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The Prevalence of Acute Respiratory Distress Syndrome (ARDS) and Outcomes in Hospitalized Patients with COVID-19-A Study Based on Data from the Polish National Hospital Register.
Gujski, Mariusz; Jankowski, Mateusz; Rabczenko, Daniel; Gorynski, Pawel; Juszczyk, Grzegorz.
  • Gujski M; Department of Public Health, Medical University of Warsaw, 02-097 Warsaw, Poland.
  • Jankowski M; School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland.
  • Rabczenko D; Department of Population Health Monitoring and Analysis, National Institute of Public Health-National Institute of Hygiene, 00-791 Warsaw, Poland.
  • Gorynski P; Department of Population Health Monitoring and Analysis, National Institute of Public Health-National Institute of Hygiene, 00-791 Warsaw, Poland.
  • Juszczyk G; Department of Public Health, Medical University of Warsaw, 02-097 Warsaw, Poland.
Viruses ; 14(1)2022 01 01.
Article in English | MEDLINE | ID: covidwho-1614000
ABSTRACT
Acute respiratory distress syndrome (ARDS) is a serious complication of COVID-19. This study aimed to evaluate the prevalence of ARDS among patients hospitalized with COVID-19 in Poland as well as to characterize clinical outcomes in patients hospitalized with COVID-19-associated ARDS. This is a retrospective, secondary analysis of epidemiological data from 116,539 discharge reports on patients hospitalized with COVID-19 in Poland between March and December 2020. The overall prevalence of ARDS was 3.6%, respectively 2.9% among females, and 4.4% among males (p < 0.001). Of the 4237 patients hospitalized with COVID-19-associated ARDS, 3764 deaths were reported (88.8%). Participants aged 60 years and over had more than three times higher odds of COVID-19-associated ARDS. Men had higher odds of COVID-19-associated ARDS than women (OR = 1.55; 95% CI 1.45-1.65; p < 0.001). Patients with COVID-19 and diabetes had higher odds of COVID-19-associated ARDS (OR = 1.16; 95% CI 1.03-1.30; p = 0.01). Among patients with COVID-19-associated ARDS, older age, male sex (OR = 1.27; 95% CI 1.03-1.56; p = 0.02), and presence of cardiovascular diseases (OR = 1.26; 95% CI 1.00-1.59; p = 0.048) were significantly associated with the risk of in-hospital death. Among patients hospitalized with COVID-19 in Poland, the prevalence of ARDS was relatively low, but the in-hospital mortality rate in patients with COVID-19-associated ARDS was higher compared to other EU countries.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Europa Language: English Year: 2022 Document Type: Article Affiliation country: V14010076

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: Europa Language: English Year: 2022 Document Type: Article Affiliation country: V14010076