Use of critical care resources during the first 2 weeks (February 24-March 8, 2020) of the Covid-19 outbreak in Italy.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tonetti Tommaso, Grasselli Giacomo, Zanella Alberto, Pizzilli Giacinto, Fumagalli Roberto, Piva Simone, Lorini Luca, Iotti Giorgio, Foti Giuseppe, Colombo Sergio, Vivona Luigi, Rossi Sandra, Girardis Massimo, Agnoletti Vanni, Campagna Anselmo, Gordini Giovanni, Navalesi Paolo, Boscolo Annalisa, Graziano Alessandro, Valeri Ilaria, Vianello Andrea, Cereda Danilo, Filippini Claudia, Cecconi Maurizio, Locatelli Franco, Bartoletti Michele, Giannella Maddalena, Viale Pierluigi, Antonelli Massimo, Nava Stefano, Pesenti Antonio, Ranieri V Marco, COVID-19 Northern Italian ICU Network
Аннотация
RESULTS: In order to evaluate the impact of Covid-19 on the ICU capacity to manage critically ill patients, we performed a retrospective analysis of the first 2 weeks of the outbreak (February 24-March 8). Data were collected from regional registries and from a case report form sent to participating sites. ICU beds increased from 1545 to 1989 (28.7%), and patients receiving respiratory support outside the ICU increased from 4 (0.6%) to 260 (37.0%). Patients receiving respiratory support outside the ICU were significantly older [65 vs. 77 years], had more cerebrovascular (5.8 vs. 13.1%) and renal (5.3 vs. 10.0%) comorbidities and less obesity (31.4 vs. 15.5%) than patients admitted to the ICU. PaO2/FiO2 ratio, respiratory rate and arterial pH were higher [165 vs. 244; 20 vs. 24 breath/min; 7.40 vs. 7.46] and PaCO2 and base excess were lower [34 vs. 42 mmHg; 0.60 vs. 1.30] in patients receiving respiratory support outside the ICU than in patients admitted to the ICU, respectively.
CONCLUSIONS: Increase in ICU beds and use of out-of-ICU respiratory support allowed effective management of the first 14 days of the Covid-19 outbreak, avoiding resource rationing.