tetano
Editor, Senior Moderator
Respir Investig
. 2024 Jan 27;62(2):291-294.
doi: 10.1016/j.resinv.2024.01.006. Online ahead of print. Platypnoea-orthodeoxia syndrome in COVID-19 pneumonia patients: An observational study
Masatoshi Hanada[SUP] 1 [/SUP], Yuji Ishimatsu[SUP] 2 [/SUP], Noriho Sakamoto[SUP] 3 [/SUP], Nobuyuki Ashizawa[SUP] 4 [/SUP], Hirotomo Yamanashi[SUP] 5 [/SUP], Motohiro Sekino[SUP] 6 [/SUP], Koichi Izumikawa[SUP] 7 [/SUP], Hiroshi Mukae[SUP] 3 [/SUP], Koya Ariyoshi[SUP] 8 [/SUP], Takahiro Maeda[SUP] 9 [/SUP], Tetsuya Hara[SUP] 6 [/SUP], Shuntaro Sato[SUP] 10 [/SUP], Ryo Kozu[SUP] 1 [/SUP]
Affiliations
This retrospective observational study aimed to assess the clinical characteristics of platypnea-orthodeoxia syndrome in patients with coronavirus disease 2019 (COVID-19) treated using mechanical ventilation or high-flow nasal canula. We analyzed 42 consecutive patients with COVID-19 from January 2020 to March 2022. The primary outcomes were the incidence of platypnea-orthodeoxia syndrome, the time with required long-term oxygen therapy, and short-term prognosis. Additionally, we examined the relationships between platypnea-orthodeoxia syndrome and COVID-19 severity, the time with long-term oxygen therapy, and short-term prognosis. Of the 42 included patients, 15 (35.7 %) had platypnea-orthodeoxia syndrome. Although mortality was not significantly different between both groups, the oxygen withdrawal rate in the platypnea-orthodeoxia syndrome group was significantly lower than that in the group without this syndrome. Clinical staff should be aware of the possibility of platypnea-orthodeoxia syndrome during positional changes in patients with COVID-19. Recognizing POS can improve early detection, countermeasures, and safety during physiotherapy.
Keywords: COVID-19; Physiotherapy; Platypnea-orthodeoxia syndrome; Positional change; Positional dyspnea.
. 2024 Jan 27;62(2):291-294.
doi: 10.1016/j.resinv.2024.01.006. Online ahead of print. Platypnoea-orthodeoxia syndrome in COVID-19 pneumonia patients: An observational study
Masatoshi Hanada[SUP] 1 [/SUP], Yuji Ishimatsu[SUP] 2 [/SUP], Noriho Sakamoto[SUP] 3 [/SUP], Nobuyuki Ashizawa[SUP] 4 [/SUP], Hirotomo Yamanashi[SUP] 5 [/SUP], Motohiro Sekino[SUP] 6 [/SUP], Koichi Izumikawa[SUP] 7 [/SUP], Hiroshi Mukae[SUP] 3 [/SUP], Koya Ariyoshi[SUP] 8 [/SUP], Takahiro Maeda[SUP] 9 [/SUP], Tetsuya Hara[SUP] 6 [/SUP], Shuntaro Sato[SUP] 10 [/SUP], Ryo Kozu[SUP] 1 [/SUP]
Affiliations
- PMID: 38281397
- DOI: 10.1016/j.resinv.2024.01.006
This retrospective observational study aimed to assess the clinical characteristics of platypnea-orthodeoxia syndrome in patients with coronavirus disease 2019 (COVID-19) treated using mechanical ventilation or high-flow nasal canula. We analyzed 42 consecutive patients with COVID-19 from January 2020 to March 2022. The primary outcomes were the incidence of platypnea-orthodeoxia syndrome, the time with required long-term oxygen therapy, and short-term prognosis. Additionally, we examined the relationships between platypnea-orthodeoxia syndrome and COVID-19 severity, the time with long-term oxygen therapy, and short-term prognosis. Of the 42 included patients, 15 (35.7 %) had platypnea-orthodeoxia syndrome. Although mortality was not significantly different between both groups, the oxygen withdrawal rate in the platypnea-orthodeoxia syndrome group was significantly lower than that in the group without this syndrome. Clinical staff should be aware of the possibility of platypnea-orthodeoxia syndrome during positional changes in patients with COVID-19. Recognizing POS can improve early detection, countermeasures, and safety during physiotherapy.
Keywords: COVID-19; Physiotherapy; Platypnea-orthodeoxia syndrome; Positional change; Positional dyspnea.