• Christina Routsi, Eleni Magira, Stelios Kokkoris, Ilias Siembos, Charikleia Vrettou, Dimitris Zervakis, Eleni Ischaki, Sotiris Malahias, Ioanna Sigala, Andreas Asimakos, Theodora Daidou, Panagiotis Kaltsas, Evangelia Douka, Adamandia Sotiriou, Vassiliki Markaki, Prodromos Temberikidis, Apostolos Koroneos, Panagiotis Politis, Zafiria Mastora, Efrosini Dima, Theodoros Tsoutsouras, Ioannis Papahatzakis, Panagiota Gioni, Athina Strilakou, Aikaterini Maragouti, Eleftheria Mizi, Ageliki Kanavou, Aikaterini Sarri, Evdokia Gavrielatou, Spyros Mentzelopoulos, Ioannis Kalomenidis, Vassilios Papastamopoulos, Anastasia Kotanidou, and Spyros Zakynthinos.
• 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. 2020 Nov 20; 9 (11).

AbstractFor 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.

10 keywords...

hide…