Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Clinical and organizational factors associated with mortality during the peak of first COVID-19 wave: the global UNITE-COVID study
Intensive Care Medicine, Volume 48, No. 6, Year 2022
Notification
URL copied to clipboard!
Description
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. Conclusions: ICUs responded to the increase in COVID-19 patients by increasing bed availability and staff, admitting up to 40% of patients in surge capacity beds. Although mortality in this population was high, admission to a surge capacity bed was not associated with increased mortality. Older age, invasive mechanical ventilation, and AKI were identified as the strongest predictors of mortality. © 2022, The Author(s).
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC9123859/bin/134_2022_6705_MOESM1_ESM.docx
Authors & Co-Authors
Greco, Massimiliano
Italy, Pieve Emanuele
Humanitas University
Italy, Rozzano
Humanitas Research Hospital
Ercole, Ari
United Kingdom, Cambridge
University of Cambridge
United Kingdom, Cambridge
Addenbrooke's Hospital
Antonelli, Massimo M.
Italy, Rome
Università Cattolica Del Sacro Cuore, Campus Di Roma
Azoulay, Elie
France, Paris
Ap-hp Assistance Publique - Hopitaux de Paris
France, Paris
Université Paris Cité
Citerio, Giuseppe
Italy, Milan
Università Degli Studi Di Milano-bicocca
Italy, Monza
Asst Monza
Conway-Morris, Andrew
United Kingdom, Cambridge
University of Cambridge
United Kingdom, Cambridge
Addenbrooke's Hospital
De Pascale, Gennaro D.
Italy, Rome
Università Cattolica Del Sacro Cuore, Campus Di Roma
Elbers, Paul W.G.
Netherlands, Amsterdam
Vrije Universiteit Amsterdam
Einav, Sharon
Israel, Jerusalem
Shaare Zedek Medical Center
Israel, Jerusalem
Hebrew University of Jerusalem
Galarza, Laura
Spain, Castellon de la Plana
Hospital General de Castellon
Grasselli, Giacomo
Italy, Milan
Fondazione Irccs Ca' Granda Ospedale Maggiore Policlinico
Italy, Milan
Università Degli Studi Di Milano
Jubb, Alasdair W.
United Kingdom, Cambridge
Department of Medicine
United Kingdom, Cambridge
Cambridge University Hospitals Nhs Foundation Trust
United Kingdom, Cambridge
Cancer Research uk Cambridge Institute
Kesecioǧlu, Jozef
Netherlands, Utrecht
Universiteit Utrecht
Martín-Delgado, María Cruz
Spain, Madrid
Hospital Universitario de Torrejón
Spain, Pozuelo de Alarcon
Universidad Francisco de Vitoria
Mellinghoff, Johannes
United Kingdom, Brighton
University of Brighton
Myatra, Sheila Nainan
India, Mumbai
Homi Bhabha National Institute
Ostermann, Marlies Elizabeth
United Kingdom, London
King's College London
Pellegrini, Mariangela
Sweden, Uppsala
Akademiska Sjukhuset
Sweden, Uppsala
Uppsala Universitet
Póvoa, Pedro R.
Portugal, Lisbon
Universidade Nova de Lisboa
Portugal, Lisbon
Hospital São Francisco Xavier
Denmark, Odense
Odense Universitetshospital
Schaller, Stefan J.
Germany, Berlin
Freie Universität Berlin
Germany, Munich
Technische Universität München
Teboul, Jean Louis
France, Paris
Ap-hp Assistance Publique - Hopitaux de Paris
Wong, Adrian View Kim
United Kingdom, London
King's College Hospital
De Waele, Jan J.
Belgium, Ghent
Universiteit Gent
Belgium, Ghent
Universitair Ziekenhuis Gent
Cecconi, Maurizio H.
Italy, Pieve Emanuele
Humanitas University
Italy, Rozzano
Humanitas Research Hospital
Bezzi, Marco Guillermo
Unknown Affiliation
Eller, Philipp
Unknown Affiliation
de Backer, Daniel P.
Unknown Affiliation
de Waele, Elisabeth
Unknown Affiliation
Mesland, Jean Baptiste
Unknown Affiliation
Biston, Patrick
Unknown Affiliation
Piagnerelli, Michaël
Unknown Affiliation
Haentjens, Lionel L.
Unknown Affiliation
Bulpa, Pierre A.
Unknown Affiliation
Binnie, Alexandra
Unknown Affiliation
Graf, Jerónimo
Unknown Affiliation
Reyes, Luis F.
Unknown Affiliation
Elmandouh, Omar
Unknown Affiliation
Azzam, Ahmed Y.
Unknown Affiliation
Hussein, Aliae A.R.Mohamed
Unknown Affiliation
Galal, Islam
Unknown Affiliation
Awad, Ahmed K.
Unknown Affiliation
Azab, M. A.
Unknown Affiliation
Abdalla, Maged S.
Unknown Affiliation
Assal, Hebatallah Allah Hany M.
Unknown Affiliation
Alfishawy, Mostafa
Unknown Affiliation
Ghozy, Sherief A.
Unknown Affiliation
Tharwat, Samar
Unknown Affiliation
Eldaly, Abdullah Sami
Unknown Affiliation
Badie, Julio C.
Unknown Affiliation
Weiß, Bjoern
Unknown Affiliation
Lorenz, Marco
Unknown Affiliation
Jog, Sameer Arvind
Unknown Affiliation
Kalvit, Kushal Rajeev
Unknown Affiliation
Nichol, Alistair D.
Unknown Affiliation
Mahmoodpor, Ata
Unknown Affiliation
Spadaro, S.
Unknown Affiliation
Noto, Alberto
Unknown Affiliation
Guzzardella, Amedeo
Unknown Affiliation
Montrucchio, G.
Unknown Affiliation
Donadello, Katia
Unknown Affiliation
Gottin, Leonardo
Unknown Affiliation
Polati, Enrico
Unknown Affiliation
De Rosa, Silvia
Unknown Affiliation
Sülemanji, Demet Sargin
Unknown Affiliation
Abusalama, Abdurraouf A.
Unknown Affiliation
Elhadi, Muhammed K.
Unknown Affiliation
Dendane, Tarek
Unknown Affiliation
Spronk, Peter E.
Unknown Affiliation
Cornet, Alexander Daniel
Unknown Affiliation
van Bussel, Bas C.T.
Unknown Affiliation
Alasia, Datonye Dennis
Unknown Affiliation
Rana, Muhammad Asim
Unknown Affiliation
Hernandez, Aaron Mark R.
Unknown Affiliation
Adrião, Diana
Unknown Affiliation
Omrani, Ali S.
Unknown Affiliation
Al-Maslamani, Muna A.Rahman S.
Unknown Affiliation
Elbuzidi, Abdurrahmaan Suei
Unknown Affiliation
Akkari, Abdel Rauof Mahmud
Unknown Affiliation
Bakdach, Dana
Unknown Affiliation
Bintaher, Awadh A.
Unknown Affiliation
Gavrilova, Elena Vasil’evna
Unknown Affiliation
Aljuhani, Ohoud A.
Unknown Affiliation
Alkhalaf, Amina A.
Unknown Affiliation
Arabi, Yaseen M.
Unknown Affiliation
Kuhail, Ahmed
Unknown Affiliation
Ferrando-Ortolá, Carlos
Unknown Affiliation
Frutos-Vivar, Fernando
Unknown Affiliation
Ripollés-Melchor, Javier
Unknown Affiliation
Teruel, Santiago Yus
Unknown Affiliation
Cubero, Patricia Patricia
Unknown Affiliation
Pérez-Torres, David
Unknown Affiliation
Serrano, A.
Unknown Affiliation
Mårtensson, Johan
Unknown Affiliation
Ceruti, Samuele
Unknown Affiliation
Yilmaz, Mehmet Birhan
Unknown Affiliation
Saraçoǧlu, Kemal Tolga
Unknown Affiliation
Torlinski, Tomasz
Unknown Affiliation
Čagová, Lenka
Unknown Affiliation
Boulanger, Carole
Unknown Affiliation
Potter, Elizabeth K.
Unknown Affiliation
Szakmany, Tamas
Unknown Affiliation
Marczin, Nándor
Unknown Affiliation
Henning, Jeremy D.R.
Unknown Affiliation
Davey, Miriam
Unknown Affiliation
Spivey, Michael
Unknown Affiliation
Grecu, Irina
Unknown Affiliation
Al-Sadawi, Mohammed Adel
Unknown Affiliation
Statistics
Citations: 29
Authors: 107
Affiliations: 39
Identifiers
Doi:
10.1007/s00134-022-06705-1
ISSN:
03424642
Research Areas
Covid
Violence And Injury
Study Design
Cross Sectional Study