Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/189563
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Gasa, Mercè | - |
dc.contributor.author | Ruiz Albert, Yolanda | - |
dc.contributor.author | Cordoba Izquierdo, Ana | - |
dc.contributor.author | Sarasate, Mikel | - |
dc.contributor.author | Cuevas, Ester | - |
dc.contributor.author | Suarez Cuartin, Guillermo | - |
dc.contributor.author | Méndez, Lidia | - |
dc.contributor.author | Alfarom Álvarez, Julio César | - |
dc.contributor.author | Sabater Riera, Joan | - |
dc.contributor.author | Pérez Fernández, Xosé Luis | - |
dc.contributor.author | Molina Molina, María | - |
dc.contributor.author | Santos, Salud | - |
dc.date.accessioned | 2022-10-03T09:55:29Z | - |
dc.date.available | 2022-10-03T09:55:29Z | - |
dc.date.issued | 2022-08-29 | - |
dc.identifier.issn | 1660-4601 | - |
dc.identifier.uri | http://hdl.handle.net/2445/189563 | - |
dc.description.abstract | The intermediate respiratory care units (IRCUs) have a pivotal role managing escalation and de-escalation between the general wards and the intensive care units (ICUs). Since the COVID-19 pandemic began, the early detection of patients that could improve on non-invasive respiratory therapies (NRTs) in IRCUs without invasive approaches is crucial to ensure proper medical management and optimize limiting ICU resources. The aim of this study was to assess factors associated with survival, ICU admission and intubation likelihood in COVID-19 patients admitted to IRCUs. Observational retrospective study in consecutive patients admitted to the IRCU of a tertiary hospital from March 2020 to April 2021. Inclusion criteria: hypoxemic respiratory failure (SpO(2) <= 94% and/or respiratory rate >= 25 rpm with FiO(2) > 50% supplementary oxygen) due to acute COVID-19 infection. Demographic, comorbidities, clinical and analytical data, and medical and NRT data were collected at IRCU admission. Multivariate logistic regression models assessed factors associated with survival, ICU admission, and intubation. From 679 patients, 79 patients (12%) had an order to not do intubation. From the remaining 600 (88%), 81% survived, 41% needed ICU admission and 37% required intubation. In the IRCU, 51% required non-invasive ventilation (NIV group) and 49% did not (non-NIV group). Older age and lack of corticosteroid treatment were associated with higher mortality and intubation risk in the scheme, which could be more beneficial in severe forms. Initial NIV does not always mean worse outcomes. | - |
dc.format.extent | 19 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | MDPI AG | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.3390/ijerph191710772 | - |
dc.relation.ispartof | International Journal of Environmental Research and Public Health, 2022, vol. 19, núm. 17, p. 10772 | - |
dc.relation.uri | https://doi.org/10.3390/ijerph191710772 | - |
dc.rights | cc by (c) Gasa, Mercè et al., 2022 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.subject.classification | COVID-19 | - |
dc.subject.classification | Infermeria respiratòria | - |
dc.subject.other | COVID-19 | - |
dc.subject.other | Respiratory nursing | - |
dc.title | Outcomes of COVID-19 Patients Admitted to the Intermediate Respiratory Care Unit: Non-Invasive Respiratory Therapy in a Sequential Protocol | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2022-09-22T09:17:26Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
ijerph-19-10772-v3.pdf | 2.39 MB | Adobe PDF | View/Open |
This item is licensed under a
Creative Commons License