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1. Acute kidney injury in patients treated with immune checkpoint inhibitors

Author

Gupta, Shruti, Short, Samuel AP, Sise, Meghan E, Prosek, Jason M, Madhavan, Sethu M, Soler, Maria Jose, Ostermann, Marlies, Herrmann, Sandra M, Abudayyeh, Ala, Anand, Shuchi, Glezerman, Ilya, Motwani, Shveta S, Murakami, Naoka, Wanchoo, Rimda, Ortiz-Melo, David I, Rashidi, Arash, Sprangers, Ben, Aggarwal, Vikram, Malik, A Bilal, Loew, Sebastian, Carlos, Christopher A, Chang, Wei-Ting, Beckerman, Pazit, Mithani, Zain, Shah, Chintan V, Renaghan, Amanda D, De Seigneux, Sophie, Campedel, Luca, Kitchlu, Abhijat, Shin, Daniel Sanghoon, Rangarajan, Sunil, Deshpande, Priya, Coppock, Gaia, Eijgelsheim, Mark, Seethapathy, Harish, Lee, Meghan D, Strohbehn, Ian A, Owen, Dwight H, Husain, Marium, Garcia-Carro, Clara, Bermejo, Sheila, Lumlertgul, Nuttha, Seylanova, Nina, Flanders, Lucy, Isik, Busra, Mamlouk, Omar, Lin, Jamie S, Garcia, Pablo, Kaghazchi, Aydin, Khanin, Yuriy, Kansal, Sheru K, Wauters, Els, Chandra, Sunandana, Schmidt-Ott, Kai M, Hsu, Raymond K, Tio, Maria C, Mothi, Suraj Sarvode, Singh, Harkarandeep, Schrag, Deborah, Jhaveri, Kenar D, Reynolds, Kerry L, Cortazar, Frank B, Leaf, David E, Salem, Joe-Elie, Bagnis, Corinne Isnard, Rahma, Osama E, Mothi, Suraj S, Selamet, Umut, Chang, Weiting, Hirsch, Jamie S, Sakhiya, Vipulbhai, Stalbow, Daniel, Wu, Sylvia, Cennamo, Armando, Papa, Sophie, Rigg, Anne, Shaunak, Nisha, Kibbelaar, Zoe A, and Benesova, Karolina

Subjects
Kidney Disease, 6.1 Pharmaceuticals, Evaluation of treatments and therapeutic interventions, Renal and urogenital, Good Health and Well Being, Acute Kidney Injury, Aged, Cohort Studies, Female, Humans, Immune Checkpoint Inhibitors, Immunotherapy, Male, Middle Aged, Risk Factors, immunotherapy, CTLA-4 antigen, programmed cell death 1 receptor, ICPi-AKI Consortium Investigators
Abstract

BackgroundImmune checkpoint inhibitor-associated acute kidney injury (ICPi-AKI) has emerged as an important toxicity among patients with cancer.MethodsWe collected data on 429 patients with ICPi-AKI and 429 control patients who received ICPis contemporaneously but who did not develop ICPi-AKI from 30 sites in 10 countries. Multivariable logistic regression was used to identify predictors of ICPi-AKI and its recovery. A multivariable Cox model was used to estimate the effect of ICPi rechallenge versus no rechallenge on survival following ICPi-AKI.ResultsICPi-AKI occurred at a median of 16 weeks (IQR 8-32) following ICPi initiation. Lower baseline estimated glomerular filtration rate, proton pump inhibitor (PPI) use, and extrarenal immune-related adverse events (irAEs) were each associated with a higher risk of ICPi-AKI. Acute tubulointerstitial nephritis was the most common lesion on kidney biopsy (125/151 biopsied patients [82.7%]). Renal recovery occurred in 276 patients (64.3%) at a median of 7 weeks (IQR 3-10) following ICPi-AKI. Treatment with corticosteroids within 14 days following ICPi-AKI diagnosis was associated with higher odds of renal recovery (adjusted OR 2.64; 95% CI 1.58 to 4.41). Among patients treated with corticosteroids, early initiation of corticosteroids (within 3 days of ICPi-AKI) was associated with a higher odds of renal recovery compared with later initiation (more than 3 days following ICPi-AKI) (adjusted OR 2.09; 95% CI 1.16 to 3.79). Of 121 patients rechallenged, 20 (16.5%) developed recurrent ICPi-AKI. There was no difference in survival among patients rechallenged versus those not rechallenged following ICPi-AKI.ConclusionsPatients who developed ICPi-AKI were more likely to have impaired renal function at baseline, use a PPI, and have extrarenal irAEs. Two-thirds of patients had renal recovery following ICPi-AKI. Treatment with corticosteroids was associated with improved renal recovery.

Published
2021

2. Modulation of the Association Between Age and Death by Risk Factor Burden in Critically Ill Patients With COVID-19

Author

Sunderraj, Ashwin, Cho, Chloe, Cai, Xuan, Gupta, Shruti, Mehta, Rupal, Isakova, Tamara, Leaf, David E., Srivastava, Anand, Walther, Carl P., Anumudu, Samaya J., Arunthamakun, Justin, Kopecky, Kathleen F., Milligan, Gregory P., McCullough, Peter A., Nguyen, Thuy-Duyen, Shaefi, Shahzad, Krajewski, Megan L., Shankar, Sidharth, Pannu, Ameeka, Valencia, Juan D., Waikar, Sushrut S., Kibbelaar, Zoe A., Athavale, Ambarish M., Hart, Peter, Upadhyay, Shristi, Vohra, Ishaan, Oyintayo, Ajiboye, Green, Adam, Rachoin, Jean-Sebastien, Schorr, Christa A., Shea, Lisa, Edmonston, Daniel L., Mosher, Christopher L., Shehata, Alexandre M., Cohen, Zaza, Allusson, Valerie, Bambrick-Santoyo, Gabriela, Bhatti, Noor ul aain, Mehta, Bijal, Williams, Aquino, Brenner, Samantha K., Walters, Patricia, Go, Ronaldo C., Rose, Keith M., Hernán, Miguel A., Zhou, Amy M., Kim, Ethan C., Lisk, Rebecca, Chan, Lili, Mathews, Kusum S., Coca, Steven G., Altman, Deena R., Saha, Aparna, Soh, Howard, Hsun Wen, Huei, Bose, Sonali, Leven, Emily A., Wang, Jing G., Mosoyan, Gohar, Nadkarni, Girish N., Pattharanitima, Pattharawin, Gallagher, Emily J., Friedman, Allon N., Guirguis, John, Kapoor, Rajat, Meshberger, Christopher, Kelly, Katherine J., Parikh, Chirag R., Garibaldi, Brian T., Corona-Villalobos, Celia P., Wen, Yumeng, Menez, Steven, Malik, Rubab F., Elena Cervantes, Carmen, Gautam, Samir C., Mallappallil, Mary C., Ouyang, Jie, John, Sabu, Yap, Ernie, Melaku, Yohannes, Mohamed, Ibrahim, Bajracharya, Siddhartha, Puri, Isha, Thaxton, Mariah, Bhattacharya, Jyotsna, Wagner, John, Boudourakis, Leon, Bryant Nguyen, H., Ahoubim, Afshin, Thomas, Leslie F., Sirganagari, Dheeraj Reddy, Guru, Pramod K., Kashani, Kianoush, Tehranian, Shahrzad, Zhou, Yan, Bergl, Paul A., Rodriguez, Jesus, Shah, Jatan A., Gupta, Mrigank S., Kumar, Princy N., Lazarous, Deepa G., Kassaye, Seble G., Melamed, Michal L., Johns, Tanya S., Mocerino, Ryan, Prudhvi, Kalyan, Zhu, Denzel, Levy, Rebecca V., Azzi, Yorg, Fisher, Molly, Yunes, Milagros, Sedaliu, Kaltrina, Golestaneh, Ladan, Brogan, Maureen, Kumar, Neelja, Chang, Michael, Thakkar, Jyotsana, Raichoudhury, Ritesh, Athreya, Akshay, Farag, Mohamed, Schenck, Edward J., Cho, Soo Jung, Plataki, Maria, Alvarez-Mulett, Sergio L., Gomez-Escobar, Luis G., Pan, Di, Lee, Stefi, Krishnan, Jamuna, Whalen, William, Charytan, David, Macina, Ashley, Chaudhry, Sobaata, Wu, Benjamin, Modersitzki, Frank, Srivastava, Anand, Leidner, Alexander S., Martinez, Carlos, Kruser, Jacqueline M., Wunderink, Richard G., Hodakowski, Alexander J., Velez, Juan Carlos Q., Price-Haywood, Eboni G., Matute-Trochez, Luis A., Hasty, Anna E., Mohamed, Muner MB., Avasare, Rupali S., Zonies, David, Leaf, David E., Gupta, Shruti, Sise, Meghan E., Newman, Erik T., Abu Omar, Samah, Pokharel, Kapil K., Sharma, Shreyak, Singh, Harkarandeep, Correa, Simon, Shaukat, Tanveer, Kamal, Omer, Wang, Wei, Yang, Heather, Boateng, Jeffery O., Lee, Meghan, Strohbehn, Ian A., Li, Jiahua, Mueller, Ariel L., Redfern, Roberta E., Cairl, Nicholas S., Naimy, Gabriel, Abu-Saif, Abeer, Hall, Danyell, Bickley, Laura, Rowan, Chris, Madhani-Lovely, Farah, Cruz, Vivian S., Hess, Kristen M., Jacobs, Alanna L., Peev, Vasil, Reiser, Jochen, Byun, John J., Vissing, Andrew, Kapania, Esha M., Post, Zoe, Patel, Nilam P., Hermes, Joy-Marie, Sutherland, Anne K., Patrawalla, Amee, Finkel, Diana G., Danek, Barbara A., Arikapudi, Sowminya, Paer, Jeffrey M., Cangialosi, Peter, Liotta, Mark, Radbel, Jared, Puri, Sonika, Sunderram, Jag, Scharf, Matthew T., Ahmed, Ayesha, Berim, Ilya, Vatson, Jayanth S., Anand, Shuchi, Levitt, Joseph E., Garcia, Pablo, Boyle, Suzanne M., Song, Rui, Zhang, Jingjing, Hoon Woo, Sang, Deng, Xiaoying, Katz-Greenberg, Goni, Senter, Katharine, Sharshir, Moh’d A., Rusnak, Vadym V., Ali, Muhammad Imran, Bansal, Anip, Podoll, Amber S., Chonchol, Michel, Sharma, Sunita, Burnham, Ellen L., Douin, David J., Rashidi, Arash, Hejal, Rana, Judd, Eric, Latta, Laura, Tolwani, Ashita, Albertson, Timothy E., Adams, Jason Y., Chang, Steven Y., Beutler, Rebecca M., Schulze, Carl E., Macedo, Etienne, Rhee, Harin, Liu, Kathleen D., Jotwani, Vasantha K., Koyner, Jay L., Shah, Chintan V., Jaikaransingh, Vishal, Toth-Manikowski, Stephanie M., Joo, Min J., Lash, James P., Neyra, Javier A., Chaaban, Nourhan, Elias, Madona, Ahmad, Yahya, Iardino, Alfredo, Au, Elizabeth H., Sharma, Jill H., Anne Sosa, Marie, Taldone, Sabrina, Contreras, Gabriel, De La Zerda, David, Gershengorn, Hayley B., Shukla, Bhavarth, Fornoni, Alessia, Ferreira, Tanira, Hayek, Salim S., Blakely, Pennelope, Berlin, Hanna, Azam, Tariq U., Shadid, Husam, Pan, Michael, O’ Hayer, Patrick, Meloche, Chelsea, Feroze, Rafey, Kaakati, Rayan, Perry, Danny, Bitar, Abbas, Anderson, Elizabeth, Padalia, Kishan J., Donnelly, John P., Admon, Andrew J., Flythe, Jennifer E., Tugman, Matthew J., Chang, Emily H., Brown, Brent R., Leonberg-Yoo, Amanda K., Spiardi, Ryan C., Miano, Todd A., Roche, Meaghan S., Vasquez, Charles R., Bansal, Amar D., Ernecoff, Natalie C., Kapoor, Sanjana, Verma, Siddharth, Chen, Huiwen, Kovesdy, Csaba P., Molnar, Miklos Z., Azhar, Ambreen, Susan Hedayati, S., Nadamuni, Mridula V., Shastri, Shani, Willett, Duwayne L., Short, Samuel A.P., Renaghan, Amanda D., Enfield, Kyle B., Bhatraju, Pavan K., Bilal Malik, A., Semler, Matthew W., Vijayan, Anitha, Mariyam Joy, Christina, Li, Tingting, Goldberg, Seth, Kao, Patricia F., Schumaker, Greg L., Goyal, Nitender, Faugno, Anthony J., Schumaker, Greg L., Hsu, Caroline M., Tariq, Asma, Meyer, Leah, Kshirsagar, Ravi K., Weiner, Daniel E., Jose, Aju, Christov, Marta, Griffiths, Jennifer, Gupta, Sanjeev, Kapoor, Aromma, Wilson, Perry, Arora, Tanima, and Ugwuowo, Ugochukwu

Published
2022
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3. Machine Learning Prediction of Death in Critically Ill Patients With Coronavirus Disease 2019

Author

Churpek, Matthew M., Gupta, Shruti, Spicer, Alexandra B., Hayek, Salim S., Srivastava, Anand, Chan, Lili, Melamed, Michal L., Brenner, Samantha K., Radbel, Jared, Madhani-Lovely, Farah, Bhatraju, Pavan K., Bansal, Anip, Green, Adam, Goyal, Nitender, Shaefi, Shahzad, Parikh, Chirag R., Semler, Matthew W., Leaf, David E., Walther, Carol P., Anumudu, Samaya J., Arunthamakun, Justin, Kopecky, Kathleen F., Milligan, Gregory P., McCullough, Peter A., Nguyen, ThuyDuyen, Shaefi, Shahzad, Krajewski, Megan L., Shankar, Sidharth, Pannu, Ameeka, Valencia, Juan D., Waikar, Sushrut S., Kibbelaar, Zoe A., Athavale, Ambarish M., Hart, Peter, Ajiboye, Oyintayo, Itteera, Matthew, Green, Adam, Rachoin, Jean-Sebastien, Schorr, Christa A., Shea, Lisa, Edmonston, Daniel L., Mosher, Christopher L., Shehata, Alexandre M., Cohen, Zaza, Allusson, Valerie, Bambrick-Santoyo, Gabriela, Bhatti, Noor ul aain, Metha, Bijal, Williams, Aquino, Brenner, Samantha K., Walters, Patricia, Go, Ronaldo C., Rose, Keith M., Hernán, Miguel A., Zhou, Amy M., Kim, Ethan C., Lisk, Rebecca, Chan, Lili, Mathews, Kusum S., Coca, Steven G., Altman, Deena R., Saha, Aparna, Soh, Howard, Wen, Huei Hsun, Bose, Sonali, Leven, Emily, Wang, Jing G., Mosoyan, Gohar, Nadkarni, Girish N., Friedman, Allon N., Guirguis, John, Kapoor, Rajat, Meshberger, Christopher, Parikh, Chirag R., Garibaldi, Brian T., Corona-Villalobos, Celia P., Wen, Yumeng, Menez, Steven, Malik, Rubab F., Cervantes, Carmen Elena, Gautam, Samir C., Chang, Crystal, Nguyen, H. Bryant, Ahoubim, Afshin, Thomas, Leslie F., Guru, Pramod K., Bergl, Paul A., Zhou, Yan, Rodriguez, Jesus, Shah, Jatan A., Gupta, Mrigank S., Kumar, Princy N., Lazarous, Deepa G., Kassaye, Seble G., Melamed, Michal L., Johns, Tanya S., Mocerino, Ryan, Prudhvi, Kalyan, Zhu, Denzel, Levy, Rebecca V., Azzi, Yorg, Fisher, Molly, Yunes, Milagros, Sedaliu, Kaltrina, Golestaneh, Ladan, Brogan, Maureen, Thakkar, Jyotsana, Kumar, Neelja, Ross, Michael J., Chang, Michael, Raichoudhury, Ritesh, Schenck, Edward J., Cho, Soo Jung, Plataki, Maria, Alvarez-Mulett, Sergio L., Gomez-Escobar, Luis G., Pan, Di, Lee, Stefi, Krishnan, Jamuna, Whalen, William, Charytan, David, Macina, Ashley, Ross, Daniel W., Srivastava, Anand, Leidner, Alexander S., Martinez, Carlos, Kruser, Jacqueline M., Wunderink, Richard G., Hodakowski, Alexander J., Velez, Juan Carlos Q., Price-Haywood, Eboni G., Matute-Trochez, Luis A., Hasty, Anna E., Mohamed, Muner MB., Avasare, Rupali S., Zonies, David, Leaf, David E., Gupta, Shruti, Baron, Rebecca M., Sise, Meghan E., Newman, Erik T., Omar, Samah Abu, Pokharel, Kapil K., Sharma, Shreyak, Singh, Harkarandeep, Gaviria, Simon Correa, Shaukat, Tanveer, Kamal, Omer, Wang, Wei, Yang, Heather, Boateng, Jeffery O., Lee, Meghan, Strohbehn, Ian A., Li, Jiahua, Muhsin, Saif A., Mandel, Ernest I., Mueller, Ariel L., Cairl, Nicholas S., Madhani-Lovely, Farah, Rowan, Chris, Madhai-Lovely, Farah, Peev, Vasil, Reiser, Jochen, Byun, John J., Vissing, Andrew, Kapania, Esha M., Post, Zoe, Patel, Nilam P., Hermes, Joy-Marie, Sutherland, Anne K., Patrawalla, Amee, Finkel, Diana G., Danek, Barbara A., Arikapudi, Sowminya, Paer, Jeffrey M., Radbel, Jared, Puri, Sonika, Sunderram, Jag, Scharf, Matthew T., Ahmed, Ayesha, Berim, Ilya, Vatson, Jayanth, Anand, Shuchi, Levitt, Joseph E., Garcia, Pablo, Boyle, Suzanne M., Song, Rui, Zhang, Jingjing, Sharshir, Moh’d A., Rusnak, Vadym V., Bansal, Anip, Podoll, Amber S., Chonchol, Michel, Sharma, Sunita, Burnham, Ellen L., Rashidi, Arash, Hejal, Rana, Judd, Eric, Latta, Laura, Tolwani, Ashita, Albertson, Timothy E., Adams, Jason Y., Chang, Steven Y., Beutler, Rebecca M., Schulze, Carl E., Macedo, Etienne, Rhee, Harin, Liu, Kathleen D., Jotwani, Vasantha K., Koyner, Jay L., Shah, Chintan V., Jaikaransingh, Vishal, Toth-Manikowski, Stephanie M., Joo, Min J., Lash, James P., Neyra, Javier A., Chaaban, Nourhan, Iardino, Alfredo, Au, Elizabeth H., Sharma, Jill H., Anne Sosa, Marie, Taldone, Sabrina, Contreras, Gabriel, De La Zerda, David, Gershengorn, Hayley B., Hayek, Salim S., Blakely, Pennelope, Berlin, Hanna, Azam, Tariq U., Shadid, Husam, Pan, Michael, Hayer, Patrick O’, Meloche, Chelsea, Feroze, Rafey, Padalia, Kishan J., Leya, Jeff, Donnelly, John P., Admon, Andrew J., Flythe, Jennifer E., Tugman, Matthew J., Brown, Brent R., Leonberg-Yoo, Amanda K., Spiardi, Ryan C., Miano, Todd A., Roche, Meaghan S., Vasquez, Charles R., Bansal, Amar D., Ernecoff, Natalie C., Kovesdy, Csaba P., Molnar, Miklos Z., Hedayati, S. Susan, Nadamuni, Mridula V., Khan, Sadaf S., Willett, Duwayne L., Short, Samuel A.P., Renaghan, Amanda D., Bhatraju, Pavan, Malik, A. Bilal, Semler, Matthew W., Vijayan, Anitha, Mariyam Joy, Christina, Li, Tingting, Goldberg, Seth, Kao, Patricia F., Schumaker, Greg L., Goyal, Nitender, Faugno, Anthony J., Schumaker, Greg L., Hsu, Caroline M., Tariq, Asma, Meyer, Leah, Christov, Marta, Wilson, Francis P., Arora, Tanima, and Ugwuowo, Ugochukwu

Published
2021
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4. Shorter versus longer corticosteroid duration and recurrent immune checkpoint inhibitor-associated AKI

Author

Gupta, Shruti, primary, Garcia-Carro, Clara, additional, Prosek, Jason M, additional, Glezerman, Ilya, additional, Herrmann, Sandra M, additional, Garcia, Pablo, additional, Abudayyeh, Ala, additional, Lumlertgul, Nuttha, additional, Malik, A Bilal, additional, Loew, Sebastian, additional, Beckerman, Pazit, additional, Renaghan, Amanda D, additional, Carlos, Christopher A, additional, Rashidi, Arash, additional, Mithani, Zain, additional, Deshpande, Priya, additional, Rangarajan, Sunil, additional, Shah, Chintan V, additional, Seigneux, Sophie De, additional, Campedel, Luca, additional, Kitchlu, Abhijat, additional, Shin, Daniel Sanghoon, additional, Coppock, Gaia, additional, Ortiz-Melo, David I, additional, Sprangers, Ben, additional, Aggarwal, Vikram, additional, Benesova, Karolina, additional, Wanchoo, Rimda, additional, Murakami, Naoka, additional, Cortazar, Frank B, additional, Reynolds, Kerry L, additional, Sise, Meghan E, additional, Soler, Maria Jose, additional, and Leaf, David E, additional

Published
2022
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5. Outcomes of critically ill solid organ transplant patients with COVID-19 in the United States

Author

Molnar, Miklos Z., Bhalla, Anshul, Azhar, Ambreen, Tsujita, Makoto, Talwar, Manish, Balaraman, Vasanthi, Sodhi, Amik, Kadaria, Dipen, Eason, James D., Hayek, Salim S., Coca, Steven G., Shaefi, Shahzad, Neyra, Javier A., Gupta, Shruti, Leaf, David E., Kovesdy, Csaba P., Walther, Carl P., Anumudu, Samaya J., Arunthamakun, Justin, Kopecky, Kathleen F., Milligan, Gregory P., McCullough, Peter A., Nguyen, Thuy‐Duyen, Krajewski, Megan L., Shankar, Sidharth, Pannu, Ameeka, Valencia, Juan D., Waikar, Sushrut S., Kibbelaar, Zoe A., Athavale, Ambarish M., Hart, Peter, Upadhyay, Shristi, Vohra, Ishaan, Oyintayo, Ajiboye, Green, Adam, Rachoin, Jean‐Sebastien, Schorr, Christa A., Shea, Lisa, Edmonston, Daniel L., Mosher, Christopher L., Shehata, Alexandre M, Cohen, Zaza, Allusson, Valerie, Bambrick‐Santoyo, Gabriela, Bhatti, Noor ul aain, Mehta, Bijal, Williams, Aquino, Brenner, Samantha K., Walters, Patricia, Go, Ronaldo C., Rose, Keith M., Hernán, Miguel A., Lisk, Rebecca, Zhou, Amy M., Kim, Ethan C., Chan, Lili, Mathews, Kusum S., Altman, Deena R., Saha, Aparna, Soh, Howard, Wen, Huei Hsun, Bose, Sonali, Leven, Emily A., Wang, Jing G., Mosoyan, Gohar, Nadkarni, Girish N., Pattharanitima, Pattharawin, Gallagher, Emily J., Friedman, Allon N., Guirguis, John, Kapoor, Rajat, Meshberger, Christopher, Kelly, Katherine J., Parikh, Chirag R., Garibaldi, Brian T., Corona‐Villalobos, Celia P., Wen, Yumeng, Menez, Steven, Malik, Rubab F., Cervantes, Carmen Elena, Gautam, Samir C., Mallappallil, Mary C., Ouyang, Jie, John, Sabu, Yap, Ernie, Melaku, Yohannes, Mohamed, Ibrahim, Bajracharya, Siddhartha, Puri, Isha, Thaxton, Mariah, Bhattacharya, Jyotsna, Wagner, John, Boudourakis, Leon, Nguyen, H. Bryant, Ahoubim, Afshin, Kashani, Kianoush, Tehranian, Shahrzad, Thomas, Leslie F., Sirganagari, Dheeraj Reddy, Guru, Pramod K., Zhou, Yan, Bergl, Paul A., Rodriguez, Jesus, Shah, Jatan A., Gupta, Mrigank S., Kumar, Princy N., Lazarous, Deepa G., Kassaye, Seble G., Melamed, Michal L., Johns, Tanya S., Mocerino, Ryan, Prudhvi, Kalyan, Zhu, Denzel, Levy, Rebecca V., Azzi, Yorg, Fisher, Molly, Yunes, Milagros, Sedaliu, Kaltrina, Golestaneh, Ladan, Brogan, Maureen, Kumar, Neelja, Chang, Michael, Thakkar, Jyotsana, Raichoudhury, Ritesh, Athreya, Akshay, Farag, Mohamed, Schenck, Edward J., Cho, Soo Jung, Plataki, Maria, Alvarez‐Mulett, Sergio L., Gomez‐Escobar, Luis G., Pan, Di, Lee, Stefi, Krishnan, Jamuna, Whalen, William, Charytan, David, Macina, Ashley, Chaudhry, Sobaata, Wu, Benjamin, Modersitzki, Frank, Srivastava, Anand, Leidner, Alexander, Martinez, Carlos, Kruser, Jacqueline M., Wunderink, Richard G., Hodakowski, Alexander J., Velez, Juan Carlos Q., Price‐Haywood, Eboni G., Matute‐Trochez, Luis A., Hasty, Anna E., Mohamed, Muner MB, Avasare, Rupali S., Zonies, David, Leaf, David E, Sise, Meghan E., Newman, Erik T., Omar, Samah Abu, Pokharel, Kapil K., Sharma, Shreyak, Singh, Harkarandeep, Correa, Simon, Shaukat, Tanveer, Kamal, Omer, Wang, Wei, Yang, Heather, Boateng, Jeffery O., Lee, Meghan, Strohbehn, Ian A., Li, Jiahua, Mueller, Ariel L., Redfern, Roberta E., Cairl, Nicholas S., Naimy, Gabriel, Abu‐Saif, Abeer, Hall, Danyell, Bickley, Laura, Rowan, Chris, Madhani‐Lovely, Farah, Peev, Vasil, Reiser, Jochen, Byun, John J., Vissing, Andrew, Kapania, Esha M., Post, Zoe, Patel, Nilam P., Hermes, Joy‐Marie, Sutherland, Anne K., Patrawalla, Amee, Finkel, Diana G., Danek, Barbara A., Arikapudi, Sowminya, Paer, Jeffrey M., Cangialosi, Peter, Liotta, Mark, Radbel, Jared, Puri, Sonika, Sunderram, Jag, Scharf, Matthew T., Ahmed, Ayesha, Berim, Ilya, Vatson, Jayanth S., Anand, Shuchi, Levitt, Joseph E., Garcia, Pablo, Boyle, Suzanne M., Song, Rui, Arif, Ali, Zhang, Jingjing, Woo, Sang Hoon, Deng, Xiaoying, Katz‐Greenberg, Goni, Senter, Katharine, Sharshir, Moh’d A., Rusnak, Vadym V, Ali, Muhammad Imran, Peters, Terri, Hughes, Kathy, Bansal, Anip, Podoll, Amber S., Chonchol, Michel, Sharma, Sunita, Burnham, Ellen L., Douin, David J., Rashidi, Arash, Hejal, Rana, Judd, Eric, Latta, Laura, Tolwani, Ashita, Albertson, Timothy E., Adams, Jason Y., Chang, Steven Y., Beutler, Rebecca M., Schulze, Carl E., Macedo, Etienne, Rhee, Harin, Liu, Kathleen D., Jotwani, Vasantha K., Koyner, Jay L., Shah, Chintan V., Jaikaransingh, Vishal, Toth‐Manikowski, Stephanie M., Joo, Min J., Lash, James P., Chaaban, Nourhan, Elias, Madona, Ahmad, Yahya, Iardino, Alfredo, Au, Elizabeth H., Sharma, Jill H., Sosa, Marie Anne, Taldone, Sabrina, Contreras, Gabriel, Zerda, David De La, Fornoni, Alessia, Gershengorn, Hayley B., Blakely, Pennelope, Berlin, Hanna, Azam, Tariq U., Shadid, Husam, Pan, Michael, Hayer, Patrick O’, Meloche, Chelsea, Feroze, Rafey, Kishan J. Padalia, Bitar, Abbas, Leya, Jeff, Donnelly, John P., Admon, Andrew J., Flythe, Jennifer E., Tugman, Matthew J., Chang, Emily H., Brown, Brent R., Leonberg‐Yoo, Amanda K., Spiardi, Ryan C., Miano, Todd A., Roche, Meaghan S., Vasquez, Charles R., Bansal, Amar D., Ernecoff, Natalie C., Kapoor, Sanjana, Verma, Siddharth, Chen, Huiwen, Hedayati, S. Susan, Nadamuni, Mridula V., Shastri, Shani, Willett, Duwayne L., Short, Samuel A.P., Renaghan, Amanda D., Enfield, Kyle B., Bhatraju, Pavan K., Malik, A. Bilal, Semler, Matthew W., Vijayan, Anitha, Joy, Christina Mariyam, Li, Tingting, Goldberg, Seth, Kao, Patricia F., Schumaker, Greg L., Goyal, Nitender, Faugno, Anthony J., Hsu, Caroline M., Tariq, Asma, Meyer, Leah, Kshirsagar, Ravi K., Jose, Aju, Weiner, Daniel E., Christov, Marta, Griffiths, Jennifer, Gupta, Sanjeev, Kapoor, Aromma, Wilson, Perry, Arora, Tanima, and Ugwuowo, Ugochukwu

Subjects
Male, medicine.medical_specialty, Critical Illness, medicine.medical_treatment, Comorbidity, 030230 surgery, Organ transplantation, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Internal medicine, Intensive care, medicine, Humans, Immunology and Allergy, Pharmacology (medical), Hospital Mortality, Renal replacement therapy, Pandemics, Survival rate, Aged, Transplantation, SARS-CoV-2, business.industry, Acute kidney injury, COVID-19, Original Articles, Organ Transplantation, Middle Aged, medicine.disease, United States, Hospitalization, Survival Rate, Intensive Care Units, Relative risk, Propensity score matching, Original Article, Female, business, Follow-Up Studies, Cohort study
Abstract

National data on patient characteristics, treatment, and outcomes of critically ill coronavirus disease 2019 (COVID-19) solid organ transplant (SOT) patients are limited. We analyzed data from a multicenter cohort study of adults with laboratory-confirmed COVID-19 admitted to intensive care units (ICUs) at 68 hospitals across the United States from March 4 to May 8, 2020. From 4153 patients, we created a propensity score matched cohort of 386 patients, including 98 SOT patients and 288 non-SOT patients. We used a binomial generalized linear model (log-binomial model) to examine the association of SOT status with death and other clinical outcomes. Among the 386 patients, the median age was 60 years, 72% were male, and 41% were black. Death within 28 days of ICU admission was similar in SOT and non-SOT patients (40% and 43%, respectively; relative risk [RR] 0.92; 95% confidence interval [CI]: 0.70-1.22). Other outcomes and requirement for organ support including receipt of mechanical ventilation, development of acute respiratory distress syndrome, and receipt of vasopressors were also similar between groups. There was a trend toward higher risk of acute kidney injury requiring renal replacement therapy in SOT vs. non-SOT patients (37% vs. 27%; RR [95% CI]: 1.34 [0.97-1.85]). Death and organ support requirement were similar between SOT and non-SOT critically ill patients with COVID-19.

Published
2020
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7. Performance of crisis standards of care guidelines in a cohort of critically ill COVID-19 patients in the United States

Author

Walther, Carl P., Anumudu, Samaya J., Arunthamakun, Justin, Kopecky, Kathleen F., Milligan, Gregory P., McCullough, Peter A., Nguyen, Thuy-Duyen, Shaefi, Shahzad, Krajewski, Megan L., Shankar, Sidharth, Pannu, Ameeka, Valencia, Juan D., Waikar, Sushrut S., Kibbelaar, Zoe A., Athavale, Ambarish M., Hart, Peter, Upadhyay, Shristi, Vohra, Ishaan, Oyintayo, Ajiboye, Green, Adam, Rachoin, Jean-Sebastien, Schorr, Christa A., Shea, Lisa, Edmonston, Daniel L., Mosher, Christopher L., Shehata, Alexandre M., Cohen, Zaza, Allusson, Valerie, Bambrick-Santoyo, Gabriela, ul aain Bhatti, Noor, Mehta, Bijal, Williams, Aquino, Brenner, Samantha K., Walters, Patricia, Go, Ronaldo C., Rose, Keith M., Hernán, Miguel A., Zhou, Amy M., Kim, Ethan C., Lisk, Rebecca, Chan, Lili, Mathews, Kusum S., Coca, Steven G., Altman, Deena R., Saha, Aparna, Soh, Howard, Wen, Huei Hsun, Bose, Sonali, Leven, Emily A., Wang, Jing G., Mosoyan, Gohar, Nadkarni, Girish N., Pattharanitima, Pattharawin, Friedman, Allon N., Guirguis, John, Kapoor, Rajat, Meshberger, Christopher, Kelly, Katherine J., Parikh, Chirag R., Garibaldi, Brian T., Corona-Villalobos, Celia P., Wen, Yumeng, Menez, Steven, Malik, Rubab F., Cervantes, Elena, Gautam, Samir, Mallappallil, Mary C., Ouyang, Jie, John, Sabu, Yap, Ernie, Melaku, Yohannes, Mohamed, Ibrahim, Bajracharya, Siddartha, Puri, Isha, Thaxton, Mariah, Bhattacharya, Jyotsna, Wagner, John, Boudourakis, Leon, Nguyen, H. Bryant, Ahoubim, Afshin, Thomas, Leslie F., Sirganagari, Dheeraj Reddy, Guru, Pramod K., Kashani, Kianoush, Zhou, Yan, Bergl, Paul A., Rodriguez, Jesus, Shah, Jatan A., Gupta, Mrigank S., Kumar, Princy N., Lazarous, Deepa G., Kassaye, Seble G., Melamed, Michal L., Johns, Tanya S., Mocerino, Ryan, Prudhvi, Kalyan, Zhu, Denzel, Levy, Rebecca V., Azzi, Yorg, Fisher, Molly, Yunes, Milagros, Sedaliu, Kaltrina, Golestaneh, Ladan, Brogan, Maureen, Kumar, Neelja, Chang, Michael, Raichoudhury, Ritesh, Athreya, Akshay, Farag, Mohamed, Schenck, Edward J., Cho, Soo Jung, Plataki, Maria, Alvarez-Mulett, Sergio L., Gomez-Escobar, Luis G., Pan, Di, Lee, Stefi, Krishnan, Jamuna, Whalen, William, Charytan, David, Macina, Ashley, Chaudhry, Sobaata, Wu, Benjamin, Modersitzki, Frank, Srivastava, Anand, Leidner, Alexander S., Martinez, Carlos, Kruser, Jacqueline M., Wunderink, Richard G., Hodakowski, Alexander J., Velez, Juan Carlos Q., Price-Haywood, Eboni G., Matute-Trochez, Luis A., Hasty, Anna E., Mohamed, Muner MB., Avasare, Rupali S., Zonies, David, Leaf, David E., Gupta, Shruti, Sise, Meghan E., Newman, Erik T., Abu Omar, Samah, Pokharel, Kapil K., Sharma, Shreyak, Singh, Harkarandeep, Correa, Simon, Shaukat, Tanveer, Kamal, Omer, Wang, Wei, Yang, Heather, Boateng, Jeffery O., Lee, Meghan, Strohbehn, Ian A., Li, Jiahua, Mueller, Ariel L., Redfern, Roberta, Cairl, Nicholas S., Naimy, Gabriel, Abu-Saif, Abeer, Hall, Danyell, Bickley, Laura, Rowan, Chris, Madhani-Lovely, Farah, Cruz, Vivian S., Hess, Kristen M., Jacobs, Alanna L., Peev, Vasil, Reiser, Jochen, Byun, John J., Vissing, Andrew, Kapania, Esha M., Post, Zoe, Patel, Nilam P., Hermes, Joy-Marie, Sutherland, Anne K., Patrawalla, Amee, Finkel, Diana G., Danek, Barbara A., Arikapudi, Sowminya, Paer, Jeffrey M., Cangialosi, Peter, Liotta, Mark, Radbel, Jared, Puri, Sonika, Sunderram, Jag, Scharf, Matthew T., Ahmed, Ayesha, Berim, Ilya, Vatson, Jayanth S., Anand, Shuchi, Levitt, Joseph E., Boyle, Suzanne M., Song, Rui, Zhang, Jingjing, Woo, Sang Hoon, Deng, Xiaoying, Katz-Greenberg, Goni, Senter, Katharine, Sharshir, Moh’d A., Rusnak, Vadym V., Ali, Muhammad Imran, Bansal, Anip, Podoll, Amber S., Chonchol, Michel, Sharma, Sunita, Burnham, Ellen L., Rashidi, Arash, Hejal, Rana, Judd, Eric, Latta, Laura, Tolwani, Ashita, Albertson, Timothy E., Adams, Jason Y., Chang, Steven Y., Beutler, Rebecca M., Macedo, Etienne, Rhee, Harin, Liu, Kathleen D., Jotwani, Vasantha K., Koyner, Jay L., Shah, Chintan V., Jaikaransingh, Vishal, Toth-Manikowski, Stephanie M., Joo, Min J., Lash, James P., Neyra, Javier A., Chaaban, Nourhan, Elias, Madona, Ahmad, Yahya, Iardino, Alfredo, Au, Elizabeth H., Sharma, Jill H., Sosa, Marie Anne, Taldone, Sabrina, Contreras, Gabriel, De La Zerda, David, Gershengorn, Hayley B., Shukla, Bhavarth, Fornoni, Alessia, Ferreira, Tanira, Hayek, Salim S., Blakely, Pennelope, Berlin, Hanna, Azam, Tariq U., Shadid, Husam, Pan, Michael, O’ Hayer, Patrick, Meloche, Chelsea, Feroze, Rafey, Kaakati, Rayan, Perry, Danny, Bitar, Abbas, Anderson, Elizabeth, Padalia, Kishan J., Donnelly, John P., Admon, Andrew J., Flythe, Jennifer E., Tugman, Matthew J., Chang, Emily H., Brown, Brent R., Leonberg-Yoo, Amanda K., Spiardi, Ryan C., Miano, Todd A., Roche, Meaghan S., Vasquez, Charles R., Bansal, Amar D., Ernecoff, Natalie C., Kapoor, Sanjana, Verma, Siddharth, Kovesdy, Csaba P., Molnar, Miklos Z., Azhar, Ambreen, Hedayati, S. Susan, Nadamuni, Mridula V., Shastri, Shani, Willett, Duwayne L., Short, Samuel A.P., Renaghan, Amanda D., Enfield, Kyle B., Bhatraju, Pavan K., Malik, A. Bilal, Semler, Matthew W., Vijayan, Anitha, Joy, Christina Mariyam, Li, Tingting, Goldberg, Seth, Kao, Patricia F., Schumaker, Greg L., Goyal, Nitender, Faugno, Anthony J., Hsu, Caroline M., Tariq, Asma, Meyer, Leah, Kshirsagar, Ravi K., Weiner, Daniel E., Jose, Aju, Christov, Marta, Griffiths, Jennifer, Gupta, Sanjeev, Kapoor, Aromma, Wilson, Perry, Arora, Tanima, Ugwuowo, Ugochukwu, Jezmir, Julia L., Bharadwaj, Maheetha, Chaitoff, Alexander, Diephuis, Bradford, Crowley, Conor P., Kishore, Sandeep P., Goralnick, Eric, Merriam, Louis T., Milliken, Aimee, Rhee, Chanu, Sadovnikoff, Nicholas, Shah, Sejal B., Feldman, William B., and Kim, Edy Y.

Published
2021
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8. Performance of crisis standards of care guidelines in a cohort of critically ill COVID-19 patients in the United States

Author

Jezmir, Julia L., primary, Bharadwaj, Maheetha, additional, Chaitoff, Alexander, additional, Diephuis, Bradford, additional, Crowley, Conor P., additional, Kishore, Sandeep P., additional, Goralnick, Eric, additional, Merriam, Louis T., additional, Milliken, Aimee, additional, Rhee, Chanu, additional, Sadovnikoff, Nicholas, additional, Shah, Sejal B., additional, Gupta, Shruti, additional, Leaf, David E., additional, Feldman, William B., additional, Kim, Edy Y., additional, Walther, Carl P., additional, Anumudu, Samaya J., additional, Arunthamakun, Justin, additional, Kopecky, Kathleen F., additional, Milligan, Gregory P., additional, McCullough, Peter A., additional, Nguyen, Thuy-Duyen, additional, Shaefi, Shahzad, additional, Krajewski, Megan L., additional, Shankar, Sidharth, additional, Pannu, Ameeka, additional, Valencia, Juan D., additional, Waikar, Sushrut S., additional, Kibbelaar, Zoe A., additional, Athavale, Ambarish M., additional, Hart, Peter, additional, Upadhyay, Shristi, additional, Vohra, Ishaan, additional, Oyintayo, Ajiboye, additional, Green, Adam, additional, Rachoin, Jean-Sebastien, additional, Schorr, Christa A., additional, Shea, Lisa, additional, Edmonston, Daniel L., additional, Mosher, Christopher L., additional, Shehata, Alexandre M., additional, Cohen, Zaza, additional, Allusson, Valerie, additional, Bambrick-Santoyo, Gabriela, additional, ul aain Bhatti, Noor, additional, Mehta, Bijal, additional, Williams, Aquino, additional, Brenner, Samantha K., additional, Walters, Patricia, additional, Go, Ronaldo C., additional, Rose, Keith M., additional, Hernán, Miguel A., additional, Zhou, Amy M., additional, Kim, Ethan C., additional, Lisk, Rebecca, additional, Chan, Lili, additional, Mathews, Kusum S., additional, Coca, Steven G., additional, Altman, Deena R., additional, Saha, Aparna, additional, Soh, Howard, additional, Wen, Huei Hsun, additional, Bose, Sonali, additional, Leven, Emily A., additional, Wang, Jing G., additional, Mosoyan, Gohar, additional, Nadkarni, Girish N., additional, Pattharanitima, Pattharawin, additional, Friedman, Allon N., additional, Guirguis, John, additional, Kapoor, Rajat, additional, Meshberger, Christopher, additional, Kelly, Katherine J., additional, Parikh, Chirag R., additional, Garibaldi, Brian T., additional, Corona-Villalobos, Celia P., additional, Wen, Yumeng, additional, Menez, Steven, additional, Malik, Rubab F., additional, Cervantes, Elena, additional, Gautam, Samir, additional, Mallappallil, Mary C., additional, Ouyang, Jie, additional, John, Sabu, additional, Yap, Ernie, additional, Melaku, Yohannes, additional, Mohamed, Ibrahim, additional, Bajracharya, Siddartha, additional, Puri, Isha, additional, Thaxton, Mariah, additional, Bhattacharya, Jyotsna, additional, Wagner, John, additional, Boudourakis, Leon, additional, Nguyen, H. Bryant, additional, Ahoubim, Afshin, additional, Thomas, Leslie F., additional, Sirganagari, Dheeraj Reddy, additional, Guru, Pramod K., additional, Kashani, Kianoush, additional, Zhou, Yan, additional, Bergl, Paul A., additional, Rodriguez, Jesus, additional, Shah, Jatan A., additional, Gupta, Mrigank S., additional, Kumar, Princy N., additional, Lazarous, Deepa G., additional, Kassaye, Seble G., additional, Melamed, Michal L., additional, Johns, Tanya S., additional, Mocerino, Ryan, additional, Prudhvi, Kalyan, additional, Zhu, Denzel, additional, Levy, Rebecca V., additional, Azzi, Yorg, additional, Fisher, Molly, additional, Yunes, Milagros, additional, Sedaliu, Kaltrina, additional, Golestaneh, Ladan, additional, Brogan, Maureen, additional, Kumar, Neelja, additional, Chang, Michael, additional, Raichoudhury, Ritesh, additional, Athreya, Akshay, additional, Farag, Mohamed, additional, Schenck, Edward J., additional, Cho, Soo Jung, additional, Plataki, Maria, additional, Alvarez-Mulett, Sergio L., additional, Gomez-Escobar, Luis G., additional, Pan, Di, additional, Lee, Stefi, additional, Krishnan, Jamuna, additional, Whalen, William, additional, Charytan, David, additional, Macina, Ashley, additional, Chaudhry, Sobaata, additional, Wu, Benjamin, additional, Modersitzki, Frank, additional, Srivastava, Anand, additional, Leidner, Alexander S., additional, Martinez, Carlos, additional, Kruser, Jacqueline M., additional, Wunderink, Richard G., additional, Hodakowski, Alexander J., additional, Velez, Juan Carlos Q., additional, Price-Haywood, Eboni G., additional, Matute-Trochez, Luis A., additional, Hasty, Anna E., additional, Mohamed, Muner MB., additional, Avasare, Rupali S., additional, Zonies, David, additional, Sise, Meghan E., additional, Newman, Erik T., additional, Abu Omar, Samah, additional, Pokharel, Kapil K., additional, Sharma, Shreyak, additional, Singh, Harkarandeep, additional, Correa, Simon, additional, Shaukat, Tanveer, additional, Kamal, Omer, additional, Wang, Wei, additional, Yang, Heather, additional, Boateng, Jeffery O., additional, Lee, Meghan, additional, Strohbehn, Ian A., additional, Li, Jiahua, additional, Mueller, Ariel L., additional, Redfern, Roberta, additional, Cairl, Nicholas S., additional, Naimy, Gabriel, additional, Abu-Saif, Abeer, additional, Hall, Danyell, additional, Bickley, Laura, additional, Rowan, Chris, additional, Madhani-Lovely, Farah, additional, Cruz, Vivian S., additional, Hess, Kristen M., additional, Jacobs, Alanna L., additional, Peev, Vasil, additional, Reiser, Jochen, additional, Byun, John J., additional, Vissing, Andrew, additional, Kapania, Esha M., additional, Post, Zoe, additional, Patel, Nilam P., additional, Hermes, Joy-Marie, additional, Sutherland, Anne K., additional, Patrawalla, Amee, additional, Finkel, Diana G., additional, Danek, Barbara A., additional, Arikapudi, Sowminya, additional, Paer, Jeffrey M., additional, Cangialosi, Peter, additional, Liotta, Mark, additional, Radbel, Jared, additional, Puri, Sonika, additional, Sunderram, Jag, additional, Scharf, Matthew T., additional, Ahmed, Ayesha, additional, Berim, Ilya, additional, Vatson, Jayanth S., additional, Anand, Shuchi, additional, Levitt, Joseph E., additional, Boyle, Suzanne M., additional, Song, Rui, additional, Zhang, Jingjing, additional, Woo, Sang Hoon, additional, Deng, Xiaoying, additional, Katz-Greenberg, Goni, additional, Senter, Katharine, additional, Sharshir, Moh’d A., additional, Rusnak, Vadym V., additional, Ali, Muhammad Imran, additional, Bansal, Anip, additional, Podoll, Amber S., additional, Chonchol, Michel, additional, Sharma, Sunita, additional, Burnham, Ellen L., additional, Rashidi, Arash, additional, Hejal, Rana, additional, Judd, Eric, additional, Latta, Laura, additional, Tolwani, Ashita, additional, Albertson, Timothy E., additional, Adams, Jason Y., additional, Chang, Steven Y., additional, Beutler, Rebecca M., additional, Macedo, Etienne, additional, Rhee, Harin, additional, Liu, Kathleen D., additional, Jotwani, Vasantha K., additional, Koyner, Jay L., additional, Shah, Chintan V., additional, Jaikaransingh, Vishal, additional, Toth-Manikowski, Stephanie M., additional, Joo, Min J., additional, Lash, James P., additional, Neyra, Javier A., additional, Chaaban, Nourhan, additional, Elias, Madona, additional, Ahmad, Yahya, additional, Iardino, Alfredo, additional, Au, Elizabeth H., additional, Sharma, Jill H., additional, Sosa, Marie Anne, additional, Taldone, Sabrina, additional, Contreras, Gabriel, additional, De La Zerda, David, additional, Gershengorn, Hayley B., additional, Shukla, Bhavarth, additional, Fornoni, Alessia, additional, Ferreira, Tanira, additional, Hayek, Salim S., additional, Blakely, Pennelope, additional, Berlin, Hanna, additional, Azam, Tariq U., additional, Shadid, Husam, additional, Pan, Michael, additional, O’ Hayer, Patrick, additional, Meloche, Chelsea, additional, Feroze, Rafey, additional, Kaakati, Rayan, additional, Perry, Danny, additional, Bitar, Abbas, additional, Anderson, Elizabeth, additional, Padalia, Kishan J., additional, Donnelly, John P., additional, Admon, Andrew J., additional, Flythe, Jennifer E., additional, Tugman, Matthew J., additional, Chang, Emily H., additional, Brown, Brent R., additional, Leonberg-Yoo, Amanda K., additional, Spiardi, Ryan C., additional, Miano, Todd A., additional, Roche, Meaghan S., additional, Vasquez, Charles R., additional, Bansal, Amar D., additional, Ernecoff, Natalie C., additional, Kapoor, Sanjana, additional, Verma, Siddharth, additional, Kovesdy, Csaba P., additional, Molnar, Miklos Z., additional, Azhar, Ambreen, additional, Hedayati, S. Susan, additional, Nadamuni, Mridula V., additional, Shastri, Shani, additional, Willett, Duwayne L., additional, Short, Samuel A.P., additional, Renaghan, Amanda D., additional, Enfield, Kyle B., additional, Bhatraju, Pavan K., additional, Malik, A. Bilal, additional, Semler, Matthew W., additional, Vijayan, Anitha, additional, Joy, Christina Mariyam, additional, Li, Tingting, additional, Goldberg, Seth, additional, Kao, Patricia F., additional, Schumaker, Greg L., additional, Goyal, Nitender, additional, Faugno, Anthony J., additional, Hsu, Caroline M., additional, Tariq, Asma, additional, Meyer, Leah, additional, Kshirsagar, Ravi K., additional, Weiner, Daniel E., additional, Jose, Aju, additional, Christov, Marta, additional, Griffiths, Jennifer, additional, Gupta, Sanjeev, additional, Kapoor, Aromma, additional, Wilson, Perry, additional, Arora, Tanima, additional, and Ugwuowo, Ugochukwu, additional

Published
2021
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9. Association Between Early Treatment With Tocilizumab and Mortality Among Critically Ill Patients With COVID-19

Author

Gupta, Shruti, Wang, Wei, Hayek, Salim S., Chan, Lili, Mathews, Kusum S., Melamed, Michal L., Brenner, Samantha K., Leonberg-Yoo, Amanda, Schenck, Edward J., Radbel, Jared, Reiser, Jochen, Bansal, Anip, Srivastava, Anand, Zhou, Yan, Finkel, Diana, Green, Adam, Mallappallil, Mary, Faugno, Anthony J., Zhang, Jingjing, Velez, Juan Carlos Q., Shaefi, Shahzad, Parikh, Chirag R., Charytan, David M., Athavale, Ambarish M., Friedman, Allon N., Redfern, Roberta E., Short, Samuel A. P., Correa, Simon, Pokharel, Kapil K., Admon, Andrew J., Donnelly, John P., Gershengorn, Hayley B., Douin, David J., Semler, Matthew W., Hernán, Miguel A., Leaf, David E., Walther, Carl P., Anumudu, Samaya J., Arunthamakun, Justin, Kopecky, Kathleen F., Milligan, Gregory P., McCullough, Peter A., Nguyen, Thuy-Duyen, Krajewski, Megan L., Shankar, Sidharth, Pannu, Ameeka, Valencia, Juan D., Waikar, Sushrut S., Kibbelaar, Zoe A., Hart, Peter, Upadhyay, Shristi, Vohra, Ishaan, Oyintayo, Ajiboye, Rachoin, Jean-Sebastien, Schorr, Christa A., Shea, Lisa, Edmonston, Daniel L., Mosher, Christopher L., Shehata, Alexandre M., Cohen, Zaza, Allusson, Valerie, Bambrick-Santoyo, Gabriela, Bhatti, Noor ul aain, Mehta, Bijal, Williams, Aquino, Walters, Patricia, Go, Ronaldo C., Rose, Keith M., Lisk, Rebecca, Zhou, Amy M., Kim, Ethan C., Coca, Steven G., Altman, Deena R., Saha, Aparna, Soh, Howard, Wen, Huei Hsun, Bose, Sonali, Leven, Emily A., Wang, Jing G., Mosoyan, Gohar, Nadkarni, Girish N., Pattharanitima, Pattharawin, Gallagher, Emily J., Guirguis, John, Kapoor, Rajat, Meshberger, Christopher, Kelly, Katherine J., Garibaldi, Brian T., Corona-Villalobos, Celia P., Wen, Yumeng, Menez, Steven, Malik, Rubab F., Cervantes, Carmen Elena, Gautam, Samir C., Mallappallil, Mary C., Ouyang, Jie, John, Sabu, Yap, Ernie, Melaku, Yohannes, Mohamed, Ibrahim, Bajracharya, Siddhartha, Puri, Isha, Thaxton, Mariah, Bhattacharya, Jyotsna, Wagner, John, Boudourakis, Leon, Nguyen, H. Bryant, Ahoubim, Afshin, Kashani, Kianoush, Tehranian, Shahrzad, Thomas, Leslie F., Sirganagari, Dheeraj Reddy, Guru, Pramod K., Bergl, Paul A., Rodriguez, Jesus, Shah, Jatan A., Gupta, Mrigank S., Kumar, Princy N., Lazarous, Deepa G., Kassaye, Seble G., Johns, Tanya S., Mocerino, Ryan, Prudhvi, Kalyan, Zhu, Denzel, Levy, Rebecca V., Azzi, Yorg, Fisher, Molly, Yunes, Milagros, Sedaliu, Kaltrina, Golestaneh, Ladan, Brogan, Maureen, Kumar, Neelja, Chang, Michael, Thakkar, Jyotsana, Raichoudhury, Ritesh, Athreya, Akshay, Farag, Mohamed, Cho, Soo Jung, Plataki, Maria, Alvarez-Mulett, Sergio L., Gomez-Escobar, Luis G., Pan, Di, Lee, Stefi, Krishnan, Jamuna, Whalen, William, Charytan, David, Macina, Ashley, Chaudhry, Sobaata, Wu, Benjamin, Modersitzki, Frank, Leidner, Alexander S., Martinez, Carlos, Kruser, Jacqueline M., Wunderink, Richard G., Hodakowski, Alexander J., Price-Haywood, Eboni G., Matute-Trochez, Luis A., Hasty, Anna E., Mohamed, Muner MB., Avasare, Rupali S., Zonies, David, Sise, Meghan E., Newman, Erik T., Omar, Samah Abu, Sharma, Shreyak, Singh, Harkarandeep, Shaukat, Tanveer, Kamal, Omer, Yang, Heather, Boateng, Jeffery O., Lee, Meghan, Strohbehn, Ian A., Li, Jiahua, Mueller, Ariel L., Cairl, Nicholas S., Naimy, Gabriel, Abu-Saif, Abeer, Hall, Danyell, Bickley, Laura, Rowan, Chris, Madhani-Lovely, Farah, Peev, Vasil, Byun, John J., Vissing, Andrew, Kapania, Esha M., Post, Zoe, Patel, Nilam P., Hermes, Joy-Marie, Sutherland, Anne K., Patrawalla, Amee, Finkel, Diana G., Danek, Barbara A., Arikapudi, Sowminya, Paer, Jeffrey M., Cangialosi, Peter, Liotta, Mark, Puri, Sonika, Sunderram, Jag, Scharf, Matthew T., Ahmed, Ayesha, Berim, Ilya, Vatson, Jayanth S., Anand, Shuchi, Levitt, Joseph E., Garcia, Pablo, Boyle, Suzanne M., Song, Rui, Arif, Ali, Woo, Sang Hoon, Deng, Xiaoying, Katz-Greenberg, Goni, Senter, Katharine, Sharshir, Moh’d A., Rusnak, Vadym V., Ali, Muhammad Imran, Peters, Terri, Hughes, Kathy, Podoll, Amber S., Chonchol, Michel, Sharma, Sunita, Burnham, Ellen L., Rashidi, Arash, Hejal, Rana, Judd, Eric, Latta, Laura, Tolwani, Ashita, Albertson, Timothy E., Adams, Jason Y., Chang, Steven Y., Beutler, Rebecca M., Schulze, Carl E., Macedo, Etienne, Rhee, Harin, Liu, Kathleen D., Jotwani, Vasantha K., Koyner, Jay L., Shah, Chintan V., Jaikaransingh, Vishal, Toth-Manikowski, Stephanie M., Joo, Min J., Lash, James P., Neyra, Javier A., Chaaban, Nourhan, Elias, Madona, Ahmad, Yahya, Iardino, Alfredo, Au, Elizabeth H., Sharma, Jill H., Sosa, Marie Anne, Taldone, Sabrina, Contreras, Gabriel, Zerda, David De La, Fornoni, Alessia, Blakely, Pennelope, Berlin, Hanna, Azam, Tariq U., Shadid, Husam, Pan, Michael, O’ Hayer, Patrick, Meloche, Chelsea, Feroze, Rafey, Padalia, Kishan J., Bitar, Abbas, Leya, Jeff, Flythe, Jennifer E., Tugman, Matthew J., Chang, Emily H., Brown, Brent R., Leonberg-Yoo, Amanda K., Spiardi, Ryan C., Miano, Todd A., Roche, Meaghan S., Vasquez, Charles R., Bansal, Amar D., Ernecoff, Natalie C., Kapoor, Sanjana, Verma, Siddharth, Chen, Huiwen, Kovesdy, Csaba P., Molnar, Miklos Z., Azhar, Ambreen, Hedayati, S. Susan, Nadamuni, Mridula V., Shastri, Shani, Willett, Duwayne L., Short, Samuel A.P., Renaghan, Amanda D., Enfield, Kyle B., Bhatraju, Pavan K., Malik, A. Bilal, Vijayan, Anitha, Joy, Christina Mariyam, Li, Tingting, Goldberg, Seth, Kao, Patricia F., Schumaker, Greg L., Goyal, Nitender, Hsu, Caroline M., Tariq, Asma, Meyer, Leah, Kshirsagar, Ravi K., Jose, Aju, Weiner, Daniel E., Christov, Marta, Griffiths, Jennifer, Gupta, Sanjeev, Kapoor, Aromma, Wilson, Perry, Arora, Tanima, and Ugwuowo, Ugochukwu

Subjects
musculoskeletal diseases, medicine.medical_specialty, Population, 01 natural sciences, law.invention, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Tocilizumab, Interquartile range, law, Intensive care, Internal medicine, Fraction of inspired oxygen, medicine, Internal Medicine, 030212 general & internal medicine, 0101 mathematics, education, Original Investigation, education.field_of_study, business.industry, 010102 general mathematics, Hazard ratio, Intensive care unit, chemistry, business, Cohort study
Abstract

IMPORTANCE: Therapies that improve survival in critically ill patients with coronavirus disease 2019 (COVID-19) are needed. Tocilizumab, a monoclonal antibody against the interleukin 6 receptor, may counteract the inflammatory cytokine release syndrome in patients with severe COVID-19 illness. OBJECTIVE: To test whether tocilizumab decreases mortality in this population. DESIGN, SETTING, AND PARTICIPANTS: The data for this study were derived from a multicenter cohort study of 4485 adults with COVID-19 admitted to participating intensive care units (ICUs) at 68 hospitals across the US from March 4 to May 10, 2020. Critically ill adults with COVID-19 were categorized according to whether they received or did not receive tocilizumab in the first 2 days of admission to the ICU. Data were collected retrospectively until June 12, 2020. A Cox regression model with inverse probability weighting was used to adjust for confounding. EXPOSURES: Treatment with tocilizumab in the first 2 days of ICU admission. MAIN OUTCOMES AND MEASURES: Time to death, compared via hazard ratios (HRs), and 30-day mortality, compared via risk differences. RESULTS: Among the 3924 patients included in the analysis (2464 male [62.8%]; median age, 62 [interquartile range {IQR}, 52-71] years), 433 (11.0%) received tocilizumab in the first 2 days of ICU admission. Patients treated with tocilizumab were younger (median age, 58 [IQR, 48-65] vs 63 [IQR, 52-72] years) and had a higher prevalence of hypoxemia on ICU admission (205 of 433 [47.3%] vs 1322 of 3491 [37.9%] with mechanical ventilation and a ratio of partial pressure of arterial oxygen to fraction of inspired oxygen of

Published
2021
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10. Factors Associated With Death in Critically Ill Patients With Coronavirus Disease 2019 in the US

Author

Gupta, Shruti, Hayek, Salim S., Wang, Wei, Chan, Lili, Mathews, Kusum S., Melamed, Michal L., Brenner, Samantha K., Leonberg-Yoo, Amanda, Schenck, Edward J., Radbel, Jared, Reiser, Jochen, Bansal, Anip, Srivastava, Anand, Zhou, Yan, Sutherland, Anne, Green, Adam, Shehata, Alexandre M., Goyal, Nitender, Vijayan, Anitha, Velez, Juan Carlos Q., Shaefi, Shahzad, Parikh, Chirag R., Arunthamakun, Justin, Athavale, Ambarish M., Friedman, Allon N., Short, Samuel A. P., Kibbelaar, Zoe A., Abu Omar, Samah, Admon, Andrew J., Donnelly, John P., Gershengorn, Hayley B., Hernán, Miguel A., Semler, Matthew W., Leaf, David E., Walther, Carl P, Anumudu, Samaya J, Kopecky, Kathleen F, Milligan, Gregory P, McCullough, Peter A, Nguyen, Thuy-Duyen, Krajewski, Megan L, Shankar, Sidharth, Pannu, Ameeka, Valencia, Juan D, Waikar, Sushrut S, Hart, Peter, Ajiboye, Oyintayo, Itteera, Matthew, Rachoin, Jean-Sebastien, Schorr, Christa A, Shea, Lisa, Edmonston, Daniel L, Mosher, Christopher L, Karp, Aaron, Cohen, Zaza, Allusson, Valerie, Bambrick-Santoyo, Gabriela, Bhatti, Noor ul aain, Mehta, Bijal, Williams, Aquino, Walters, Patricia, Go, Rolando C, Rose, Keith M, Zhou, Amy M, Kim, Ethan C, Lisk, Rebecca, Coca, Steven G, Altman, Deena R, Saha, Aparna, Soh, Howard, Wen, Huei Hsun, Bose, Sonali, Leven, Emily A, Wang, Jing G, Mosoyan, Gohar, Nadkarni, Girish N, Guirguis, John, Kapoor, Rajat, Meshberger, Christopher, Garibaldi, Brian T, Corona-Villalobos, Celia P, Wen, Yumeng, Menez, Steven, Malik, Rubab F, Cervantes, Carmen Elena, Gautam, Samir C, Nguyen, H Byrant, Ahoubim, Afshin, Thomas, Leslie F, Sirganagari, Dheeraj Reddy, Guru, Pramod K, Bergl, Paul A, Rodriguez, Jesus, Shah, Jatan A, Gupta, Mrigank S, Kumar, Princy N, Lazarous, Deepa G, Kassaye, Seble G, Johns, Tanya S, Mocerino, Ryan, Prudhvi, Kalyan, Zhu, Denzel, Levy, Rebecca V, Azzi, Yorg, Fisher, Molly, Yunes, Milagros, Sedaliu, Kaltrina, Golestaneh, Ladan, Brogan, Maureen, Raichoudhury, Ritesh, Cho, Soo Jung, Plataki, Maria, Alvarez-Mulett, Sergio L, Gomez-Escobar, Luis G, Pan, Di, Lee, Stefi, Kirshnan, Jamuna, Whalen, William, Charytan, David, Macina, Ashley, Ross, Daniel W, Leidner, Alexander S, Martinez, Carlos, Kruser, Jacqueline M, Wunderink, Richard G, Hodakowski, Alexander J, Price-Haywood, Eboni G, Matute-Trochez, Luis A, Hasty, Anne E, Mohamed, Muner MB, Avasare, Rupali S, Zonies, David, Baron, Rebecca M, Sise, Meghan E, Newman, Erik T, Pokharel, Kapil K, Sharma, Shreyak, Singh, Harkarandeep, Correa, Simon, Shaukat, Tanveer, Kamal, Omer, Yang, Heather, Boateng, Jeffery O, Lee, Meghan, Strohbehn, Ian A, Li, Jiahua, Muhsin, Saif A, Mandel, Ernest I, Mueller, Ariel L, Cairl, Nicholas S, Rowan, Chris, Madhai-Lovely, Farah, Peev, Vasil, Byun, John J, Vissing, Andrew, Kapania, Esha M, Post, Zoe, Patel, Nilam P, Hermes, Joy-Marie, Patrawalla, Amee, Finkel, Diana G, Danek, Barbara A, Arikapudi, Sowminya, Paer, Jeffery M, Puri, Sonika, Sunderram, Jag, Scharf, Matthew T, Ahmed, Ayesha, Berim, Ilya, Hussain, Sabiha, Anand, Shuchi, Levitt, Joseph E, Garcia, Pablo, Boyle, Suzanne M, Song, Rui, Zhang, Jingjing, Sharshir, Mohd A, Rusnak, Vadym V, Podoll, Amber S, Chonchol, Michel, Sharma, Sunita, Burnham, Ellen L, Rashidi, Arash, Hejal, Rana, Judd, Erik T, Latta, Laura, Tolwani, Ashita, Albertson, Timothy E, Adams, Jason Y, Chang, Steven Y, Beutler, Rebecca M, Schulze, Carl E, Macedo, Etienne, Rhee, Harin, Liu, Kathleen D, Jotwani, Vasantha K, Koyner, Jay L, Shah, Chintan V, Jaikaransingh, Vishal, Toth-Manikowski, Stephanie M, Joo, Min J, Lash, James P, Neyra, Javier A, Chaaban, Nourhan, Iardino, Alfredo, Au, Elizabeth H, Sharma, Jill H, Sosa, Marie Anne, Taldone, Sabrina, Contreras, Gabriel, Zerda, David De La, Blakely, Pennelope, Berlin, Hanna, Azam, Tariq U, Shadid, Husam, Pan, Michael, OHayer, Patrick, Meloche, Chelsea, Feroze, Rafey, Padalia, Kishan J, Bitar, Abbas, Flythe, Jennifer E, Tugman, Matthew J, Brown, Brent R, Spiardi, Ryan C, Miano, Todd A, Roche, Meaghan S, Vasquez, Charles R, Bansal, Amar D, Ernecoff, Natalie C, Kovesdy, Csaba P, Molnar, Miklos Z, Azhar, Ambreen, Hedayati, Susan S, Nadamuni, Mridula V, Khan, Sadaf S, Willett, Duwayne L, Renaghan, Amanda D, Bhatraju, Pavan K, Malik, Bilal A, Joy, Christina Mariyam, Li, Tingting, Goldberg, Seth, Kao, Patricia F, Schumaker, Greg L, Faugno, Anthony J, Hsu, Caroline M, Tariq, Asma, Meyer, Leah, Weiner, Daniel E, Christov, Marta, Wilson, Francis P, Arora, Tanima, and Ugwuowo, Ugochukwu

Subjects
medicine.medical_specialty, business.industry, 010102 general mathematics, Organ dysfunction, Odds ratio, medicine.disease, 01 natural sciences, Intensive care unit, Comorbidity, law.invention, 03 medical and health sciences, 0302 clinical medicine, Interquartile range, law, Intensive care, Internal medicine, Internal Medicine, Medicine, 030212 general & internal medicine, 0101 mathematics, medicine.symptom, business, Body mass index, Cohort study
Abstract

Importance: The US is currently an epicenter of the coronavirus disease 2019 (COVID-19) pandemic, yet few national data are available on patient characteristics, treatment, and outcomes of critical illness from COVID-19. Objectives: To assess factors associated with death and to examine interhospital variation in treatment and outcomes for patients with COVID-19. Design, Setting, and Participants: This multicenter cohort study assessed 2215 adults with laboratory-confirmed COVID-19 who were admitted to intensive care units (ICUs) at 65 hospitals across the US from March 4 to April 4, 2020. Exposures: Patient-level data, including demographics, comorbidities, and organ dysfunction, and hospital characteristics, including number of ICU beds. Main Outcomes and Measures: The primary outcome was 28-day in-hospital mortality. Multilevel logistic regression was used to evaluate factors associated with death and to examine interhospital variation in treatment and outcomes. Results: A total of 2215 patients (mean [SD] age, 60.5 [14.5] years; 1436 [64.8%] male; 1738 [78.5%] with at least 1 chronic comorbidity) were included in the study. At 28 days after ICU admission, 784 patients (35.4%) had died, 824 (37.2%) were discharged, and 607 (27.4%) remained hospitalized. At the end of study follow-up (median, 16 days; interquartile range, 8-28 days), 875 patients (39.5%) had died, 1203 (54.3%) were discharged, and 137 (6.2%) remained hospitalized. Factors independently associated with death included older age (≥80 vs

Published
2020
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11. In-hospital cardiac arrest in critically ill patients with covid-19: multicenter cohort study

Author

Hayek, Salim S, Brenner, Samantha K, Azam, Tariq U, Shadid, Husam R, Anderson, Elizabeth, Berlin, Hanna, Pan, Michael, Meloche, Chelsea, Feroz, Rafey, O’Hayer, Patrick, Kaakati, Rayan, Bitar, Abbas, Padalia, Kishan, Perry, Daniel, Blakely, Pennelope, Gupta, Shruti, Shaefi, Shahzad, Srivastava, Anand, Charytan, David M, Bansal, Anip, Mallappallil, Mary, Melamed, Michal L, Shehata, Alexandre M, Sunderram, Jag, Mathews, Kusum S, Sutherland, Anne K, Nallamothu, Brahmajee K, Leaf, David E, Malik, A Bilal, Abu-Saif, Abeer, Green, Adam, Ahoubim, Afshin, Oyintayo, Ajiboye, Jose, Aju, Athreya, Akshay, Jacobs, Alanna L, Fornoni, Alessia, Hodakowski, Alexander J, Leidner, Alexander S, Iardino, Alfredo, Friedman, Allon N, Renaghan, Amanda D, Leonberg-Yoo, Amanda K, Bansal, Amar D, Athavale, Ambarish M, Podoll, Amber S, Azhar, Ambreen, Patrawalla, Amee, Pannu, Ameeka, Zhou, Amy M, Admon, Andrew J, Vissing, Andrew, Vijayan, Anitha, Hasty, Anna E, Faugno, Anthony J, Saha, Aparna, Williams, Aquino, Rashidi, Arash, Mueller, Ariel L, Kapoor, Aromma, Tolwani, Ashita, Macina, Ashley, Tariq, Asma, Ahmed, Ayesha, Danek, Barbara A, Wu, Benjamin, Shukla, Bhavarth, Mehta, Bijal, Brown, Brent R, Garibaldi, Brian T, Schulze, Carl E, Walther, Carl P, Martinez, Carlos, Hsu, Caroline M, Corona-Villalobos, Celia P, Vasquez, Charles R, Shah, Chintan V, Parikh, Chirag R, Rowan, Chris, Schorr, Christa A, Joy, Christina Mariyam, Mosher, Christopher L, Meshberger, Christopher, Kovesdy, Csaba P, Weiner, Daniel E, Edmonston, Daniel L, Perry, Danny, Hall, Danyell, Charytan, David, De La Zerda, David, Zonies, David, Altman, Deena R, Lazarous, Deepa G, Zhu, Denzel, Sirganagari, Dheeraj Reddy, Pan, Di, Finkel, Diana G, Willett, Duwayne L, Price-Haywood, Eboni G, Schenck, Edward J, Cervantes, Carmen Elena, Au, Elizabeth H, Burnham, Ellen L, Leven, Emily A, Chang, Emily H, Gallagher, Emily J, Judd, Eric, Newman, Erik T, Yap, Ernie, Kapania, Esha M, Kim, Ethan C, Macedo, Etienne, Madhani-Lovely, Farah, Modersitzki, Frank, Contreras, Gabriel, Naimy, Gabriel, Bambrick-Santoyo, Gabriela, Nadkarni, Girish N, Mosoyan, Gohar, Katz-Greenberg, Goni, Schumaker, Greg L, Milligan, Gregory P, Nguyen, H Bryant, Rhee, Harin, Singh, Harkarandeep, Gershengorn, Hayley B, Yang, Heather, Soh, Howard, Wen, Huei Hsun, Chen, Huiwen, Shadid, Husam, Strohbehn, Ian A, Mohamed, Ibrahim, Berim, Ilya, Puri, Isha, Vohra, Ishaan, Kruser, Jacqueline M, Lash, James P, Krishnan, Jamuna, Radbel, Jared, Adams, Jason Y, Shah, Jatan A, Neyra, Javier A, Koyner, Jay L, Vatson, Jayanth S, Rachoin, Jean-Sebastien, Boateng, Jeffery O, Paer, Jeffrey M, Flythe, Jennifer E, Griffiths, Jennifer, Rodriguez, Jesus, Li, Jiahua, Ouyang, Jie, Sharma, Jill H, Wang, Jing G, Zhang, Jingjing, Reiser, Jochen, Guirguis, John, Byun, John J, Donnelly, John P, Wagner, John, Levitt, Joseph E, Hermes, Joy-Marie, Velez, Juan Carlos Q, Valencia, Juan D, Arunthamakun, Justin, Thakkar, Jyotsana, Bhattacharya, Jyotsna, Sedaliu, Kaltrina, Prudhvi, Kalyan, Pokharel, Kapil K, Senter, Katharine, Kelly, Katherine J, Liu, Kathleen D, Kopecky, Kathleen F, Rose, Keith M, Kashani, Kianoush, Padalia, Kishan J, Hess, Kristen M, Enfield, Kyle B, Golestaneh, Ladan, Bickley, Laura, Latta, Laura, Meyer, Leah, Boudourakis, Leon, Thomas, Leslie F, Chan, Lili, Shea, Lisa, Matute-Trochez, Luis A, Gomez-Escobar, Luis G, Elias, Madona, Plataki, Maria, Thaxton, Mariah, Sosa, Marie Anne, Liotta, Mark, Christov, Marta, Mallappallil, Mary C, Tugman, Matthew J, Scharf, Matthew T, Semler, Matthew W, Brogan, Maureen, Roche, Meaghan S, Krajewski, Megan L, Sise, Meghan E, Lee, Meghan, Chang, Michael, Chonchol, Michel, Hernán, Miguel A, Molnar, Miklos Z, Yunes, Milagros, Joo, Min J, Sharshir, Moh’d A, Farag, Mohamed, Fisher, Molly, Nadamuni, Mridula V, Gupta, Mrigank S, Ali, Muhammad Imran, Mohamed, Muner MB, Ernecoff, Natalie C, Kumar, Neelja, Cairl, Nicholas S, Patel, Nilam P, Goyal, Nitender, ul aain Bhatti, Noor, Chaaban, Nourhan, Kamal, Omer, Garcia, Pablo, Kao, Patricia F, Walters, Patricia, O’ Hayer, Patrick, Pattharanitima, Pattharawin, Bergl, Paul A, Bhatraju, Pavan K, Wilson, Perry, McCullough, Peter A, Cangialosi, Peter, Hart, Peter, Guru, Pramod K, Kumar, Princy N, Feroze, Rafey, Kapoor, Rajat, Hejal, Rana, Kshirsagar, Ravi K, Lisk, Rebecca, Beutler, Rebecca M, Levy, Rebecca V, Wunderink, Richard G, Raichoudhury, Ritesh, Redfern, Roberta E, Go, Ronaldo C, Malik, Rubab F, Song, Rui, Avasare, Rupali S, Mocerino, Ryan, Spiardi, Ryan C, Hedayati, S Susan, Taldone, Sabrina, John, Sabu, Abu Omar, Samah, Anumudu, Samaya J, Gautam, Samir C, Short, Samuel AP, Woo, Sang Hoon, Kapoor, Sanjana, Gupta, Sanjeev, Kassaye, Seble G, Alvarez-Mulett, Sergio L, Goldberg, Seth, Tehranian, Shahrzad, Shastri, Shani, Sharma, Shreyak, Upadhyay, Shristi, Anand, Shuchi, Bajracharya, Siddhartha, Verma, Siddharth, Shankar, Sidharth, Correa, Simon, Chaudhry, Sobaata, Bose, Sonali, Puri, Sonika, Cho, Soo Jung, Arikapudi, Sowminya, Lee, Stefi, Toth-Manikowski, Stephanie M, Coca, Steven G, Menez, Steven, Chang, Steven Y, Sharma, Sunita, Waikar, Sushrut S, Boyle, Suzanne M, Arora, Tanima, Ferreira, Tanira, Shaukat, Tanveer, Johns, Tanya S, Nguyen, Thuy-Duyen, Albertson, Timothy E, Li, Tingting, Miano, Todd A, Ugwuowo, Ugochukwu, Rusnak, Vadym V, Allusson, Valerie, Jotwani, Vasantha K, Peev, Vasil, Jaikaransingh, Vishal, Cruz, Vivian S, Wang, Wei, Whalen, William, Deng, Xiaoying, Ahmad, Yahya, Zhou, Yan, Melaku, Yohannes, Azzi, Yorg, Wen, Yumeng, Cohen, Zaza, Kibbelaar, Zoe A, and Post, Zoe

Subjects
Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Pneumonia, Viral, 030204 cardiovascular system & hematology, law.invention, Cohort Studies, Betacoronavirus, 03 medical and health sciences, 0302 clinical medicine, law, Intensive care, Humans, Medicine, Hospital Mortality, Cardiopulmonary resuscitation, Asystole, Pandemics, Aged, Aged, 80 and over, SARS-CoV-2, business.industry, Research, Incidence (epidemiology), COVID-19, 030208 emergency & critical care medicine, General Medicine, Middle Aged, medicine.disease, Intensive care unit, United States, Heart Arrest, Intensive Care Units, Pneumonia, Pulseless electrical activity, Emergency medicine, Female, Coronavirus Infections, business, Cohort study
Abstract

Objectives To estimate the incidence, risk factors, and outcomes associated with in-hospital cardiac arrest and cardiopulmonary resuscitation in critically ill adults with coronavirus disease 2019 (covid-19). Design Multicenter cohort study. Setting Intensive care units at 68 geographically diverse hospitals across the United States. Participants Critically ill adults (age ≥18 years) with laboratory confirmed covid-19. Main outcome measures In-hospital cardiac arrest within 14 days of admission to an intensive care unit and in-hospital mortality. Results Among 5019 critically ill patients with covid-19, 14.0% (701/5019) had in-hospital cardiac arrest, 57.1% (400/701) of whom received cardiopulmonary resuscitation. Patients who had in-hospital cardiac arrest were older (mean age 63 (standard deviation 14) v 60 (15) years), had more comorbidities, and were more likely to be admitted to a hospital with a smaller number of intensive care unit beds compared with those who did not have in-hospital cardiac arrest. Patients who received cardiopulmonary resuscitation were younger than those who did not (mean age 61 (standard deviation 14) v 67 (14) years). The most common rhythms at the time of cardiopulmonary resuscitation were pulseless electrical activity (49.8%, 199/400) and asystole (23.8%, 95/400). 48 of the 400 patients (12.0%) who received cardiopulmonary resuscitation survived to hospital discharge, and only 7.0% (28/400) survived to hospital discharge with normal or mildly impaired neurological status. Survival to hospital discharge differed by age, with 21.2% (11/52) of patients younger than 45 years surviving compared with 2.9% (1/34) of those aged 80 or older. Conclusions Cardiac arrest is common in critically ill patients with covid-19 and is associated with poor survival, particularly among older patients.

Published
2020
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12. AKI Treated with Renal Replacement Therapy in Critically Ill Patients with COVID-19.

Author

Gupta S, Coca SG, Chan L, Melamed ML, Brenner SK, Hayek SS, Sutherland A, Puri S, Srivastava A, Leonberg-Yoo A, Shehata AM, Flythe JE, Rashidi A, Schenck EJ, Goyal N, Hedayati SS, Dy R, Bansal A, Athavale A, Nguyen HB, Vijayan A, Charytan DM, Schulze CE, Joo MJ, Friedman AN, Zhang J, Sosa MA, Judd E, Velez JCQ, Mallappallil M, Redfern RE, Bansal AD, Neyra JA, Liu KD, Renaghan AD, Christov M, Molnar MZ, Sharma S, Kamal O, Boateng JO, Short SAP, Admon AJ, Sise ME, Wang W, Parikh CR, and Leaf DE

Subjects
Acute Kidney Injury epidemiology, Adolescent, Adult, Aged, Aged, 80 and over, COVID-19 mortality, COVID-19 therapy, Cohort Studies, Female, Hospital Mortality, Hospitalization, Humans, Incidence, Logistic Models, Male, Middle Aged, Risk Factors, Survival Rate, United States, Young Adult, Acute Kidney Injury therapy, Acute Kidney Injury virology, COVID-19 complications, Critical Care, Renal Replacement Therapy
Abstract

Background: AKI is a common sequela of coronavirus disease 2019 (COVID-19). However, few studies have focused on AKI treated with RRT (AKI-RRT)., Methods: We conducted a multicenter cohort study of 3099 critically ill adults with COVID-19 admitted to intensive care units (ICUs) at 67 hospitals across the United States. We used multivariable logistic regression to identify patient-and hospital-level risk factors for AKI-RRT and to examine risk factors for 28-day mortality among such patients., Results: A total of 637 of 3099 patients (20.6%) developed AKI-RRT within 14 days of ICU admission, 350 of whom (54.9%) died within 28 days of ICU admission. Patient-level risk factors for AKI-RRT included CKD, men, non-White race, hypertension, diabetes mellitus, higher body mass index, higher d-dimer, and greater severity of hypoxemia on ICU admission. Predictors of 28-day mortality in patients with AKI-RRT were older age, severe oliguria, and admission to a hospital with fewer ICU beds or one with greater regional density of COVID-19. At the end of a median follow-up of 17 days (range, 1-123 days), 403 of the 637 patients (63.3%) with AKI-RRT had died, 216 (33.9%) were discharged, and 18 (2.8%) remained hospitalized. Of the 216 patients discharged, 73 (33.8%) remained RRT dependent at discharge, and 39 (18.1%) remained RRT dependent 60 days after ICU admission., Conclusions: AKI-RRT is common among critically ill patients with COVID-19 and is associated with a hospital mortality rate of >60%. Among those who survive to discharge, one in three still depends on RRT at discharge, and one in six remains RRT dependent 60 days after ICU admission., (Copyright © 2021 by the American Society of Nephrology.)

Published
2021
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