Article ; Online: Clinical characteristics and outcomes of critically ill patients with COVID-19 in Kobe, Japan: a single-center, retrospective, observational study.
2021 Volume 35, Issue 2, Page(s) 213–221
Abstract: ... ICU) in Kobe, Japan.: Methods: This retrospective observational study included critically ill COVID ... outcomes of critically ill COVID-19 patients and the capacity of a COVID-19-dedicated intensive care unit ... worldwide. Data regarding critically ill COVID-19 patients and their demand of critical care services ...
| Abstract | Purpose: Coronavirus disease 2019 (COVID-19) has placed a great burden on critical care services worldwide. Data regarding critically ill COVID-19 patients and their demand of critical care services outside of initial COVID-19 epicenters are lacking. This study described clinical characteristics and outcomes of critically ill COVID-19 patients and the capacity of a COVID-19-dedicated intensive care unit (ICU) in Kobe, Japan. Methods: This retrospective observational study included critically ill COVID-19 patients admitted to a 14-bed COVID-19-dedicated ICU in Kobe between March 3, 2020 and June 21, 2020. Clinical and daily ICU occupancy data were obtained from electrical medical records. The last follow-up day was June 28, 2020. Results: Of 32 patients included, the median hospital follow-up period was 27 (interquartile range 19-50) days. The median age was 68 (57-76) years; 23 (72%) were men and 25 (78%) had at least one comorbidity. Nineteen (59%) patients received invasive mechanical ventilation for a median duration of 14 (8-27) days. Until all patients were discharged from the ICU on June 5, 2020, the median daily ICU occupancy was 50% (36-71%). As of June 28, 2020, six (19%) died during hospitalization. Of 26 (81%) survivors, 23 (72%) were discharged from the hospital and three (9%) remained in the hospital. Conclusion: During the first months of the outbreak in Kobe, most critically ill patients were men aged ≥ 60 years with at least one comorbidity and on mechanical ventilation; the ICU capacity was not strained, and the case-fatality rate was 19%. |
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| MeSH term(s) | Aged ; COVID-19 ; Critical Illness ; Humans ; Intensive Care Units ; Japan ; Male ; Respiration, Artificial ; Retrospective Studies ; SARS-CoV-2 | |||||
| Language | English | |||||
| Publishing date | 2021-01-23 | |||||
| Publishing country | Japan | |||||
| Document type | Journal Article ; Observational Study | |||||
| ZDB-ID | 1107821-2 | |||||
| ISSN | 1438-8359 ; 0913-8668 | |||||
| ISSN (online) | 1438-8359 | |||||
| ISSN | 0913-8668 | |||||
| DOI | 10.1007/s00540-021-02897-w | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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