Facial Pressure Injuries from Prone Positioning in the COVID-19 Era.
This study aimed to determine the incidence of facial pressure injuries associated with prone positioning for COVID-19 patients as well as to characterize the location of injuries and treatments provided.This was a retrospective chart review of 263 COVID-19 positive patients requiring intubation in the intensive care units at MedStar Georgetown University Hospital and MedStar Washington Hospital Center between March 1st and July 26th , 2020. Information regarding proning status, duration of proning, presence or absence of facial pressure injuries and interventions were collected. Paired two tailed t-test was used to evaluate differences between proned patients who developed pressure injuries with those who did not.Overall, 143 COVID-19 positive patients required proning while intubated with the average duration of proning being 5.15 days. Of those proned, 68 (47.6%) developed a facial pressure injury. The most common site involved was the cheek with a total of 57 (84%) followed by ears (50%). The average duration of proning for patients who developed a pressure injury was significantly longer when compared to those who did not develop pressure injuries (6.79 days vs 3.64 days, p