دورية أكاديمية

The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

التفاصيل البيبلوغرافية
العنوان: The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients
المؤلفون: Torres Martí, Antoni, Motos, Ana, Riera, Jordi, Fernández Barat, Laia, Ceccato, Adrian, Pérez Arnal, Raquel, García Gasulla, Dario, Peñuelas, Oscar, Lorente, José Angel, Rodriguez Oviedo, Alejandro, Gonzalo Calvo, David de, Macias Guerrero, Desire, Torre, Maria del Carmen de la, Iglesias, Silvia, Casacuberta Barberà, Núria, Janer, Maria Teresa, Jiménez, Gabriel, Serra Fortuny, Mireia, Vidal Cortes, Pablo, Juan Díaz, Mar, Rodríguez Ruiz, Covadonga, Arrieta, Marta, Valdivia Ruiz, Luis, Novo, Mariana Andrea, Saborido Paz, Eva, Speziale, Carla, Barberán, José, Serrano Lázaro, Ainhoa, Jorge García, Ruth Noemí, Santacoloma, Bitor, Mamolar Herrera, Nuria, Martínez Juan, Maria Dolores, Monclou, Josman, Gallego, Elena, Salvador Adell, Inmaculada, Pozo Laderas, Juan Carlos, Masa Jimenez, Juan Fernando, Vallverdú, Montserrat, Díaz Santos, Emili, Masclans, Joan Ramon, Moreno Cano, Sara Guadalupe, Martínez de la Gándara, Amalia, Moral Parras, Pedro, Agrifoglio, Alexander, Piñol-tena, Àngels, García, Beatriz, Maseda, Emilio, Menor Fernández, Eva María, Vilanova, Judit, Huerta, Arturo, Miralbés, Mar, Estella, Ángel, Parera Pous, Anna, Climent, Cristina, Yang, Minlan, Socias, Lorenzo, Villada Warrington, Tatiana, Álvarez, Sergio, Carbajales Pérez, Cristina, Morales, Dulce, Barberà, Carme, Mariño, Ana Balan, Almansa Mora, Raquel, Ortega, Ana, Conde, Pamela, Aguilar Cabello, María, Pujol, Andrés, Rubio, Jorge, Ángel, José, Cicuendez Ávila, Ramon, Soliva, Laura, Ramon Coll, Núria, Renedo Sanchez-Giron, Gloria, Loza Vázquez, Ana, Alegre, Cynthia, Roche Campo, Ferran, Aguilera, Luciano, Sariñena, Maria Teresa, Gomà, Gemma, Barbeta, Enric, Marin Corral, Judith, Suares Sipmann, Fernando, Blandino Ortiz, Aaron, Sancho Chinesta, Susana, Cantón-bulnes, Maria Luisa, Albaiceta, Guillermo M., Sánchez, Ana, Gómez, Silvia, Tognetti, Daniel, Urrelo Cerrón, Luis, Bustamante-munguira, Juan, Codina, Jordi, Clar, Luisa, Tormos, Adrián, Álvarez Ruiz, Antonjo, Bofill, Neus, Torres, Mateu, Vengoechea, Javier, Marco Naya, Gregorio, Carvalho, Sula, Vara Adrio, Sabela, Enríquez Giraudo, Pedro, Caballero, Jesús, Ocón, Marta, Trefler, Sandra, Trujillano, Javier, Balsera, Begoña, Cano, Iosune, Úbeda, Alejandro, Alcaraz Serrano, Victoria, Bouza Vieiro, María Teresa, Menéndez, Rosario, Andrea, Rut, Barral Segade, Patricia, Martin, María Cruz, Barbena, Laura, Forcelledo Espina, Lorena, Badia, Joan Ramon, Vázquez, Nil, Zapatero, Ana, Fernández, Javier, Gómez Casal, Vanesa, Gascón Castillo, Maria Luisa, CIBERESUCICOVID Project (COV20/00110, ISCIII), Bueno, Leticia, Esmorís Arijón, Inés, Carbonell, Nieves, Gómez, José M., García, Felipe, García Garmendia, José Luis, Solé Violán, Jordi, Sanchez, Miguel, Catalán González, Mercedes, Galbán, Cristóbal, Cardina Fernández, Pablo, Forcadell Ferreres, Eva, Gumucio Sanguino, Víctor D., Farre Monjo, Teresa, Peñasco, Yhivian, Pérez Bastida, Leire, González, Jessica, Carrión García, Laura, León, Miguel, Busto Martínez, Cecilia del, Garnacho Montero, José, Contreras, Sofía, Marcos, Pilar, Castro, Pedro, López Messa, Juan, Pérez Planelles, Gloria, Tamayo Lomas, Luis, Aldecoa, César, López Lago, Ana, Pagliarani, Pablo, Bardi, Tommaso, Trenado, José, Barbé, Ferran, Franco, Nieves, Lazo Álvarez, Juan I., Adell Serrano, Berta, Badía, Mariona, Segura Pensado, Marta, Martínez, María, Furro, Àngels, Gracia, Maria Pilar, Pablo Sánchez, Raul de, Gómez Gonzalez, Carmen, Muñoz Bermúdez, Rosana, García Redruello, Carlos, Ayestaran, Ignacio, Barroso, Marta, Bodi Saera, María, Mora Aznar, María, Pérez, Purificación, Parrilla, Francisco, Berezo García, José Ángel, López Gavín, Alexandre, Montejo González, Juan Carlos, Bigas, Judit, Campos Fernández, Sandra, Nogueras Salinas, Rafaela, Cachafeiro, Lucia, Rodriguez, Laura, Mendoza, Diego de, Martínez Varela, Ignacio, Blancas, Rafael, Blasco Cortés, María Luisa, Marmol Peis, Enrique, Mosquera Rodríguez, David, Boado, María, Montserrat, Neus, Cillóniz, Catia, Ferrer Roca, Ricard, Martínez Fernández, Carmen Eulalia, Pestaña Laguna, David, Martín Vicente, Paula, Ruiz Miralles, Miriam, Mañez Mendiluce, Rafael, Campi Hermoso, David, Castellà, Manuel, Serra, Lidia, Bustamante Munguira, Elena, Castellví, Andrea, Añón, José M., Rodríguez de Castro, Felipe, Díaz, Yolanda, Figueras, Albert, Salazar Degracia, Ana, Gabarrús, Albert, Gordo, Federico, Rivas Vilas, María Digna, Dólera Moreno, Cristina, Nicolás Arfelis, Josep Maria, Rubio López, Alberto, Dot, Irene, Rodríguez, Silvia, García Sagastume, Amaia, Ricart, Pilar, Servià, Lluís, Nogue Bou, Ramon, Prados, Javier, Ferrando, Carlos, Pérez Rubio, Eva, Vilà Vilardel, Clara, Ossa, Sergio, García Prieto, Emilio, Sánchez Miralles, Angel, Herraiz, Alba, Kiarostami, Karsa, Van Der Hofstadt Martin-Montalvo, Maria, Amaya Villar, Rosario, Bermejo Martín, Jesús F., Herrán Monge, Rubén, Ryan Murúa, Pablo, Val, Estela, Ibarz, Mercedes, Mantellini, Cecilia L., Báez Pravia, Orville, Yang, Hua
المصدر: Articles publicats en revistes (Medicina)
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2021
المجموعة: Dipòsit Digital de la Universitat de Barcelona
مصطلحات موضوعية: COVID-19, Respiració artificial, Pronòstic mèdic, Artificial respiration, Prognosis
الوصف: Following publication of the original article at https://doi.org/10.1186/s13054-021-03727-xTest the authors identified an error in the Funding section that has been corrected (https://doi.org/10.1186/s13054-021-03849-2Test) ; Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation.
نوع الوثيقة: article in journal/newspaper
وصف الملف: 13 p.; application/pdf
اللغة: English
تدمد: 1364-8535
العلاقة: Reproducció del document publicat a: https://doi.org/10.1186/s13054-021-03727-xTest; Critical Care, 2021, vol. 25, num. 1; https://doi.org/10.1186/s13054-021-03727-xTest; https://doi.org/10.1186/s13054-021-03849-2Test; http://hdl.handle.net/2445/180518Test; 718808; 721118
الإتاحة: https://doi.org/10.1186/s13054-021-03727-x10.1186/s13054-021-03849-2Test
http://hdl.handle.net/2445/180518Test
حقوق: cc by (c) Torres Martí, Antoni et al, 2021 ; http://creativecommons.org/licenses/by/3.0/esTest/ ; info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.DF28E49E
قاعدة البيانات: BASE