Clinical characteristics and outcomes of critically ill patients with COVID-19 in Kobe, Japan : a single-center, retrospective, observational study
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%.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:35 |
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| Enthalten in: |
Journal of anesthesia - 35(2021), 2 vom: 23. Apr., Seite 213-221 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ito, Jiro [VerfasserIn] |
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| Links: |
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| Themen: |
Bed occupancy |
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| Anmerkungen: |
Date Completed 22.03.2021 Date Revised 18.02.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00540-021-02897-w |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM320465438 |
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| 100 | 1 | |a Ito, Jiro |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Clinical characteristics and outcomes of critically ill patients with COVID-19 in Kobe, Japan |b a single-center, retrospective, observational study |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Completed 22.03.2021 | ||
| 500 | |a Date Revised 18.02.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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% | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Bed occupancy | |
| 650 | 4 | |a Coronavirus | |
| 650 | 4 | |a Critical care | |
| 650 | 4 | |a Mortality | |
| 650 | 4 | |a Respiration, artificial | |
| 650 | 4 | |a Respiratory distress syndrome, adult | |
| 650 | 4 | |a Severe acute respiratory syndrome coronavirus 2 | |
| 700 | 1 | |a Seo, Ryutaro |e verfasserin |4 aut | |
| 700 | 1 | |a Kawakami, Daisuke |e verfasserin |4 aut | |
| 700 | 1 | |a Matsuoka, Yoshinori |e verfasserin |4 aut | |
| 700 | 1 | |a Ouchi, Kenjiro |e verfasserin |4 aut | |
| 700 | 1 | |a Nonami, Suguru |e verfasserin |4 aut | |
| 700 | 1 | |a Miyoshi, Yusuke |e verfasserin |4 aut | |
| 700 | 1 | |a Tatebe, Masao |e verfasserin |4 aut | |
| 700 | 1 | |a Tsuchida, Takahiro |e verfasserin |4 aut | |
| 700 | 1 | |a Asaka, Yoko |e verfasserin |4 aut | |
| 700 | 1 | |a Yanai, Machi |e verfasserin |4 aut | |
| 700 | 1 | |a Ueta, Hiroshi |e verfasserin |4 aut | |
| 700 | 1 | |a Shimozono, Takahiro |e verfasserin |4 aut | |
| 700 | 1 | |a Mima, Hiroyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Doi, Asako |e verfasserin |4 aut | |
| 700 | 1 | |a Tomii, Keisuke |e verfasserin |4 aut | |
| 700 | 1 | |a Ariyoshi, Koichi |e verfasserin |4 aut | |
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