Epidemiology, Ventilation Management and Outcomes of COPD Patients Receiving Invasive Ventilation for COVID-19-Insights from PRoVENT-COVID

Chronic obstructive pulmonary disease (COPD) is a risk factor for death in patients admitted to intensive care units (ICUs) for respiratory support. Previous reports suggested higher mortality in COPD patients with COVID-19. It is yet unknown whether patients with COPD were treated differently compared to non-COPD patients. We compared the ventilation management and outcomes of invasive ventilation for COVID-19 in COPD patients versus non-COPD patients. This was a post hoc analysis of a nation-wide, observational study in the Netherlands. COPD patients were compared to non-COPD patients with respect to key ventilation parameters. The secondary endpoints included adjunctive treatments for refractory hypoxemia, and 28-day mortality. Of a total of 1090 patients, 88 (8.1%) were classified as having COPD. The ventilation parameters were not different between COPD patients and non-COPD patients, except for FiO2, which was higher in COPD patients. Prone positioning was applied more often in COPD patients. COPD patients had higher 28-day mortality than non-COPD patients. COPD had an independent association with 28-day mortality. In this cohort of patients who received invasive ventilation for COVID-19, only FiO2 settings and the use of prone positioning were different between COPD patients and non-COPD patients. COPD patients had higher mortality than non-COPD patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Journal of clinical medicine - 12(2023), 18 vom: 05. Sept.

Sprache:

Englisch

Beteiligte Personen:

Tripipitsiriwat, Athiwat [VerfasserIn]
Suppapueng, Orawan [VerfasserIn]
van Meenen, David M P [VerfasserIn]
Paulus, Frederique [VerfasserIn]
Hollmann, Markus W [VerfasserIn]
Sivakorn, Chaisith [VerfasserIn]
Schultz, Marcus J [VerfasserIn]
PRoVENT-COVID Investigators [VerfasserIn]
Ahuja, S [Sonstige Person]
van Akkeren, J P [Sonstige Person]
Algera, A G [Sonstige Person]
Algoe, K C [Sonstige Person]
van Amstel, R B [Sonstige Person]
van de Berg, P [Sonstige Person]
Bergmans, D C [Sonstige Person]
van den Bersselaar, D I [Sonstige Person]
Bertens, F A [Sonstige Person]
Bindels, A J [Sonstige Person]
Breel, J S [Sonstige Person]
Bruna, M M [Sonstige Person]
de Boer, S [Sonstige Person]
Boers, L S [Sonstige Person]
Botta, M [Sonstige Person]
Baur, O L [Sonstige Person]
de Bruin, H [Sonstige Person]
Buiteman–Kruizinga, L A [Sonstige Person]
Cremer, O [Sonstige Person]
Determann, R M [Sonstige Person]
Dieperink, W [Sonstige Person]
van Dijk, J [Sonstige Person]
Dongelmans, D A [Sonstige Person]
de Graaff, M J [Sonstige Person]
Galekaldridge, M S [Sonstige Person]
Hagens, L A [Sonstige Person]
Haringman, J J [Sonstige Person]
van der Heide, S T [Sonstige Person]
van der Heiden, P L [Sonstige Person]
Hoeijmakers, L L [Sonstige Person]
Hol, L [Sonstige Person]
Hollmann, M W [Sonstige Person]
Horn, J [Sonstige Person]
van der Horst, E [Sonstige Person]
Le, E L [Sonstige Person]
Ivanov, D [Sonstige Person]
Juffermans, N P [Sonstige Person]
Kho, E [Sonstige Person]
de Klerk, E S [Sonstige Person]
Koopman, A W [Sonstige Person]
Koopmans, M [Sonstige Person]
Kucukcelebi, I [Sonstige Person]
Kuiper, M A [Sonstige Person]
de Lange, D W [Sonstige Person]
Martin-Loeches, I [Sonstige Person]
Mazzinari, G [Sonstige Person]
van Meenen, D M [Sonstige Person]
van Mourik, N [Sonstige Person]
Nijbroek, S G [Sonstige Person]
Oostdijk, E A [Sonstige Person]
Paulus, F [Sonstige Person]
Sleeswijk, M E [Sonstige Person]
Spronk, P E [Sonstige Person]
Strang, A C [Sonstige Person]
Stilma, W [Sonstige Person]
Swart, P [Sonstige Person]
Tsonas, A M [Sonstige Person]
Valk, C M A [Sonstige Person]
Vlaar, A P [Sonstige Person]
Veldhuis, L I [Sonstige Person]
van der Ven, W H [Sonstige Person]
van Velzen, P [Sonstige Person]
van Vilet, P [Sonstige Person]
van der Voort, P [Sonstige Person]
van Welie, L [Sonstige Person]
van Wijk, B [Sonstige Person]
Winters, T [Sonstige Person]
Wong, W Y [Sonstige Person]
van Zanten, A R [Sonstige Person]

Links:

Volltext

Themen:

ARDS
COPD
COVID-19
Invasive ventilation
Journal Article
Outcome
Ventilation management

Anmerkungen:

Date Revised 09.11.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/jcm12185783

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362589925