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Role of respiratory intermediate care units during the SARS-CoV-2 pandemic

RATIONALE: The SARS-CoV2 pandemic increased exponentially the need for both Intensive (ICU) and Intermediate Care Units (RICU). The latter are of particular importance because they can play a dual role in critical and post-critical care of COVID-19 patients. Here, we describe the setup of 2 new RICU...

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Autores principales: Matute-Villacís, Mónica, Moisés, Jorge, Embid, Cristina, Armas, Judith, Fernández, Isabel, Medina, Montserrat, Ferrer, Miquel, Sibila, Oriol, Badia, Joan Ramón
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8275902/
https://www.ncbi.nlm.nih.gov/pubmed/34256747
http://dx.doi.org/10.1186/s12890-021-01593-5
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author Matute-Villacís, Mónica
Moisés, Jorge
Embid, Cristina
Armas, Judith
Fernández, Isabel
Medina, Montserrat
Ferrer, Miquel
Sibila, Oriol
Badia, Joan Ramón
author_facet Matute-Villacís, Mónica
Moisés, Jorge
Embid, Cristina
Armas, Judith
Fernández, Isabel
Medina, Montserrat
Ferrer, Miquel
Sibila, Oriol
Badia, Joan Ramón
author_sort Matute-Villacís, Mónica
collection PubMed
description RATIONALE: The SARS-CoV2 pandemic increased exponentially the need for both Intensive (ICU) and Intermediate Care Units (RICU). The latter are of particular importance because they can play a dual role in critical and post-critical care of COVID-19 patients. Here, we describe the setup of 2 new RICUs in our institution to face the SARS-CoV-2 pandemic and discuss the clinical characteristics and outcomes of the patients attended. METHODS: Retrospective analysis of the characteristics and outcomes of COVID-19 patients admitted to 2 new RICUs built specifically in our institution to face the first wave of the SARS-CoV-2 pandemic, from April 1 until May 30, 2020. RESULTS: During this period, 106 COVID-19 patients were admitted to these 2 RICUs, 65 of them (61%) transferred from an ICU (step-down) and 41 (39%) from the ward or emergency room (step-up). Most of them (72%) were male and mean age was 66 ± 12 years. 31% of them required support with oxygen therapy via high-flow nasal cannula (HFNC) and 14% non-invasive ventilation (NIV). 42 of the 65 patients stepping down (65%) had a previous tracheostomy performed and most of them (74%) were successfully decannulated during their stay in the RICU. Length of stay was 7 [4–11] days. 90-day mortality was 19% being significantly higher in stepping up patients than in those transferred from the ICU (25 vs. 10% respectively; p < 0.001). CONCLUSIONS: RICUs are a valuable hospital resource to respond to the challenges of the SARS-CoV-2 pandemic both to treat deteriorating and recovering COVID-19 patients.
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spelling pubmed-82759022021-07-14 Role of respiratory intermediate care units during the SARS-CoV-2 pandemic Matute-Villacís, Mónica Moisés, Jorge Embid, Cristina Armas, Judith Fernández, Isabel Medina, Montserrat Ferrer, Miquel Sibila, Oriol Badia, Joan Ramón BMC Pulm Med Research RATIONALE: The SARS-CoV2 pandemic increased exponentially the need for both Intensive (ICU) and Intermediate Care Units (RICU). The latter are of particular importance because they can play a dual role in critical and post-critical care of COVID-19 patients. Here, we describe the setup of 2 new RICUs in our institution to face the SARS-CoV-2 pandemic and discuss the clinical characteristics and outcomes of the patients attended. METHODS: Retrospective analysis of the characteristics and outcomes of COVID-19 patients admitted to 2 new RICUs built specifically in our institution to face the first wave of the SARS-CoV-2 pandemic, from April 1 until May 30, 2020. RESULTS: During this period, 106 COVID-19 patients were admitted to these 2 RICUs, 65 of them (61%) transferred from an ICU (step-down) and 41 (39%) from the ward or emergency room (step-up). Most of them (72%) were male and mean age was 66 ± 12 years. 31% of them required support with oxygen therapy via high-flow nasal cannula (HFNC) and 14% non-invasive ventilation (NIV). 42 of the 65 patients stepping down (65%) had a previous tracheostomy performed and most of them (74%) were successfully decannulated during their stay in the RICU. Length of stay was 7 [4–11] days. 90-day mortality was 19% being significantly higher in stepping up patients than in those transferred from the ICU (25 vs. 10% respectively; p < 0.001). CONCLUSIONS: RICUs are a valuable hospital resource to respond to the challenges of the SARS-CoV-2 pandemic both to treat deteriorating and recovering COVID-19 patients. BioMed Central 2021-07-13 /pmc/articles/PMC8275902/ /pubmed/34256747 http://dx.doi.org/10.1186/s12890-021-01593-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Matute-Villacís, Mónica
Moisés, Jorge
Embid, Cristina
Armas, Judith
Fernández, Isabel
Medina, Montserrat
Ferrer, Miquel
Sibila, Oriol
Badia, Joan Ramón
Role of respiratory intermediate care units during the SARS-CoV-2 pandemic
title Role of respiratory intermediate care units during the SARS-CoV-2 pandemic
title_full Role of respiratory intermediate care units during the SARS-CoV-2 pandemic
title_fullStr Role of respiratory intermediate care units during the SARS-CoV-2 pandemic
title_full_unstemmed Role of respiratory intermediate care units during the SARS-CoV-2 pandemic
title_short Role of respiratory intermediate care units during the SARS-CoV-2 pandemic
title_sort role of respiratory intermediate care units during the sars-cov-2 pandemic
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8275902/
https://www.ncbi.nlm.nih.gov/pubmed/34256747
http://dx.doi.org/10.1186/s12890-021-01593-5
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