Hospital Resources May Be an Important Aspect of Mortality Rate among Critically Ill Patients with COVID-19: The Paradigm of Greece

Journal of Clinical Medicine

Vassilios Papastamopoulos¹  Spyros Zakynthinos²  Theodora Daidou²  Vassiliki Markaki²  Dimitris Zervakis²  Athina Strilakou²  Spyros Mentzelopoulos²  Ageliki Kanavou²  Panagiotis Kaltsas²  Aikaterini Sarri²  Theodoros Tsoutsouras²  Efrosini Dima²  Sotiris Malahias²  Evdokia Gavrielatou²  Panagiota Gioni²  Anastasia Kotanidou²  Panagiotis Politis²  Prodromos Temberikidis²  Aikaterini Maragouti²  Ioannis Kalomenidis²  Stelios Kokkoris²  Eleni Ischaki²  Eleni Magira²  Adamandia Sotiriou²  Ioanna Sigala²  Andreas Asimakos²  Ioannis Papahatzakis²  Eleftheria Mizi²  Zafiria Mastora²  Christina Routsi²  Ilias Siembos²  Charikleia Vrettou²  Apostolos Koroneos²  Evangelia Douka² 

[1] Fifth Department of Internal Medicine, Unit for Infectious Diseases, ‘Evangelismos’ Hospital, 45–47 Ipsilandou Street, GR-10675 Athens, Greece;First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece;

关键词: coronavirus;    coronavirus disease 2019;    COVID-19;    critical care;    acute hypoxemic respiratory failure;    mortality;   

DOI  :  10.3390/jcm9113730

来源: DOAJ

【 摘 要 】

For critically ill patients with coronavirus disease 2019 (COVID-19) who require intensive care unit (ICU) admission, extremely high mortality rates (even 97%) have been reported. We hypothesized that overburdened hospital resources by the extent of the pandemic rather than the disease per se might play an important role on unfavorable prognosis. We sought to determine the outcome of such patients admitted to the general ICUs of a hospital with sufficient resources. We performed a prospective observational study of adult patients with COVID-19 consecutively admitted to COVID—designated ICUs at Evangelismos Hospital, Athens, Greece. Among 50 patients, ICU and hospital mortality was 32% (16/50). Median PaO₂/FiO₂ was 121 mmHg (interquartile range (IQR), 86–171 mmHg) and most patients had moderate or severe acute respiratory distress syndrome (ARDS). Hospital resources may be an important aspect of mortality rates, since severely ill COVID-19 patients with moderate and severe ARDS may have understandable mortality, provided that they are admitted to general ICUs without limitations on hospital resources.

【 授权许可】

Unknown