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Mortality and renal outcomes of patients with severe COVID-19 treated in a provisional intensive care unit.
Hittesdorf, Erin; Panzer, Oliver; Wang, David; Stevens, Jacob S; Hastie, Jonathan; Jordan, Desmond A; Yoh, Nina; Eiseman, Katherine A; Elisman, Katerina; Wagener, Gebhard.
  • Hittesdorf E; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA.
  • Panzer O; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA.
  • Wang D; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA.
  • Stevens JS; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA.
  • Hastie J; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA.
  • Jordan DA; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA.
  • Yoh N; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA.
  • Eiseman KA; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA.
  • Elisman K; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA.
  • Wagener G; Department of Anesthesiology, Columbia University, P&S Box 46 (PH-5) 630 West 168th Street, New York, NY 10032-3784, USA. Electronic address: gw72@cumc.columbia.edu.
J Crit Care ; 62: 172-175, 2021 04.
Article in English | MEDLINE | ID: covidwho-988303
ABSTRACT
COVID-19 has created an enormous health crisis and this spring New York City had a severe outbreak that pushed health and critical care resources to the limit. A lack of adequate space for mechanically ventilated patients induced our hospital to convert operating rooms into critical care areas (OR-ICU). A large number of COVID-19 will develop acute kidney injury that requires renal replacement therapy (RRT). We included 116 patients with COVID-19 who required mechanical ventilation and were cared for in our OR-ICU. At 90 days and at discharge 35 patients died (30.2%). RRT was required by 45 of the 116 patients (38.8%) and 18 of these 45 patients (40%) compared to 17 with no RRT (23.9%, ns) died during hospitalization and after 90 days. Only two of the 27 patients who required RRT and survived required RRT at discharge and 90 days. When defining renal recovery as a discharge serum creatinine within 150% of baseline, 68 of 78 survivors showed renal recovery (87.2%). Survival was similar to previous reports of patients with severe COVID-19 for patients cared for in provisional ICUs compared to standard ICUs. Most patients with severe COVID-19 and AKI are likely to recover full renal function.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Renal Replacement Therapy / Acute Kidney Injury / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Crit Care Journal subject: Critical Care Year: 2021 Document Type: Article Affiliation country: J.jcrc.2020.12.012

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Renal Replacement Therapy / Acute Kidney Injury / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Crit Care Journal subject: Critical Care Year: 2021 Document Type: Article Affiliation country: J.jcrc.2020.12.012