International variation in the management of severe COVID-19 patients
| Autor: | Azoulay, Elie, De Waele, Jan J., Ferrer, Ricard, Staudinger, T., Borkowska, M., Povoa, P., Iliopoulou, K., Artigas, A., Schaller, S. J., Shankar-Hari, M., Pellegrini, M., Darmon, M., Kesecioglu, J., Cecconi, Maurizio, Universitat Autònoma de Barcelona |
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| Přispěvatelé: | Comprehensive Health Research Centre (CHRC) - pólo NMS, NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Internationality Coronavirus disease 2019 (COVID-19) Critical Care First line Pneumonia Viral Remdesivir Critical Care and Intensive Care Medicine Severity of Illness Index Hypoxemia 03 medical and health sciences 0302 clinical medicine Severe hypoxemia Pandemic Severity of illness medicine Medicine and Health Sciences Humans Practice Patterns Physicians' Intensive care medicine Pandemics Response rate (survey) Acute respiratory distress syndrome business.industry Research lcsh:Medical emergencies. Critical care. Intensive care. First aid COVID-19 030208 emergency & critical care medicine lcsh:RC86-88.9 Icu admission Coronavirus Remdesi Viral infection Health Care Surveys medicine.symptom business Coronavirus Infections |
| Zdroj: | Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP Critical Care, Vol 24, Iss 1, Pp 1-7 (2020) CRITICAL CARE Critical Care |
| ISSN: | 1466-609X 1364-8535 |
| Popis: | Background There is little evidence to support the management of severe COVID-19 patients. Methods To document this variation in practices, we performed an online survey (April 30–May 25, 2020) on behalf of the European Society of Intensive Care Medicine (ESICM). A case vignette was sent to ESICM members. Questions investigated practices for a previously healthy 39-year-old patient presenting with severe hypoxemia from COVID-19 infection. Results A total of 1132 ICU specialists (response rate 20%) from 85 countries (12 regions) responded to the survey. The survey provides information on the heterogeneity in patient’s management, more particularly regarding the timing of ICU admission, the first line oxygenation strategy, optimization of management, and ventilatory settings in case of refractory hypoxemia. Practices related to antibacterial, antiviral, and anti-inflammatory therapies are also investigated. Conclusions There are important practice variations in the management of severe COVID-19 patients, including differences at regional and individual levels. Large outcome studies based on multinational registries are warranted. |
| Databáze: | OpenAIRE |
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