[Critical patients COVID-19 Has changed the management and outcomes in the ICU after 1 year of the pandemic?A multicenter, prospective, observational study]. / Pacientes críticos COVID-19 ¿Ha variado el manejo y resultados en la UCI tras 1 año de pandemia? Estudio multicéntrico, prospectivo, observacional.
Enferm Infecc Microbiol Clin (Engl Ed)
; 2021 Jul 19.
Article
in Spanish
| MEDLINE | ID: covidwho-2244468
ABSTRACT
OBJECTIVE:
To compare the clinical characteristics, treatments, and evolution of critical patients with COVID-19 pneumonia treated in Intensive Care Units (ICU) after one year of pandemic.METHODOLOGY:
Multicenter, prospective study, which included critical COVID-19 patients in 9 ICUs in northwestern Spain. The clinical characteristics, treatments, and evolution of patients admitted to the ICU during the months of March-April 2020 (period 1) were compared with patients admitted in January-February 2021 (period 2).RESULTS:
337 patients were included (98 in period 1 and 239 in period 2). In period 2, fewer patients required invasive mechanical ventilation (IMV) (65% vs 84%, p <0.001), using high-flow nasal cannulas (CNAF) more frequently (70% vs 7%, p <0.001), ventilation non-invasive mechanical (NIMV) (40% vs 14%, p <0.001), corticosteroids (100% vs 96%, p = 0.007) and prone position in both awake (42% vs 28%, p = 0.012), and intubated patients (67% vs 54%, p = 0.034). The days of IMV, ICU stay and hospital stay were lower in period 2. Mortality was similar in the two periods studied (16% vs 17%).CONCLUSIONS:
After 1 year of pandemic, we observed that in patients admitted to the ICU, CNAF, NIMV, use of the prone position, and corticosteroids have been used more frequently, reducing the number of patients in IMV, and the length of stay in the ICU and hospital stay. Mortality was similar in the two study periods.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Language:
Spanish
Year:
2021
Document Type:
Article
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