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Nurturing the Breath of Life: A Retrospective Analysis of the Effect of Osteopathic Manipulative Treatment on Patients Ventilated for COVID-19

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 13. doi: Subito , type of study: retrospective study

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/8/482676/LBORC-NUFA-Poster-Abstracts-2022-Residents)

Keywords:

OMT [2951]
osteopathic manipulative treatment [2973]
pneumonia [35]
COVID-19 [76]
retrospective study [213]
ventilation [7]

Abstract:

Introduction/Background: COVID-19 has killed more than 864,000 individuals in the US, with few effective treatments. There is currently no published research on the use of osteopathic manipulative treatment (OMT) on patients ventilated due to COVID-19. Objective: The researchers hypothesize that patients treated with OMT have improved outcomes compared to those who are not. Methods: This study includes all patients with COVID-19 who were treated with OMT at Saint Barnabas Hospital (SBH) between 3/30/20 and 4/20/20 and had been mechanically ventilated during their hospital stay. All patients received an OMT consult; some were already intubated, while others were intubated subsequent to the initiation of OMT. These patients were treated by a member of the osteopathic manipulative medicine (OMM) team using articulatory, lymphatic, and balancing techniques five times per week until discharge. Their data were compared to all patients at SBH who were admitted for COVID-19 pneumonia and required ventilation during the same time period. Data were gathered retrospectively through chart review and analyzed by percent survival. Results: At SBH, the overall survival rate of patients ventilated for COVID-19 pneumonia early in the pandemic was 23%. Patients treated by the OMM team had a survival rate of 50%. Discussion/conclusion: This study provides outcomes of patients treated with OMM who required mechanical ventilation. These data suggest patients who were treated with OMT while ventilated may have decreased mortality. Patients were found to have similar, severe somatic dysfunctions most notable in the thorax and cranium. Limitations of this study include a small sample size and non-random sample selection; further prospective research with a larger sample size and randomized participation versus control would be necessary to make any definitive conclusion.


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