Intensive Care Unit Admissions During the First 3 Months of the COVID-19 Pandemic in Poland: A Single-Center, Cross-Sectional Study.
Identifieur interne : 000477 ( Main/Exploration ); précédent : 000476; suivant : 000478Intensive Care Unit Admissions During the First 3 Months of the COVID-19 Pandemic in Poland: A Single-Center, Cross-Sectional Study.
Auteurs : Izabela Kokoszka-Bargieł [Pologne] ; Paweł Cyprys [Pologne] ; Katarzyna Rutkowska [Pologne] ; Jarosław Madowicz [Pologne] ; Piotr Knapik [Pologne]Source :
- Medical science monitor : international medical journal of experimental and clinical research [ 1643-3750 ] ; 2020.
Descripteurs français
- KwdFr :
- Admission du patient (statistiques et données numériques), Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Comorbidité (MeSH), Femelle (MeSH), Humains (MeSH), Hôpitaux d'État (statistiques et données numériques), Indicateurs d'état de santé (MeSH), Infections à coronavirus (thérapie), Infections à coronavirus (épidémiologie), Intubation trachéale (MeSH), Mortalité hospitalière (MeSH), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (thérapie), Pneumopathie virale (épidémiologie), Pologne (épidémiologie), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Survivants (MeSH), Unités de soins intensifs (statistiques et données numériques), Ventilation artificielle (MeSH), Études rétrospectives (MeSH), Études transversales (MeSH).
- MESH :
- statistiques et données numériques : Admission du patient, Hôpitaux d'État, Unités de soins intensifs.
- thérapie : Infections à coronavirus, Pneumopathie virale.
- épidémiologie : Infections à coronavirus, Pneumopathie virale, Pologne.
- Adulte d'âge moyen, Betacoronavirus, Comorbidité, Femelle, Humains, Indicateurs d'état de santé, Intubation trachéale, Mortalité hospitalière, Mâle, Pandémies, Résultat thérapeutique, Sujet âgé, Survivants, Ventilation artificielle, Études rétrospectives, Études transversales.
- Wicri :
- geographic : Pologne.
English descriptors
- KwdEn :
- Aged (MeSH), Betacoronavirus (MeSH), Comorbidity (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (therapy), Cross-Sectional Studies (MeSH), Female (MeSH), Health Status Indicators (MeSH), Hospital Mortality (MeSH), Hospitals, State (statistics & numerical data), Humans (MeSH), Intensive Care Units (statistics & numerical data), Intubation, Intratracheal (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Patient Admission (statistics & numerical data), Pneumonia, Viral (epidemiology), Pneumonia, Viral (therapy), Poland (epidemiology), Respiration, Artificial (MeSH), Retrospective Studies (MeSH), Survivors (MeSH), Treatment Outcome (MeSH).
- MESH :
- geographic , epidemiology : Poland.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- statistics & numerical data : Hospitals, State, Intensive Care Units, Patient Admission.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- Aged, Betacoronavirus, Comorbidity, Cross-Sectional Studies, Female, Health Status Indicators, Hospital Mortality, Humans, Intubation, Intratracheal, Male, Middle Aged, Pandemics, Respiration, Artificial, Retrospective Studies, Survivors, Treatment Outcome.
Abstract
BACKGROUND Data on the outcomes of patients with coronavirus disease 2019 (COVID-19) requiring Intensive Care Unit (ICU) care in Poland are limited. There are no data on critically ill patients with COVID-19 who did not meet criteria for ICU admission. MATERIAL AND METHODS We analyzed patients admitted to the ICU and those ineligible for ICU admission in a large COVID-19-dedicated hospital, during the first 3 months of the pandemic in Poland. Data from 67 patients considered for ICU admissions due to COVID-19 infection, treated between 10 March and 10 June 2020, were reviewed. Following exclusions, data on 32 patients admitted to the ICU and 21 patients ineligible for ICU admission were analyzed. RESULTS In 38% of analyzed patients, symptoms of COVID-19 infection occurred during a hospital stay for an unrelated medical issue. The mean age of ICU patients was 62.4 (10.4) years, and the majority of patients were male (69%), with at least one comorbidity (88%). The mean admission APACHE II and SAPS II scores were 20.1 (8.1) points and 51.2 (15.3) points, respectively. The Charlson Comorbidity Index and Clinical Frailty Scale were lower in ICU patients compared with those disqualified: 5.9 (4.3) vs. 9.1 (3.5) points, P=0.01, and 4.7 (1.7) vs. 6.9 (1.2) points, P<0.01, respectively. All ICU patients required intubation and mechanical ventilation. ICU mortality was 67%. Hospital mortality among patients admitted to the ICU and those who were disqualified was 70% and 79%, respectively. CONCLUSIONS Patients with COVID-19 requiring ICU admission in our studied population were frail and had significant comorbidities. The outcomes in this group were poor and did not seem to be influenced by ICU admission.
DOI: 10.12659/MSM.926974
PubMed: 32979262
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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last="Cyprys">Paweł Cyprys</name><affiliation wicri:level="1"><nlm:affiliation>Students' Scientific Society, Department of Cardiac Anesthesia and Intensive Care, Medical University of Silesia, Katowice, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Students' Scientific Society, Department of Cardiac Anesthesia and Intensive Care, Medical University of Silesia, Katowice</wicri:regionArea><wicri:noRegion>Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Rutkowska, Katarzyna" sort="Rutkowska, Katarzyna" uniqKey="Rutkowska K" first="Katarzyna" last="Rutkowska">Katarzyna Rutkowska</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology, Intensive Therapy and Emergency Medicine, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, Zabrze, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Anesthesiology, Intensive Therapy and Emergency 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(MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Comorbidity (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (therapy)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Health Status Indicators (MeSH)</term><term>Hospital Mortality (MeSH)</term><term>Hospitals, State (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Intensive Care Units (statistics & numerical data)</term><term>Intubation, Intratracheal (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Patient Admission (statistics & numerical data)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (therapy)</term><term>Poland (epidemiology)</term><term>Respiration, Artificial (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Survivors (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Admission du patient (statistiques et données numériques)</term><term>Adulte d'âge moyen (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Comorbidité (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Hôpitaux d'État (statistiques et données numériques)</term><term>Indicateurs d'état de santé (MeSH)</term><term>Infections à coronavirus (thérapie)</term><term>Infections à coronavirus (épidémiologie)</term><term>Intubation trachéale (MeSH)</term><term>Mortalité hospitalière (MeSH)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (thérapie)</term><term>Pneumopathie virale (épidémiologie)</term><term>Pologne (épidémiologie)</term><term>Résultat thérapeutique (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Survivants (MeSH)</term><term>Unités de soins intensifs (statistiques et données numériques)</term><term>Ventilation artificielle (MeSH)</term><term>Études rétrospectives (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Poland</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitals, State</term><term>Intensive Care Units</term><term>Patient Admission</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Admission du patient</term><term>Hôpitaux d'État</term><term>Unités de soins intensifs</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term><term>Pologne</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Betacoronavirus</term><term>Comorbidity</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Status Indicators</term><term>Hospital Mortality</term><term>Humans</term><term>Intubation, Intratracheal</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Respiration, Artificial</term><term>Retrospective Studies</term><term>Survivors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Betacoronavirus</term><term>Comorbidité</term><term>Femelle</term><term>Humains</term><term>Indicateurs d'état de santé</term><term>Intubation trachéale</term><term>Mortalité hospitalière</term><term>Mâle</term><term>Pandémies</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Survivants</term><term>Ventilation artificielle</term><term>Études rétrospectives</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Pologne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND Data on the outcomes of patients with coronavirus disease 2019 (COVID-19) requiring Intensive Care Unit (ICU) care in Poland are limited. There are no data on critically ill patients with COVID-19 who did not meet criteria for ICU admission. MATERIAL AND METHODS We analyzed patients admitted to the ICU and those ineligible for ICU admission in a large COVID-19-dedicated hospital, during the first 3 months of the pandemic in Poland. Data from 67 patients considered for ICU admissions due to COVID-19 infection, treated between 10 March and 10 June 2020, were reviewed. Following exclusions, data on 32 patients admitted to the ICU and 21 patients ineligible for ICU admission were analyzed. RESULTS In 38% of analyzed patients, symptoms of COVID-19 infection occurred during a hospital stay for an unrelated medical issue. The mean age of ICU patients was 62.4 (10.4) years, and the majority of patients were male (69%), with at least one comorbidity (88%). The mean admission APACHE II and SAPS II scores were 20.1 (8.1) points and 51.2 (15.3) points, respectively. The Charlson Comorbidity Index and Clinical Frailty Scale were lower in ICU patients compared with those disqualified: 5.9 (4.3) vs. 9.1 (3.5) points, P=0.01, and 4.7 (1.7) vs. 6.9 (1.2) points, P<0.01, respectively. All ICU patients required intubation and mechanical ventilation. ICU mortality was 67%. Hospital mortality among patients admitted to the ICU and those who were disqualified was 70% and 79%, respectively. CONCLUSIONS Patients with COVID-19 requiring ICU admission in our studied population were frail and had significant comorbidities. The outcomes in this group were poor and did not seem to be influenced by ICU admission.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32979262</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>02</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1643-3750</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><PubDate><Year>2020</Year><Month>Sep</Month><Day>26</Day></PubDate></JournalIssue><Title>Medical science monitor : international medical journal of experimental and clinical research</Title><ISOAbbreviation>Med Sci Monit</ISOAbbreviation></Journal><ArticleTitle>Intensive Care Unit Admissions During the First 3 Months of the COVID-19 Pandemic in Poland: A Single-Center, Cross-Sectional Study.</ArticleTitle><Pagination><MedlinePgn>e926974</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.12659/MSM.926974</ELocationID><Abstract><AbstractText>BACKGROUND Data on the outcomes of patients with coronavirus disease 2019 (COVID-19) requiring Intensive Care Unit (ICU) care in Poland are limited. There are no data on critically ill patients with COVID-19 who did not meet criteria for ICU admission. MATERIAL AND METHODS We analyzed patients admitted to the ICU and those ineligible for ICU admission in a large COVID-19-dedicated hospital, during the first 3 months of the pandemic in Poland. Data from 67 patients considered for ICU admissions due to COVID-19 infection, treated between 10 March and 10 June 2020, were reviewed. Following exclusions, data on 32 patients admitted to the ICU and 21 patients ineligible for ICU admission were analyzed. RESULTS In 38% of analyzed patients, symptoms of COVID-19 infection occurred during a hospital stay for an unrelated medical issue. The mean age of ICU patients was 62.4 (10.4) years, and the majority of patients were male (69%), with at least one comorbidity (88%). The mean admission APACHE II and SAPS II scores were 20.1 (8.1) points and 51.2 (15.3) points, respectively. The Charlson Comorbidity Index and Clinical Frailty Scale were lower in ICU patients compared with those disqualified: 5.9 (4.3) vs. 9.1 (3.5) points, P=0.01, and 4.7 (1.7) vs. 6.9 (1.2) points, P<0.01, respectively. All ICU patients required intubation and mechanical ventilation. ICU mortality was 67%. Hospital mortality among patients admitted to the ICU and those who were disqualified was 70% and 79%, respectively. CONCLUSIONS Patients with COVID-19 requiring ICU admission in our studied population were frail and had significant comorbidities. The outcomes in this group were poor and did not seem to be influenced by ICU admission.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kokoszka-Bargieł</LastName><ForeName>Izabela</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Therapy, Provincial Specialist Hospital, Tychy, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cyprys</LastName><ForeName>Paweł</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Students' Scientific Society, Department of Cardiac Anesthesia and Intensive Care, Medical University of Silesia, Katowice, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rutkowska</LastName><ForeName>Katarzyna</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Intensive Therapy and Emergency Medicine, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, Zabrze, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Madowicz</LastName><ForeName>Jarosław</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Provincial Specialist Hospital, Tychy, Poland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Health Sciences, Higher School of Strategic Planning, Dąbrowa Górnicza, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Knapik</LastName><ForeName>Piotr</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Intensive Therapy and Emergency Medicine, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, Zabrze, Poland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Med Sci Monit</MedlineTA><NlmUniqueID>9609063</NlmUniqueID><ISSNLinking>1234-1010</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006305" MajorTopicYN="N">Health Status Indicators</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017052" MajorTopicYN="N">Hospital Mortality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006783" MajorTopicYN="N">Hospitals, State</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007442" MajorTopicYN="N">Intubation, Intratracheal</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010343" MajorTopicYN="N">Patient Admission</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011044" MajorTopicYN="N" Type="Geographic">Poland</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="N">Respiration, Artificial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017741" MajorTopicYN="N">Survivors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>26</Day><Hour>17</Hour><Minute>3</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32979262</ArticleId><ArticleId IdType="pii">926974</ArticleId><ArticleId IdType="doi">10.12659/MSM.926974</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Kokoszka Bargiel, Izabela" sort="Kokoszka Bargiel, Izabela" uniqKey="Kokoszka Bargiel I" first="Izabela" last="Kokoszka-Bargieł">Izabela Kokoszka-Bargieł</name></noRegion><name sortKey="Cyprys, Pawel" sort="Cyprys, Pawel" uniqKey="Cyprys P" first="Paweł" last="Cyprys">Paweł Cyprys</name><name sortKey="Knapik, Piotr" sort="Knapik, Piotr" uniqKey="Knapik P" first="Piotr" last="Knapik">Piotr Knapik</name><name sortKey="Madowicz, Jaroslaw" sort="Madowicz, Jaroslaw" uniqKey="Madowicz J" first="Jarosław" last="Madowicz">Jarosław Madowicz</name><name sortKey="Madowicz, Jaroslaw" sort="Madowicz, Jaroslaw" uniqKey="Madowicz J" first="Jarosław" last="Madowicz">Jarosław Madowicz</name><name sortKey="Rutkowska, Katarzyna" sort="Rutkowska, Katarzyna" uniqKey="Rutkowska K" first="Katarzyna" last="Rutkowska">Katarzyna Rutkowska</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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