%0 Journal Article
%T Critically ill COVID-19 patients attended by anesthesiologists in northwestern Spain: a multicenter prospective observational study.
%A Taboada M
%A Rama P
%A Pita-Romero R
%A Moreno E
%A Leal S
%A Varela M
%A Cid M
%A Caruezo V
%A Alvarado de la Torre S
%A Corujeira M
%A Sarmiento A
%A Domínguez B
%A Diaz P
%A Cánovas L
%A López Sánchez M
%A Vilas E
%A Rodríguez A
%A Freire L
%A Domínguez S
%A Baluja A
%A Atanassoff PG
%J Rev Esp Anestesiol Reanim (Engl Ed)
%V 68
%N 1
%D Jan 2021
%M 33077309
暂无%R 10.1016/j.redar.2020.08.004
%X There are limited information on outcome, complications and treatments of critically ill COVID-19 patients requiring admission to an intensive care unit (ICU). The aim of this study is to describe the clinical ICU course, treatments used, complications and outcomes, of critically ill COVID-19 patients admitted in seven ICU in Galicia region during the 2020 March-April pandemic peak.<BR>Between March 21 and April 19, 2020, we evaluated critically ill COVID-19 patients admitted to the ICU of Anesthesia of seven hospitals in Galicia, northwestern Spain. Outcome, complications, and treatments were monitored until May 6, 2020, the final date of follow-up.<BR>A total of 97 critically ill COVID-19 patients were included. During ICU stay, mechanical ventilation became necessary in 80 (82.5%) patients, and tracheostomy in 22 (22.7%) patients. Prone position was used frequently in both intubated (67.5%) and awake (27.8%) patients. Medications consisted of antivirals agents (92.7%), corticosteroids (93.8%), tocilizumab (57.7%), and intermediate or high doses of anticoagulants (83.5%). The most frequent complications were ICU-acquired infection (52.6%), thrombosis events (16.5%), and reintubation (9.3%). After a median follow-up of 42 (34-45) days, 15 patients (15.5%) deceased, 73 patients (75.2%) had been discharged from ICU, and nine patients (9.3%) were still in the ICU.<BR>A high proportion of our critically ill COVID-19 patients required mechanical ventilation, prone positioning, antiviral medication, corticosteroids, and anticoagulants. ICU complications were frequent, mainly infections and thrombotic events. We had a relatively low mortality of 15,5%.