One-year mortality after ICU admission due to COVID-19 infection

Ceccato, Adrián; Pérez-Arnal, Raquel; Motos, Anna; Barbé, Ferrán; Torres, Antoni; Saera, María Bodi; Rodríguez, Alejandro; Trefler, Sandra; Máñez, Rafael; Gumucio, Victor Daniel; Castro, Felipè Rodríguez de; Solé‐Violán, Jordi; Aznar, María Mora; García, Ruth Noemí Jorge; Riera, Jordi; Torres, Mateu; Ferrer, Ricard; Martínez, María Luisa Taboada; Alegre, Cynthia; Contreras, Sofía; Trujillano, Javier Ortiz-Echagüe; Vallverdú, Montse; León, Miguel Leonardo García; Badía, Mariona; Balsera, Begoña; Servià, Lluís; Vilanova, J.; Rodríguez, Silvia Fariñas; Montserrat, Neus; Iglesias, Sílvia; Prados, Javier; Carvalho, Sula; Miralbés, M; Monclou, Josman; Jiménez, Gabriel; Codina, Jordi; Val, Estela; Pagliarani, Pablo; Rubio, Jorge; Morales, Dulce; Pujol, Andrés; Furro, Àngels; García, Beatriz; Caballero, Jesús; Torres, Gerard; Vengoechea, Javier; Calvo, David; González, Jessica; Gómez, Sílvia; Espina, Lorena Forcelledo; Albaiceta, Guillermo M.; García-Prieto, Emilio; Vicente, Paula Martín; Martínez, Cecilia del Busto; Crespí, Lorenzo Socías; Cabello, María Aguilar; Garmendia, J.L. García; Fernández, Carmen Eulalia Martínez; Blasco, María Luisa; Monleón, Nieves Carbonell; Lázaro, Ainhoa Serrano; Díaz, Mar Juan; Vieiro, María Teresa Bouza; Varela, Ignacio Yago Martínez; Arijón, Inés Esmorís; Hermoso, David Campi; Realp, Carme Barberà; Salinas, Rafaela Nogueras; Monjo, Teresa Farre; Bou, Ramón Nogué; Naya, Gregorio Marco; Coll, Núria Ramon; Chinesta, Susana Sancho; Menéndez, Rosário; Montejo-González, Juan Carlos; Catalán-González, Mercedes; Sanchez-Giron, Gloria Renedo; Bustamante-Munguira, Elena; Bustamante‐Munguira, Juan; Avila, Ramón Cicuéndez; Herrera, Nuria Mamolar; Agrifoglio, Alexander; Añón, J.M.; Cachafeiro, Lucía; Maseda, Emilio; Figueras, A.; Novo, Mariana Andrea; Janer, Maria Teresa Coll; Soliva, Laura; Ocón, Marta; Clar, Luisa; Ayestarán, José I.; Fernández, Sandra Campos; Martín, Yhivian Peñasco; Forcadell-Ferreres, Eva; Salvador-Adell, Immaculada; Bofill, Neus; Adell-Serrano, Berta; Díaz, Josep Pedregosa; Casacuberta-Barberà, Núria; Urrelo-Cerrón, Luis; Serra-Fortuny, Mireia; Piñol-Tena, Àngels; Roche-Campo, Ferrán; Murúa, Pablo Ryan; Gándara, Amalia Martínez de la; Ruiz, Covadonga Rodríguez; García, Laura Carrión; Álvarez, Juan I. Lazo; Vázquez, Ana Loza; Guerrero, Desire Macias; Huerta, Arturo; Tognetti, Daniel; Redruello, Carlos García; Pérez, Cristina Carbajales; Rodriguez, David; Fernández, Eva María Menor; Adrio, Sabela Vara; Casal, Vanesa Gómez; Pensado, Marta Segura; Vilas, María Digna Rivas; Sagastume, Amaia García; Sánchez, R.; Ortíz, Aaron Blandino; Laguna, David Pestaña; Bardi, Tommaso; Villar, Rosario Amaya; González, Carmen; Castillo, Maria Luisa Gascón; Bulnes, MLuisa Cantón; Garnacho-Montero, José; Masclans, Joan Ramón; Marín‐Corral, Judith; Degracia, Ana Salazar; Bigas, Judit; Muñoz-Bermúdez, Rosana; Vilà-Vilardel, Clara; Parrilla, Francisco; Dot, Irene; Zapatero, Ana; Díaz, Yolanda; Gracia, M.P.; Pérez, Purificación; Castellví, Andrea; Climent, Cristina; Serra, Lidia; Torre, Mari C. de la; Barbena, Laura; Cano, Iosune; Herraiz, Alba; Ricart, Pilar; Marcos, Pilar; Rodríguez, Laura; Sariñena, Maria Teresa; Sánchez, Ana Sánchez; Jiménez, J.F. Masa; Curto, Elena; Gomà, Gemma; Dı́az, Emili; Ibarz, Mercedes; Mendoza, Diego de; Barbeta, Enric; Alcaraz-Serrano, Victoria; Badia, Joan R.; Castellà, Manuel; Bueno, Leticia; Fernández-Barat, Laia; Cillóniz, Catia; Conde, Pamela; Fernández, Javier; Gabarrús, Albert; Kiarostami, Karsa; Gavín, Alexandre López-; Mantellini, Cecilia L.; Speziale, Carla; Vázquez, Nil; Yang, Hua; Yang, Minlan; Ferrando, Carlos; Castro, Pedro; Arrieta, Marta; Nicolás, José M.; Andrea, Rut; Barroso, Marta; Álvarez, Sergio; Garcia-Gasulla, Darío; Tormos, Adrián; Lomas, Luis Tamayo; Almansa, Raquel; Bermejo-Martín, Jesús F.; Aldecoa, César; Herrán-Monge, Rubén; García, José Ángel Berezo; Giraudo, Pedro Enríquez; Barberán, José; Fernández, Pablo Cardinal; López, Alberto Rubio; Pravia, Orville Báez; Bastida, Leire Pérez; Ruiz, Antonjo Álvarez; Messa, J. B. López; Trenado, Josep; Pous, Anna; Lago, Ana López; Paz, Eva Saborido; Segade, Patricia Barral; Rodríguez, Cristobal Galbán; Lorente, José A.; Peñuelas, Óscar; Sipmann, Fernando Suarez; Mariño, Ana Balan; Mendez, Manuel Valledor; Aguilera, Luciano; Pérez-García, Felipe; López-Ramos, Esther; Ruiz-García, Ángela Leonor; Beteré, Belén; Varela, Maria Boado; Blancas, Rafael; Martín, M.C.; Dólera, Cristina; Sánchez, A. Nieto; Planelles, Gloria Pérez; Peis, Enrique Marmol; Juan, Maria Dolores Martínez; Miralles, Miriam Ruiz; Rubio, Eva; Martin-Montalvo, Maria Van der Hofstadt; Warrington, Tatiana Villada; Estella, Ángel; Cano, Sara Guadalupe Moreno; Franco, Nieves; Gómez, José Manuel Naranjo; Gordo, Federico; Palacios, Basilisa Martinez; Nieto, María; Ossa, Sergio; Ortega, Ana; Pozo, Juan C.; Sagredo, Víctor; Sánchez, Miguel; Santacoloma, Bitor; Úbeda, Alejandro; Ruiz, Luis Valdivia; Vidal, Pablo

doi:10.1007/s00134-021-06611-y

Cited by 20 publications

(21 citation statements)

References 5 publications

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“…Tests are reported without correction for multiple comparisons RRT renal replacement therapy, ICU intensive care unit 1 n (%); median (IQR) 2 Pearson's chi-squared test; Wilcoxon rank sum test; Fisher's exact test…”

Section: Table 4 Outcomesmentioning

confidence: 99%

“…In the past 2 years, critical care services worldwide have admitted a large number of critically ill COVID-19 patients presenting with severe respiratory failure who often require prolonged treatment in the intensive care unit (ICU). Unfortunately, despite the support provided, mortality remains high, particularly in ventilated patients [2]. Although many groups and societies have studied diagnostic, therapeutic and prognostic aspects of COVID-19 in the critically ill, these studies were mostly limited to a group of hospitals or geographical areas, and very few reports offer a global perspective.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and organizational factors associated with mortality during the peak of first COVID-19 wave: the global UNITE-COVID study

Greco

Corte²,

Ercole³

et al. 2022

Intensive Care Med

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Purpose: To accommodate the unprecedented number of critically ill patients with pneumonia caused by coronavirus disease 2019 (COVID-19) expansion of the capacity of intensive care unit (ICU) to clinical areas not previously used for critical care was necessary. We describe the global burden of COVID-19 admissions and the clinical and organizational characteristics associated with outcomes in critically ill COVID-19 patients.Methods: Multicenter, international, point prevalence study, including adult patients with SARS-CoV-2 infection confirmed by polymerase chain reaction (PCR) and a diagnosis of COVID-19 admitted to ICU between February 15th and May 15th, 2020.Results: 4994 patients from 280 ICUs in 46 countries were included. Included ICUs increased their total capacity from 4931 to 7630 beds, deploying personnel from other areas. Overall, 1986 (39.8%) patients were admitted to surge capacity beds. Invasive ventilation at admission was present in 2325 (46.5%) patients and was required during ICU stay in 85.8% of patients. 60-day mortality was 33.9% (IQR across units: 20%-50%) and ICU mortality 32.7%. Older age, invasive mechanical ventilation, and acute kidney injury (AKI) were associated with increased mortality. These associations were also confirmed specifically in mechanically ventilated patients. Admission to surge capacity beds was not associated with mortality, even after controlling for other factors.

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Section: Table 4 Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical and organizational factors associated with mortality during the peak of first COVID-19 wave: the global UNITE-COVID study

Greco

Corte²,

Ercole³

et al. 2022

Intensive Care Med

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“…The automation of analysis allowed us to perform many sub-studies concurrently during the project. Nine of those were conducted through the automated analysis methodology, of which two have already been published 17 , 24 and another two are under review with a journal. The remaining five are currently being drafted.…”

Section: Resultsmentioning

confidence: 99%

“… 27 . In the overall population at 1 year follow-up, it was notable that the overall mortality of discharged patients was only 1%, 17 a striking finding given that patients with community acquired pneumonia suffer mortality rates as high as 30%. 28 Ongoing studies are considering the identification of clinical and biological predictors of long-term pulmonary sequelae.…”

Section: Discussionmentioning

confidence: 96%

Methodology of a Large Multicenter Observational Study of Patients with COVID-19 in Spanish Intensive Care Units

Torres

Motos

Ceccato

et al. 2022

Archivos de Bronconeumología

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“…Older age, high fever, comorbidities, neutrophilia, lymphocytopenia, elevated end organ-related indices (e.g., aspartate aminotransferase, urea, lactate dehydrogenase) and inflammatory biomarkers, and coagulation disorders were significantly associated with a higher risk of ARDS onset [30]. COVID-19-related may cause lung sequelae [31,32] in the long term; however, mortality rates have not been reported to significantly increase after discharge [33].…”

Section: Ards Due To Respiratory Infectionsmentioning

confidence: 99%

Respiratory infections and acute respiratory distress syndrome

2022

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Respiratory infections and acute respiratory distress syndrome (ARDS) are closely related. Pneumonia is the most common cause of ARDS, and patients with ARDS usually develop infectious respiratory complications. Sixty percent of the cases of ARDS are due to pneumonia, but only some patients with pneumonia will develop ARDS. Viral pneumonia is a common cause of ARDS, especially in seasonal outbreaks or pandemics. Patients admitted with ARDS could present a secondary infection, and ventilator-associated pneumonia may impair prognosis. Several conditions that predispose patients with ARDS to respiratory infections are present. Decisions regarding antimicrobial treatment should be based on epidemiology, risk factors and current recommendations. Corticosteroids may be used as adjunctive therapy in both pathologies in selective patients.

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One-year mortality after ICU admission due to COVID-19 infection

Cited by 20 publications

References 5 publications

Clinical and organizational factors associated with mortality during the peak of first COVID-19 wave: the global UNITE-COVID study

Clinical and organizational factors associated with mortality during the peak of first COVID-19 wave: the global UNITE-COVID study

Methodology of a Large Multicenter Observational Study of Patients with COVID-19 in Spanish Intensive Care Units

Respiratory infections and acute respiratory distress syndrome

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