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2026-05-22

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cc-by-nc-nd (c) Arroyo-Huidobro, M. et al., 2026
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/231862

Clinical effectiveness of intensive care unit admission in older adults with COVID-19 during the first pandemic wave in Spain

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Objective: To evaluate the impact of ICU admission on mortality and complications of older patients with COVID-19 hospitalized during the first COVID-19 wave in our setting. Methods :An observational, multicenter, and ambispective study of COVID-19 patients aged > 70 years who were hospitalized during the first wave of the pandemic in the southern metropolitan area of Barcelona, Spain. The primary outcome of the study was the in-hospital mortality rate of patients admitted to the ICU compared with their appropriately matched controls who received care in hospital wards. The secondary outcome was the in-hospital rate of complications in ICU-admitted patients versus their matched controls. Results: The mortality rate was 76.6% in ICU-admitted patients and 64.9% among their matched controls, whereas the corresponding rates of complications were 73.5% and 32.4%, respectively. ICU admission shows a statistically significant impact on mortality (OR [95% CI] 2.50 [1.06–6.05]; p = 0.041). Additionally, complications were four times more likely in patients who were admitted to ICUs than in those admitted to general wards (OR [95% CI] 4.03 [1.64–9.91]; p = 0.0024). Conclusions: ICU admission was not associated with improved survival in patients older than 70 years during the first COVID-19 wave. Further research is needed to confirm these findings and to assess the adequacy of ICU admission criteria for elderly patients.

Recurs relacionat

https://doi.org/10.1186/s12877-026-07428-4

Matèries

COVID-19, Unitats de cures intensives

Matèries (anglès)

COVID-19, Intensive care units

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Articles publicats en revistes (Medicina)
Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Fonaments Clínics)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Patologia i Terapèutica Experimental)

Citació

ARROYO HUIDOBRO, Marta, et al. Clinical effectiveness of intensive care unit admission in older adults with COVID-19 during the first pandemic wave in Spain. BMC Geriatrics. 2026. Vol. 26. ISSN 1471-2318. [consulted: 3 of October of 2026]. Available at: https://hdl.handle.net/2445/231862

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