 to − 0.05)

− 0.10 (− 0.30 to − 0.05)

− 0.10 (− 0.31 to + 0.04)

0.68

3rd pronation

− 0.10 (− 0.20 to − 0.05)

− 0.10 (− 0.20 to − 0.03)

− 0.15 (− 0.27 to − 0.05)

0.50

Variation in Aa-gradient, mmHg, from pre-PP to end-PP

1st pronation

− 160 (− 232 to − 100)

− 170 (− 248 to − 124)

− 105 (− 169 to − 13)

0.01

2nd pronation

− 98 (− 205 to − 34)

− 98 (− 214 to − 40)

− 98 (− 194 to + 21)

0.68

3rd pronation

− 85 (− 138 to − 41)

− 85 (− 132 to − 9)

− 95 (− 187 to − 52)

0.45

O2 responders

1st pronation

37/42 (88%)

29/30 (97%)

8/12 (67%)

0.002

2nd pronation

29/37 (78%)

22/27 (82%)

7/10 (70%)

0.66

3rd pronation

22/31 (71%)

17/25 (68%)

5/6 (83%)

0.64

Variation in VR, from pre-PP to end-PP

1st pronation

0.02 (− 0.28 to 0.21)

− 0.13 (− 0.34 to  + 0.13)

 + 0.13 (− 0.14 to  + 0.22)

0.21

2nd pronation

 + 0.08 (− 0.17 to + 0.28)

 + 0.07 (− 0.16 to + 0.29)

 + 0.09 (− 0.21 to + 0.40(

0.72

3rd pronation

 + 0.27 (− 0.08 to + 0.37)

 + 0.25 (− 0.06 to + 0.40)

 + 0.27 (− 0.14 to + 0.33)

0.85

Variation in VD/VT HB, from pre-PP to end-PP

1st pronation

 + 0.01 (− 0.03 to 0.02)

− 0.01 (− 0.08 to  + 0.02)

0.01 (− 0.02 to  + 0.03)

0.19

2nd pronation

 + 0.01 (− 0.04 to + 0.04)

 + 0.02 (− 0.03 to + 0.03)

 + 0.01 (− 0.04 to + 0.06)

0.86

3rd pronation

 + 0.04 (− 0.01 to + 0.06)

 + 0.04 (− 0.01 to  + 0.07)

 + 0.02 (− 0.01 to + 0.06)

0.77

CO2 responders

    

1st pronation

21/42 (50%)

16/30 (53%)

5/12 (42%)

0.51

2nd pronation

14/37 (38%)

9/27 (33%)

5/10 (50%)

0.45

3rd pronation

9/31 (29%)

7/25 (28%)

2/6 (33%)

0.77

Variation in PEEP, cmH2O, from pre-PP to end-PP

1st pronation

0 (0 to 0)

0 (− 1 to 0)

0 (0–0)

0.99

2nd pronation

0 (− 2 to 0)

0 (− 2 to 0)

0 (− 2 to 0)

0.95

3rd pronation

0 (− 1 to 0)

0 (− 1 to 0)

 + 1 (0 to + 2)

0.08

Variation in Pplat, cmH2O, from pre-PP to end-PP

1st pronation

− 1 (− 3 to + 1)

− 1 (− 3 to + 1)

1 (− 1 to  + 2)

0.11

2nd pronation

− 1 (− 3 to 0)

− 2 (− 4 to 0)

 + 2 (0 to + 6)

 < 0.001

3rd pronation

− 1 (− 2 to + 1)

− 1 (− 2 to 0)

0 (− 1 to + 4)

0.09

Variation in ∆P, cmH2O, from pre-PP to end-PP

1st pronation

− 1 (− 2 to + 1)

− 1 (− 3 to + 1)

1 (− 1 to + 3)

0.14

2nd pronation

− 1 (− 2 to 0)

− 1 (− 3 to 0)

 + 3 (+ 2 to + 6)

 < 0.001

3rd pronation

0 (− 2 to + 1)

0 (− 2 to + 1)

0 (− 1 to + 2)

0.42

Variation in CRS, ml/ cmH2O, from pre-PP to end-PP

1st pronation

 + 2.7 (− 2.4 to + 7.3)

 + 3.8 (− 2.1 to + 8.2)

− 0.5 (− 6.3 to + 3.8)

0.13

2nd pronation

 + 2.3 (− 0.9 to + 7.8)

 + 3.9 (0 to + 8.2)

− 6.3 (− 14.1 to − 1.6)

 < 0.001

3rd pronation

 + 0.8 (− 3.2 to + 5.4)

 + 1.7 (− 3.4 to + 5.4)

0 (− 3.3 to 5.7)

0.89

  1. Comparisons between the success and failure group, PaO2: arterial partial pressure of oxygen, FiO2: fraction of inspired oxygen, Aa-gradient: alveolo-arterial gradient, O2 responders: patients presenting a 20% increase in PaO2/ FiO2 during proning, VR: ventilatory ratio, VD/VT HB: dead space fraction estimated using the unadjusted Harris-Benedict estimate of resting energy expenditure and the rearranged Weir equation for CO2 production, CO2 responders: patients presenting a decrease of 1 mmHg or more in PaCO2 during proning, PEEP: positive end expiratory pressure, Pplat: plateau pressure, ∆P: driving pressure, CRS: compliance of the respiratory system, p value refers to the comparison between the treatment success and treatment failure group