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Intensive Care Unit Admissions During the First 3 Months of the COVID-19 Pandemic in Poland: A Single-Center, Cross-Sectional Study.
Med Sci Monit. 2020 Sep 26; 26:e926974.MS

Abstract

BACKGROUND

Data on the outcomes of patients with coronavirus disease 2019 (COVID-19) requiring Intensive Care Unit (ICU) care in Poland are limited. There are no data on critically ill patients with COVID-19 who did not meet criteria for ICU admission. MATERIAL AND

METHODS

We analyzed patients admitted to the ICU and those ineligible for ICU admission in a large COVID-19-dedicated hospital, during the first 3 months of the pandemic in Poland. Data from 67 patients considered for ICU admissions due to COVID-19 infection, treated between 10 March and 10 June 2020, were reviewed. Following exclusions, data on 32 patients admitted to the ICU and 21 patients ineligible for ICU admission were analyzed.

RESULTS

In 38% of analyzed patients, symptoms of COVID-19 infection occurred during a hospital stay for an unrelated medical issue. The mean age of ICU patients was 62.4 (10.4) years, and the majority of patients were male (69%), with at least one comorbidity (88%). The mean admission APACHE II and SAPS II scores were 20.1 (8.1) points and 51.2 (15.3) points, respectively. The Charlson Comorbidity Index and Clinical Frailty Scale were lower in ICU patients compared with those disqualified: 5.9 (4.3) vs. 9.1 (3.5) points, P=0.01, and 4.7 (1.7) vs. 6.9 (1.2) points, P<0.01, respectively. All ICU patients required intubation and mechanical ventilation. ICU mortality was 67%. Hospital mortality among patients admitted to the ICU and those who were disqualified was 70% and 79%, respectively.

CONCLUSIONS

Patients with COVID-19 requiring ICU admission in our studied population were frail and had significant comorbidities. The outcomes in this group were poor and did not seem to be influenced by ICU admission.

Authors+Show Affiliations

Department of Anesthesiology and Intensive Therapy, Provincial Specialist Hospital, Tychy, Poland.Students' Scientific Society, Department of Cardiac Anesthesia and Intensive Care, Medical University of Silesia, Katowice, Poland.Department of Anesthesiology, Intensive Therapy and Emergency Medicine, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, Zabrze, Poland.Provincial Specialist Hospital, Tychy, Poland. Department of Health Sciences, Higher School of Strategic Planning, Dąbrowa Górnicza, Poland.Department of Anesthesiology, Intensive Therapy and Emergency Medicine, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, Zabrze, Poland.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

32979262

Citation

Kokoszka-Bargieł, Izabela, et al. "Intensive Care Unit Admissions During the First 3 Months of the COVID-19 Pandemic in Poland: a Single-Center, Cross-Sectional Study." Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, vol. 26, 2020, pp. e926974.
Kokoszka-Bargieł I, Cyprys P, Rutkowska K, et al. Intensive Care Unit Admissions During the First 3 Months of the COVID-19 Pandemic in Poland: A Single-Center, Cross-Sectional Study. Med Sci Monit. 2020;26:e926974.
Kokoszka-Bargieł, I., Cyprys, P., Rutkowska, K., Madowicz, J., & Knapik, P. (2020). Intensive Care Unit Admissions During the First 3 Months of the COVID-19 Pandemic in Poland: A Single-Center, Cross-Sectional Study. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 26, e926974. https://doi.org/10.12659/MSM.926974
Kokoszka-Bargieł I, et al. Intensive Care Unit Admissions During the First 3 Months of the COVID-19 Pandemic in Poland: a Single-Center, Cross-Sectional Study. Med Sci Monit. 2020 Sep 26;26:e926974. PubMed PMID: 32979262.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intensive Care Unit Admissions During the First 3 Months of the COVID-19 Pandemic in Poland: A Single-Center, Cross-Sectional Study. AU - Kokoszka-Bargieł,Izabela, AU - Cyprys,Paweł, AU - Rutkowska,Katarzyna, AU - Madowicz,Jarosław, AU - Knapik,Piotr, Y1 - 2020/09/26/ PY - 2020/9/26/entrez PY - 2020/9/27/pubmed PY - 2020/10/3/medline SP - e926974 EP - e926974 JF - Medical science monitor : international medical journal of experimental and clinical research JO - Med Sci Monit VL - 26 N2 - BACKGROUND Data on the outcomes of patients with coronavirus disease 2019 (COVID-19) requiring Intensive Care Unit (ICU) care in Poland are limited. There are no data on critically ill patients with COVID-19 who did not meet criteria for ICU admission. MATERIAL AND METHODS We analyzed patients admitted to the ICU and those ineligible for ICU admission in a large COVID-19-dedicated hospital, during the first 3 months of the pandemic in Poland. Data from 67 patients considered for ICU admissions due to COVID-19 infection, treated between 10 March and 10 June 2020, were reviewed. Following exclusions, data on 32 patients admitted to the ICU and 21 patients ineligible for ICU admission were analyzed. RESULTS In 38% of analyzed patients, symptoms of COVID-19 infection occurred during a hospital stay for an unrelated medical issue. The mean age of ICU patients was 62.4 (10.4) years, and the majority of patients were male (69%), with at least one comorbidity (88%). The mean admission APACHE II and SAPS II scores were 20.1 (8.1) points and 51.2 (15.3) points, respectively. The Charlson Comorbidity Index and Clinical Frailty Scale were lower in ICU patients compared with those disqualified: 5.9 (4.3) vs. 9.1 (3.5) points, P=0.01, and 4.7 (1.7) vs. 6.9 (1.2) points, P<0.01, respectively. All ICU patients required intubation and mechanical ventilation. ICU mortality was 67%. Hospital mortality among patients admitted to the ICU and those who were disqualified was 70% and 79%, respectively. CONCLUSIONS Patients with COVID-19 requiring ICU admission in our studied population were frail and had significant comorbidities. The outcomes in this group were poor and did not seem to be influenced by ICU admission. SN - 1643-3750 UR - https://www.unboundmedicine.com/medline/citation/32979262/Intensive_Care_Unit_Admissions_During_the_First_3_Months_of_the_COVID_19_Pandemic_in_Poland:_A_Single_Center_Cross_Sectional_Study_ L2 - https://www.medscimonit.com/download/index/idArt/926974 DB - PRIME DP - Unbound Medicine ER -