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...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of clinical medicine Vol. 9; no. 11; p. 3730
Main Authors:	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
Format:	Journal Article
Language:	English
Published:	Basel MDPI AG 20-11-2020 MDPI
Subjects:	Clinical medicine Coronaviruses COVID-19 Critical care Dyspnea Intensive care Intubation Mortality Oxygen therapy Pandemics Patients Respiratory system Severe acute respiratory syndrome Severe acute respiratory syndrome coronavirus 2 Ventilators Viral infections Greece
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2077-0383 2077-0383
DOI:	10.3390/jcm9113730