COVID-19 clinical phenotypes and short-term outcomes : differences between the first and the second wave of pandemic in Italy

Objectives: There are no comparative studies between patients belonging to the first and second waves of the SARS-CoV-2 pandemic, the virus triggering coronavirus disease 2019 (COVID-19). In this retrospective observational study, we analyzed the clinical characteristics and the short-term outcomes of two groups of laboratory-confirmed COVID-19 patients with moderate-to-severe acute respiratory distress syndrome (ARDS) belonging to two different waves of the pandemic. Methods: We analyzed 97 consecutive patients from 11 March 2020 to 31 May 2020 and 52 consecutive patients from 28 August 2020 to 15 October 2020. Results: Patients belonging to the second wave were younger, had a lower number of concomitant chronic conditions (multimorbidity), and had a milder clinical phenotype. Medical treatments and respiratory support use have changed during the COVID-19 pandemic, based on different laboratory results and disease clinical features. Patients in the second wave had better short-term clinical outcomes, with lower death rates and more step-down transfers to a general ward. Conclusion: The present findings show a clear phenotypic difference in patients hospitalized at different stages of the COVID-19 pandemic in Italy. These results can help to stratify clinical risk and to better tailor medical treatments and respiratory support for patients with ARDS and COVID-19 pneumonia.

Media Type:

Electronic Article

Year of Publication:

2021

Contained In:

Expert review of respiratory medicine - Vol. 15, No. 12 (2021), p. 1619-1625

Language:

English

Contributors:

Portacci, Andrea
Carpagnano, Giovanna Elisiana
Tummolo, Maria Grazia
Santomasi, Carla
Palma, Lavinia
Fasano, Domenico
Resta, Emanuela
Lozupone, Madia
Solfrizzi, Vincenzo
Panza, Francesco
Resta, Onofrio

Links:

Volltext

Keywords:

*COVID-19
Assisted ventilation
Critical care
Hospitalization
Humans
Intermediate RICU
Italy
Journal Article
Observational Study
Pandemic
Pandemics
Phenotype
SARS-CoV-2
Survival

Notes:

Date Completed 13.12.2021

Date Revised 14.12.2021

published: Print-Electronic

Citation Status MEDLINE

Copyright: From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Physical Description:

Online-Ressource

doi:

10.1080/17476348.2021.1960824

PMID:

34311634

PPN (Catalogue-ID):

NLM32973220X