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—designated ICUs at Evangelismos Hospital, Athens, Greece. Among 50 patients, ICU and hospital mortality was 32% (16/50). Median PaO 2 /FiO 2 was 121 mmHg (interquartile range (IQR), 86–171 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.
【저자키워드】 COVID-19, Coronavirus disease 2019, ARDS, coronavirus, Critical care, Mortality, acute respiratory distress syndrome, Acute hypoxemic respiratory failure, SOFA, Sequential Organ Failure Assessment, 【초록키워드】 coronavirus disease, pandemic, intensive care, Prognosis, prospective observational study, hospital, outcome, ICU, Patient, Greece, mortality rates, resource, Admission, moderate, patients, acute respiratory distress, COVID-19 patient, Critically ill patient, interquartile range, severe ARDS, syndrome, limitation, high mortality rate, hospital resources, resources, performed, reported, the disease, provided, determine, hospital resource, IQR, PaO, patients with COVID-19, 【제목키워드】 Greece, paradigm, aspect, Rate, Ill,