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

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...

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Detalles Bibliográficos
Autores principales: Routsi, Christina, Magira, Eleni, Kokkoris, Stelios, Siembos, Ilias, Vrettou, Charikleia, Zervakis, Dimitris, Ischaki, Eleni, Malahias, Sotiris, Sigala, Ioanna, Asimakos, Andreas, Daidou, Theodora, Kaltsas, Panagiotis, Douka, Evangelia, Sotiriou, Adamandia, Markaki, Vassiliki, Temberikidis, Prodromos, Koroneos, Apostolos, Politis, Panagiotis, Mastora, Zafiria, Dima, Efrosini, Tsoutsouras, Theodoros, Papahatzakis, Ioannis, Gioni, Panagiota, Strilakou, Athina, Maragouti, Aikaterini, Mizi, Eleftheria, Kanavou, Ageliki, Sarri, Aikaterini, Gavrielatou, Evdokia, Mentzelopoulos, Spyros, Kalomenidis, Ioannis, Papastamopoulos, Vassilios, Kotanidou, Anastasia, Zakynthinos, Spyros
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699728/
https://www.ncbi.nlm.nih.gov/pubmed/33233686
http://dx.doi.org/10.3390/jcm9113730
Descripción
Sumario: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 PaO(2)/FiO(2) 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.