1. Hospital Resources May Be an Important Aspect of Mortality Rate among Critically Ill Patients with COVID-19: The Paradigm of Greece
- Author
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Evdokia Gavrielatou, Ioannis Kalomenidis, Eleni Ischaki, Charikleia Vrettou, Eleni Magira, Aikaterini Sarri, Spyros Zakynthinos, Andreas Asimakos, Prodromos Temberikidis, Ioannis Papahatzakis, Efrosini Dima, Panagiotis Kaltsas, Vassilios Papastamopoulos, Ioanna Sigala, Eleftheria Mizi, Evangelia Douka, Anastasia Kotanidou, Panagiotis Politis, Adamandia Sotiriou, Panagiota Gioni, Apostolos Koroneos, Ageliki Kanavou, Athina Strilakou, Ilias Siembos, Z. Mastora, Theodoros Tsoutsouras, Stelios Kokkoris, Aikaterini Maragouti, Christina Routsi, Sotiris Malahias, Vassiliki Markaki, Theodora Daidou, Spyros D. Mentzelopoulos, and D Zervakis
- Subjects
medicine.medical_specialty ,ARDS ,Coronavirus disease 2019 (COVID-19) ,coronavirus ,lcsh:Medicine ,Disease ,01 natural sciences ,Article ,law.invention ,03 medical and health sciences ,coronavirus disease 2019 ,0302 clinical medicine ,Interquartile range ,law ,Pandemic ,medicine ,SOFA ,030212 general & internal medicine ,0101 mathematics ,sequential organ failure assessment ,business.industry ,Mortality rate ,010102 general mathematics ,acute hypoxemic respiratory failure ,lcsh:R ,COVID-19 ,General Medicine ,acute respiratory distress syndrome ,medicine.disease ,Intensive care unit ,mortality ,critical care ,Emergency medicine ,Observational study ,business - Abstract
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&mdash, 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&ndash, 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.
- Published
- 2020