{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:44:31Z","timestamp":1791967471287,"version":"4.3.4"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,1,5]],"date-time":"2021-01-05T00:00:00Z","timestamp":1609804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective\/Hypothesis<\/jats:title>\n                    <jats:p>This study aimed to determine the incidence of facial pressure injuries associated with prone positioning for COVID\u201019 patients as well as to characterize the location of injuries and treatments provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a retrospective chart review of 263 COVID\u201019 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\u2010tailed\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test was used to evaluate differences between proned patients who developed pressure injuries with those who did not.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 143 COVID\u201019 positive patients required proning while intubated with the average duration of proning being 5.15\u2009days. 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\u2009days vs. 3.64\u2009days,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Facial pressure injuries occur with high incidence in patients with COVID\u201019 who undergo prone positioning. Longer duration of proning appears to confer greater risk for developing these pressure injuries. Hence, improved preventative measures and early interventions are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 131:E2139\u2013E2142, 2021\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.29374","type":"journal-article","created":{"date-parts":[[2021,1,3]],"date-time":"2021-01-03T02:21:31Z","timestamp":1609640491000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["Facial Pressure Injuries from Prone Positioning in the\n                    <scp>COVID<\/scp>\n                    \u201019 Era"],"prefix":"10.1002","volume":"131","author":[{"given":"Sarah C.","family":"Shearer","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9198-5121","authenticated-orcid":false,"given":"Keon M.","family":"Parsa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annemarie","family":"Newark","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery Georgetown University School of Medicine  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7441-1572","authenticated-orcid":false,"given":"Tejasvi","family":"Peesay","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery Georgetown University School of Medicine  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda R.","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Biomedical Informatics MedStar Health Research Institute  Hyattsville Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William Z.","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery MedStar Georgetown University Hospital  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew L.","family":"Pierce","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery MedStar Washington Hospital Center  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-197601000-00003"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1054\/iccn.2001.1611"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000247"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccell.2014.08.011"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCC.0000000000000393"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.19.2379"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.155.2.9032181"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02951"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.03908"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16663"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06059-6"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13435"},{"key":"e_1_2_6_14_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.4187\/respcare.01235","article-title":"Skin preparation process for the prevention of skin breakdown in patients who are intubated and treated with RotoProne","volume":"57","author":"Jackson ME","year":"2012","journal-title":"Respir Care"}],"container-title":["The 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