A COMPARATIVE STUDY ON THE OUTCOMES OF MECHANICALLY VENTILATED COVID-19 VERSUS NON-COVID-19 PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME AT TERTIARY CARE CENTRE AT SMS MEDICAL COLLEGE JAIPUR
DOI:
https://doi.org/10.22159/ajpcr.2022.v15i6.44603Keywords:
APACHE- acute physiologic assessment and chronic health evaluation, PMR-predicted mortality rate, ICU- intensive care unitAbstract
Objective: This study compared the effects of COVID-19 patients who inhaled mechanically with a non-COVID-19 history arm.
Methods: Prospective data for each mechanically ventilated patient were collected from both COVID-19 and non-COVID ICU for a period of 9 months. All data were collected and analyzed by SPPSS-22 software.
Results: We found that the COVID-19-infected patients were younger age and of male predominance as compared to non-COVID-19 patients. The total hospital stay and ICU stay were longer in COVID-19 patients as compared to non-Covid-19 patients.
Conclusion: We concluded that COVID-19 and non-COVID-19 mechanically ventilated patients with severe hypoxemic respiration at mechanical ventilation at the same time showed similar deaths in these groups but the ICU stay longer was longer in COVID-19 patients.
Downloads
References
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Eng J Med 2020;382:1199-207.
Lu H, Stratton CW, Tang YW. Outbreaks of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol 2020;92:401-2. doi: 10.1002/jmv.25678, PMID 31950516
Disease Control and Prevention Centers. The First Travel-related Case of the 2019 Novel Coronavirus is found in the United States. United States: United States Department of Health and Human Services; 2020. Available from: https://www.cdc.gov/media/releases/2020/p0121- novel-coronavirus-travel-case.html
World Health Organizations. Statement of The Second Meeting of the International Health Regulations (2005) Emergency Committee on the Outbreak of the Novel Coronavirus (2019-nCoV). Geneva: World Health Organizations; 2020. Available from: https://www.who. int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005).emergency-committee-regarding-the expression-novel-coronavirus-(2019-ncov)
Bennett JE, Dolin R, Blaser MJ. In: Bennett JE, Blaser MJ, editors. Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier/Saunders; 2014.
Lu R, Yu X, Wang W, Duan X, Zhang L, Zhou W, et al. Characterization of human coronavirus etiology in Chinese adults with acute upper respiratory tract infection by real-time RT-PCR assays. PLoS One 2012;7:38638. doi: 10.1371/journal.pone.0038638
Mohan A, Tiwari P, Bhatnagar S, Patel A, Maurya A, Dar L, et al. Clinico-demographic profile and hospital outcomes of COVID-19 patients admitted at a tertiary care center in North India. Indian J Med Res 2020;152:61-9.
Kang SJ, Jung SI. Age-related morbidity and mortality among patients with COVID-19. Infect Chemother 2020;52:154-64.
Du RH, Liang LR, Yang CQ, Wang W, Cao TZ, Li M, et al. Predictors of mortality for patients with COVID-19 pneumonia caused by SARS-CoV-2: A prospective cohort study. Eur Respir J 2020;55:2000524. doi: 10.1183/13993003.00524-2020, PMID 32269088
COVID-ICU Group on behalf of the REVA Network and the COVID-ICU Investigators. Clinical characteristics and day-90 outcomes of 4244 critically ill adults with COVID-19: A prospective cohort study. Intensive Care Med 2021;47:60-73. doi: 10.1007/s00134-020-06294-x, PMID 33211135
Anesi GL, Jablonski J, Harhay MO, Atkins JH, Bajaj J, Baston C, et al. Characteristics, outcomes, and trends of patients with covid-19-related critical illness at a learning health system in the United States. Ann Intern Med 2021;174:613-21. doi: 10.7326/M20-5327, PMID 33460330
Bellani G, Laffey JG, Pham T, Fan E, Brochard L, Esteban A, et al. Epidemiology, patterns of care, and mortality of patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA 2016;315:788-800. doi: 10.1001/jama.2016.0291, PMID 26903337
RECOVERY Collaborative Group: Horby P, Lim WS, Emberson JR, Mafham M, Bell JL, Linsell L, et al. Dexamethasone in hospitalized patients with Covid-19. N Engl J Med 2021;384:693-704. doi: 10.1056/ NEJMoa2021436, PMID 32678530
Badr M, De Oliveira B, Abdallah K, Nadeem A, Varghese Y, Munde D, et al. Effects of methylprednisolone on ventilator-free days in mechanically ventilated patients with acute respiratory distress syndrome and COVID-19: A retrospective study. J Clin Med 2021;10:760. doi: 10.3390/jcm10040760, PMID 33672805
Published
How to Cite
Issue
Section
Copyright (c) 2022 suman Suman, V B singh, shripal meena, deepak kumar
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.