tetano
Editor, Senior Moderator
J Crit Care
. 2020 Aug 8;60:111-115.
doi: 10.1016/j.jcrc.2020.08.001. Online ahead of print.
COVID-19 in critically ill patients in North Brabant, the Netherlands: Patient characteristics and outcomes
F E Aleva[SUP] 1 [/SUP], L van Mourik[SUP] 2 [/SUP], M E A C Broeders[SUP] 2 [/SUP], A J Paling[SUP] 3 [/SUP], C P C de Jager[SUP] 3 [/SUP]
Affiliations
Abstract
Purpose: Since the SARS-CoV-2 pandemic, countries are overwhelmed by critically ill Coronavirus disease 2019 (COVID-19) patients. As ICU capacity becomes limited we characterized critically ill COVID-19 patients in the Netherlands.
Methods: In this case series, COVID-19 patients admitted to the ICU of the Jeroen Bosch Hospital were included from March 9 to April 7, 2020. COVID-19 was confirmed by a positive result by a RT-PCR of a specimen collected by nasopharyngeal swab. Clinical data were extracted from medical records.
Results: The mean age of the 50 consecutively included critically ill COVID-19 patients was 65 ? 10 years, the mean BMI was 29 ? 4.7 and 66% were men. Seventy-eight percent of patients had ≥1 comorbidity, 34% had hypertension. Ninety-six percent of patients required mechanical ventilation and 80% were ventilated in prone position. Venous thromboembolism was recognized in 36% of patients. Seventy-four percent of patients survived and were successfully discharged from the ICU, the remaining 26% died (median follow up 86 days). The length of invasive ventilation in survivors was 15 days (IQR 12-31).
Conclusions: The survival rate of COVID-19 critically ill patients in our population is considerably better than previously reported. Thrombotic complications are commonly found and merit clinical attention.
. 2020 Aug 8;60:111-115.
doi: 10.1016/j.jcrc.2020.08.001. Online ahead of print.
COVID-19 in critically ill patients in North Brabant, the Netherlands: Patient characteristics and outcomes
F E Aleva[SUP] 1 [/SUP], L van Mourik[SUP] 2 [/SUP], M E A C Broeders[SUP] 2 [/SUP], A J Paling[SUP] 3 [/SUP], C P C de Jager[SUP] 3 [/SUP]
Affiliations
- PMID: 32799179
- PMCID: PMC7414357
- DOI: 10.1016/j.jcrc.2020.08.001
Abstract
Purpose: Since the SARS-CoV-2 pandemic, countries are overwhelmed by critically ill Coronavirus disease 2019 (COVID-19) patients. As ICU capacity becomes limited we characterized critically ill COVID-19 patients in the Netherlands.
Methods: In this case series, COVID-19 patients admitted to the ICU of the Jeroen Bosch Hospital were included from March 9 to April 7, 2020. COVID-19 was confirmed by a positive result by a RT-PCR of a specimen collected by nasopharyngeal swab. Clinical data were extracted from medical records.
Results: The mean age of the 50 consecutively included critically ill COVID-19 patients was 65 ? 10 years, the mean BMI was 29 ? 4.7 and 66% were men. Seventy-eight percent of patients had ≥1 comorbidity, 34% had hypertension. Ninety-six percent of patients required mechanical ventilation and 80% were ventilated in prone position. Venous thromboembolism was recognized in 36% of patients. Seventy-four percent of patients survived and were successfully discharged from the ICU, the remaining 26% died (median follow up 86 days). The length of invasive ventilation in survivors was 15 days (IQR 12-31).
Conclusions: The survival rate of COVID-19 critically ill patients in our population is considerably better than previously reported. Thrombotic complications are commonly found and merit clinical attention.