tetano
Editor, Senior Moderator
Cureus
. 2021 Feb 7;13(2):e13210.
doi: 10.7759/cureus.13210.
Intensive Care Resources and 60-Day Survival of Critically-Ill COVID-19 Patients
Corinna N Lang[SUP] 1 2 [/SUP], Viviane Zotzmann[SUP] 1 2 [/SUP], Bonaventura Schmid[SUP] 3 [/SUP], Michael Berchtold-Herz[SUP] 4 [/SUP], Stefan Utzolino[SUP] 5 [/SUP], Paul Biever[SUP] 1 2 [/SUP], Daniel Duerschmied[SUP] 1 2 [/SUP], Christoph Bode[SUP] 1 2 [/SUP], Tobias Wengenmayer[SUP] 1 2 [/SUP], Dawid L Staudacher[SUP] 1 2 [/SUP]
Affiliations
Abstract
Background: Germany reported sufficient intensive care unit (ICU) resources throughout the first wave of coronavirus disease 2019 (COVID-19). The treatment of critically ill COVID-19 patients without rationing may improve the outcome. We therefore analyzed ICU resources allocated to COVID-19 patients with respiratory failure and their outcomes.
Methods: Retrospectively, we enrolled severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR)-positive patients with respiratory failure from 03/08/2020 to 04/08/2020 and followed until 05/28/2020 in the university hospital of Freiburg, Germany.
Results: In the defined interval, 34 COVID-19 patients were admitted to the ICU with median age of 67?13 (31-86) years. Six of 34 (17.6%) were female. All patients suffered from moderate or severe acute respiratory distress syndrome (ARDS), 91.2% of the patients were intubated and 23.5% required extracorporeal membrane oxygenation (ECMO). Proning was performed in 67.6%, renal replacement therapy (RRT) was required in 35.3%. Ninety-six percent required more than 20 nursing hours per day. Mean ICU stay was 21?19 (1-81) days. Sixty-day survival of critically ill COVID-19 patients was 50.0% (17/34). Causes of death were multi-organ failure (52.9%), refractory ARDS (17.6%) and intracerebral hemorrhage (17.6%).
Conclusions: Treatment of critically ill COVID-19 patients is protracted and resource-intense. In a context without resources shortage, 50% of COVID-19 with respiratory failure survived up to 60 days.
Keywords: 60-day survival; ards; covid-19; icu resources.
. 2021 Feb 7;13(2):e13210.
doi: 10.7759/cureus.13210.
Intensive Care Resources and 60-Day Survival of Critically-Ill COVID-19 Patients
Corinna N Lang[SUP] 1 2 [/SUP], Viviane Zotzmann[SUP] 1 2 [/SUP], Bonaventura Schmid[SUP] 3 [/SUP], Michael Berchtold-Herz[SUP] 4 [/SUP], Stefan Utzolino[SUP] 5 [/SUP], Paul Biever[SUP] 1 2 [/SUP], Daniel Duerschmied[SUP] 1 2 [/SUP], Christoph Bode[SUP] 1 2 [/SUP], Tobias Wengenmayer[SUP] 1 2 [/SUP], Dawid L Staudacher[SUP] 1 2 [/SUP]
Affiliations
- PMID: 33728167
- PMCID: PMC7946605
- DOI: 10.7759/cureus.13210
Abstract
Background: Germany reported sufficient intensive care unit (ICU) resources throughout the first wave of coronavirus disease 2019 (COVID-19). The treatment of critically ill COVID-19 patients without rationing may improve the outcome. We therefore analyzed ICU resources allocated to COVID-19 patients with respiratory failure and their outcomes.
Methods: Retrospectively, we enrolled severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR)-positive patients with respiratory failure from 03/08/2020 to 04/08/2020 and followed until 05/28/2020 in the university hospital of Freiburg, Germany.
Results: In the defined interval, 34 COVID-19 patients were admitted to the ICU with median age of 67?13 (31-86) years. Six of 34 (17.6%) were female. All patients suffered from moderate or severe acute respiratory distress syndrome (ARDS), 91.2% of the patients were intubated and 23.5% required extracorporeal membrane oxygenation (ECMO). Proning was performed in 67.6%, renal replacement therapy (RRT) was required in 35.3%. Ninety-six percent required more than 20 nursing hours per day. Mean ICU stay was 21?19 (1-81) days. Sixty-day survival of critically ill COVID-19 patients was 50.0% (17/34). Causes of death were multi-organ failure (52.9%), refractory ARDS (17.6%) and intracerebral hemorrhage (17.6%).
Conclusions: Treatment of critically ill COVID-19 patients is protracted and resource-intense. In a context without resources shortage, 50% of COVID-19 with respiratory failure survived up to 60 days.
Keywords: 60-day survival; ards; covid-19; icu resources.