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Hospital Resources May Be an Important Aspect of Mortality Rate among Critically Ill Patients with COVID-19: The Paradigm of Greece.
Routsi, Christina; Magira, Eleni; Kokkoris, Stelios; Siembos, Ilias; Vrettou, Charikleia; Zervakis, Dimitris; Ischaki, Eleni; Malahias, Sotiris; Sigala, Ioanna; Asimakos, Andreas; Daidou, Theodora; Kaltsas, Panagiotis; Douka, Evangelia; Sotiriou, Adamandia; Markaki, Vassiliki; Temberikidis, Prodromos; Koroneos, Apostolos; Politis, Panagiotis; Mastora, Zafiria; Dima, Efrosini; Tsoutsouras, Theodoros; Papahatzakis, Ioannis; Gioni, Panagiota; Strilakou, Athina; Maragouti, Aikaterini; Mizi, Eleftheria; Kanavou, Ageliki; Sarri, Aikaterini; Gavrielatou, Evdokia; Mentzelopoulos, Spyros; Kalomenidis, Ioannis; Papastamopoulos, Vassilios; Kotanidou, Anastasia; Zakynthinos, Spyros.
Afiliación
  • Routsi C; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Magira E; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Kokkoris S; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Siembos I; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Vrettou C; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Zervakis D; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Ischaki E; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Malahias S; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Sigala I; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Asimakos A; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Daidou T; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Kaltsas P; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Douka E; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Sotiriou A; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Markaki V; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Temberikidis P; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Koroneos A; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Politis P; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Mastora Z; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Dima E; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Tsoutsouras T; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Papahatzakis I; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Gioni P; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Strilakou A; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Maragouti A; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Mizi E; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Kanavou A; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Sarri A; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Gavrielatou E; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Mentzelopoulos S; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Kalomenidis I; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Papastamopoulos V; Fifth Department of Internal Medicine, Unit for Infectious Diseases, 'Evangelismos' Hospital, 45-47 Ipsilandou Street, GR-10675 Athens, Greece.
  • Kotanidou A; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
  • Zakynthinos S; First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, 'Evangelismos' Hospital, 45-47 Ipsilandou St, GR-10675 Athens, Greece.
J Clin Med ; 9(11)2020 Nov 20.
Article en En | MEDLINE | ID: mdl-33233686
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 PaO2/FiO2 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: J Clin Med Año: 2020 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: J Clin Med Año: 2020 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Suiza