Predictors of Intensive Care Unit admission in patients with coronavirus disease 2019 (COVID-19)

Monaldi Archives for Chest Disease = Archivio Monaldi Per Le Malattie Del Torace
Maria Viviana CarlinoAlfonso Sforza

Abstract

Italy is currently experiencing an epidemic of coronavirus disease 2019 (Covid-19). Aim of our study is to identify the best predictors of Intensive Care Unit (ICU) admission in patients with Covid-19. We examined 28 patients admitted to the Emergency Department (ED) and subsequently confirmed as cases of Covid-19. Patients received, at the admission to the ED, a diagnostic work-up including: patient history, clinical examination, an arterial blood gas analysis (whenever possible performed on room air), laboratory blood tests, including serum concentrations of interleukin-6 (IL-6), lung ultrasound examination and a computed tomography (CT) scan of the thorax. For each patient, as gas exchange index through the alveolocapillary membrane, we determined the alveolar-arterial oxygen gradient (AaDO⁠2) and the alveolar-arterial oxygen gradient augmentation (AaDO⁠2 augmentation). For each patient, as measurement of hypoxemia, we determined oxygen saturation (SpO2), partial pressure of oxygen in arterial blood (PaO⁠2), PaO⁠2 deficit and the ratio between arterial partial pressure of oxygen by blood gas analysis and fraction of inspired oxygen (P/F). Patients were assigned to ICU Group or to Non-ICU Group basing on the decision to intub...Continue Reading

Citations

Oct 27, 2020·Frontiers in Public Health·Yun LiChaowei Yang
Sep 3, 2021·Seminars in Cardiothoracic and Vascular Anesthesia·David J DouinKarsten Bartels
May 25, 2021·Journal of Research in Health Sciences·Hossein HatamiShayan Aryannezhad
Oct 29, 2021·PloS One·Antje LehmannDaniela Gompelmann

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