Emergency department characteristics and associations with intensive care admission among patients with coronavirus disease 2019

Abstract

By JACEP Open policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist.

Admission SpO2 and ROX index predict outcome in patients with COVID-19

“…The median (quartiles) of the CT score at ICU admission in the oxygen therapy group was 10 [ [7] , [8] , [9] , [10] , [11] , [12] ], which was significantly lower than that [18 [ [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] ]] in the MV group ( P < 0.0001). A significant negative correlation ( r = −0.6) was detected between SpO 2 on room air and the CT score ( P < 0.0001).…”

“…In the present study, we evaluated SpO 2 on the room air rather than on oxygen because the determination of FiO 2 remains inaccurate and influenced by minute ventilation, air leak, and breathing pattern in patients receiving oxygen through a facemask. Few studies had evaluated the validity of baseline SpO 2 as an important risk factor in COVID-10; however, most of these studies used SpO 2 as a component of multivariate prediction models [ [14] , [15] , [16] ] and did not use the need to ventilatory support as the primary outcome. Pre-hospital lowest SpO 2 had been evaluated for triaging of patients with COVID-19.…”

Characteristics, outcomes and global trends of respiratory support in patients hospitalized with COVID-19 pneumonia: a scoping review

“…PaCO2 at admission was available in nine studies 19,24,27,[29][30][31]33,35,42 (17%), and median PaCO2 values ranged from 33 mmHg 19,33 to 42 mmHg 30 (Supplementary Digital Material 1: Supplementary Table 2). Respiratory rate at admission was reported in 21 studies 19,23,25,27,28,30,32,33,35,36,39,40,45,47,[56][57][58]60,62,70 (40.4%), and generally ranged from 18-20 breaths/min 28,45,56,60 to 27-28 breaths/min 25,35 .…”

“…The median PaO2/FiO2 at admission ranged from 60 mmHg 44 to 442 mmHg 32 . Data on SpO2 and PaO2 were reported respectively in 14 19,23,27,28,[34][35][36]40,45,47,[56][57][58]61,70 (27%) and seven studies 7,19,27,29,30,35,42 (13%). PaCO2 at admission was available in nine studies 19,24,27,[29][30][31]33,35,42 (17%), and median PaCO2 values ranged from 33 mmHg 19,33 to 42 mmHg 30 (Supplementary Digital Material 1: Supplementary Table 2).…”

“…Length of stay was available for 30 studies 19,25,26,28,[38][39][40][43][44][45][46][47]49,50,[52][53][54][55]57,59,[61][62][63][64][65]67,68,[70][71][72] (57.7%). The mean duration of the hospital stay was of 13 days, ranging from a minimum of 6 days (IQR 3-14) 55 to a maximum of 63 days (IQR, 8-67) 68 (Supplementary Digital Material 1: Supplementary Figure 4).…”