Journal of Clinical Medicine (Nov 2020)
Hospital Resources May Be an Important Aspect of Mortality Rate among Critically Ill Patients with COVID-19: The Paradigm of Greece
- Christina Routsi,
- Eleni Magira,
- Stelios Kokkoris,
- Ilias Siembos,
- Charikleia Vrettou,
- Dimitris Zervakis,
- Eleni Ischaki,
- Sotiris Malahias,
- Ioanna Sigala,
- Andreas Asimakos,
- Theodora Daidou,
- Panagiotis Kaltsas,
- Evangelia Douka,
- Adamandia Sotiriou,
- Vassiliki Markaki,
- Prodromos Temberikidis,
- Apostolos Koroneos,
- Panagiotis Politis,
- Zafiria Mastora,
- Efrosini Dima,
- Theodoros Tsoutsouras,
- Ioannis Papahatzakis,
- Panagiota Gioni,
- Athina Strilakou,
- Aikaterini Maragouti,
- Eleftheria Mizi,
- Ageliki Kanavou,
- Aikaterini Sarri,
- Evdokia Gavrielatou,
- Spyros Mentzelopoulos,
- Ioannis Kalomenidis,
- Vassilios Papastamopoulos,
- Anastasia Kotanidou,
- Spyros Zakynthinos
Affiliations
- Christina Routsi
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Eleni Magira
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Stelios Kokkoris
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Ilias Siembos
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Charikleia Vrettou
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Dimitris Zervakis
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Eleni Ischaki
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Sotiris Malahias
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Ioanna Sigala
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Andreas Asimakos
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Theodora Daidou
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Panagiotis Kaltsas
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Evangelia Douka
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Adamandia Sotiriou
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Vassiliki Markaki
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Prodromos Temberikidis
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Apostolos Koroneos
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Panagiotis Politis
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Zafiria Mastora
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Efrosini Dima
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Theodoros Tsoutsouras
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Ioannis Papahatzakis
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Panagiota Gioni
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Athina Strilakou
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Aikaterini Maragouti
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Eleftheria Mizi
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Ageliki Kanavou
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Aikaterini Sarri
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Evdokia Gavrielatou
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Spyros Mentzelopoulos
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Ioannis Kalomenidis
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Vassilios Papastamopoulos
- Fifth Department of Internal Medicine, Unit for Infectious Diseases, ‘Evangelismos’ Hospital, 45–47 Ipsilandou Street, GR-10675 Athens, Greece
- Anastasia Kotanidou
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- Spyros Zakynthinos
- First Department of Intensive Care Medicine, School of Medicine, National and Kapodistrian University of Athens, ‘Evangelismos’ Hospital, 45–47 Ipsilandou St, GR-10675 Athens, Greece
- DOI
- https://doi.org/10.3390/jcm9113730
- Journal volume & issue
-
Vol. 9,
no. 11
p. 3730
Abstract
For critically ill patients with coronavirus disease 2019 (COVID-19) who require intensive care unit (ICU) admission, extremely high mortality rates (even 97%) have been reported. We hypothesized that overburdened hospital resources by the extent of the pandemic rather than the disease per se might play an important role on unfavorable prognosis. We sought to determine the outcome of such patients admitted to the general ICUs of a hospital with sufficient resources. We performed a prospective observational study of adult patients with COVID-19 consecutively admitted to COVID—designated ICUs at Evangelismos Hospital, Athens, Greece. Among 50 patients, ICU and hospital mortality was 32% (16/50). Median PaO2/FiO2 was 121 mmHg (interquartile range (IQR), 86–171 mmHg) and most patients had moderate or severe acute respiratory distress syndrome (ARDS). Hospital resources may be an important aspect of mortality rates, since severely ill COVID-19 patients with moderate and severe ARDS may have understandable mortality, provided that they are admitted to general ICUs without limitations on hospital resources.
Keywords
- coronavirus
- coronavirus disease 2019
- COVID-19
- critical care
- acute hypoxemic respiratory failure
- mortality