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Daily Oxygenation Support for Patients Hospitalized With SARS-CoV-2 in an Integrated Health System.
Danesh, Valerie; White, Heath D; Tecson, Kristen M; Widmer, R Jay; Priest, Elisa L; Modrykamien, Ariel; Ogola, Gerald O; Liao, I-Chia; Bomar, Jacallene; Vazquez, Alfredo; Jimenez, Edgar J; Arroliga, Alejandro C.
Afiliación
  • Danesh V; Center for Applied Health Research, Baylor Scott & White Research Institute, Dallas, Texas. Valerie.Danesh@BSWHealth.org.
  • White HD; School of Nursing, University of Texas at Austin, Austin, Texas.
  • Tecson KM; Pulmonary, Critical Care and Sleep Medicine, Baylor Scott & White Health, Temple, Texas.
  • Widmer RJ; College of Medicine, Texas A&M University, College Station, Texas.
  • Priest EL; Biostatistics, Baylor Scott & White Research Institute, Dallas, Texas.
  • Modrykamien A; Cardiology, Baylor Scott & White Health, Temple, Texas.
  • Ogola GO; Data Core, Baylor Scott & White Research Institute, Dallas, Texas.
  • Liao IC; Pulmonary and Critical Care Medicine, Baylor Scott & White Health, Dallas, Texas.
  • Bomar J; Biostatistics, Baylor Scott & White Research Institute, Dallas, Texas.
  • Vazquez A; Data Core, Baylor Scott & White Research Institute, Dallas, Texas.
  • Jimenez EJ; Data Core, Baylor Scott & White Research Institute, Dallas, Texas.
  • Arroliga AC; Pulmonary, Critical Care and Sleep Medicine, Baylor Scott & White Health, Temple, Texas.
Respir Care ; 68(4): 497-504, 2023 04.
Article en En | MEDLINE | ID: mdl-36220192
BACKGROUND: Many COVID-19 studies are constructed to report hospitalization outcomes, with few large multi-center population-based reports on the time course of intra-hospitalization characteristics, including daily oxygenation support requirements. Comprehensive epidemiologic profiles of oxygenation methods used by day and by week during hospitalization across all severities are important to illustrate the clinical and economic burden of COVID-19 hospitalizations. METHODS: This was a retrospective, multi-center observational cohort study of 15,361 consecutive hospitalizations of patients with COVID-19 at 25 adult acute care hospitals in Texas participating in the Society of Critical Care Medicine Discovery Viral Respiratory Illness Universal Study COVID-19 registry. RESULTS: At initial hospitalization, the majority required nasal cannula (44.0%), with an increasing proportion of invasive mechanical ventilation in the first week and particularly the weeks to follow. After 4 weeks of acute illness, 69.9% of adults hospitalized with COVID-19 required intermediate (eg, high-flow nasal cannula, noninvasive ventilation) or advanced respiratory support (ie, invasive mechanical ventilation), with similar proportions that extended to hospitalizations that lasted ≥ 6 weeks. CONCLUSIONS: Data representation of intra-hospital processes of care drawn from hospitals with varied size, teaching and trauma designations is important to presenting a balanced perspective of care delivery mechanisms employed, such as daily oxygen method utilization.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prestación Integrada de Atención de Salud / COVID-19 Tipo de estudio: Clinical_trials / Observational_studies Límite: Adult / Humans Idioma: En Revista: Respir Care Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prestación Integrada de Atención de Salud / COVID-19 Tipo de estudio: Clinical_trials / Observational_studies Límite: Adult / Humans Idioma: En Revista: Respir Care Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos