Intensive care unit admission and associated factors in patients hospitalised for COVID-19: A national retrospective cohort study in Iran

被引：1

作者：

Izadi, Neda ^{[1
]}

Shahbazi, Fatemeh ^{[2
]}

Mokhayeri, Yaser ^{[3
]}

Seifi, Arash ^{[4
]}

Taherpour, Niloufar ^{[5
]}

Mehri, Ahmad ^{[6
]}

Fallah, Saeid ^{[7
]}

Ghorbani, Sahar Sotoodeh ^{[6
]}

Farhadi-Babadi, Kosar ^{[6
]}

Taherian, Mohammad Reza ^{[6
]}

Rahimi, Elham ^{[6
]}

Etemed, Koorosh ^{[6
]}

Nazari, Seyed Saeed Hashemi ^{[6
]}

机构：

[1] Shahid Beheshti Univ Med Sci, Res Inst Endocrine Sci, Res Ctr Social Determinants Hlth, Tehran, Iran

[2] Hamadan Univ Med Sci, Sch Hlth, Dept Epidemiol, Hamadan, Iran

[3] Lorestan Univ Med Sci, Shahid Rahimi Hosp, Cardiovasc Res Ctr, Khorramabad, Iran

[4] Univ Tehran Med Sci, Imam Khomeini Hosp, Sch Med, Dept Infect Dis, Tehran, Iran

[5] Shahid Beheshti Univ Med Sci, Prevent Cardiovasc Dis Res Ctr, Tehran, Iran

[6] Shahid Beheshti Univ Med Sci, Sch Publ Hlth & Safety, Dept Epidemiol, Tehran, Iran

[7] Golestan Univ Med Sci, Hlth Management & Social Dev Res Ctr, Gorgan, Iran

来源：

BMJ OPEN | 2023年 / 13卷 / 08期

关键词：

COVID-19; adult intensive & critical care; risk management; MORTALITY; RISK;

D O I：

10.1136/bmjopen-2022-070547

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

ObjectivesThis study aimed to determine factors associated with intensive care unit (ICU) admission in patients hospitalised due to COVID-19. DesignRetrospective cohort. SettingConfirmed hospitalised patients from all over Iran were considered for the study. ParticipantsAll patients with COVID-19 admitted to the hospital from March 2020 to May 2021 were included by census. ICU admission was defined by the following criteria: (1) admission to the ICU ward; (2) level of consciousness (loss of consciousness); and (3) use of invasive ventilation. MethodsThis is a secondary data analysis from the Medical Care Monitoring Center. The association between different variables and ICU admission was assessed by forward Logistic regression and restricted cubic spline method. ResultsThe mean age of the 1 469 620 patients with COVID-19 was 54.49 & PLUSMN;20.58 years old, and 51.32% of the patients were male. The prevalence of ICU admission was 19.19%. The mean age of patients admitted to the ICU was higher than that of other hospitalised patients (62.49 & PLUSMN;19.73 vs 52.59 & PLUSMN;20.31 years). The prevalence of ICU admission was 17.17% in the first, 21.52% in the second, 19.72% in the third, 21.43 in the fourth and 17.4% in the fifth wave. In the multivariable model, age groups, sex, waves of the epidemic, comorbidities and saturation of peripheral oxygen (SpO(2)) <93% and acute respiratory distress syndrome (ARDS) were associated with an increased odds of ICU admission. The OR for ICU admission indicates a significant protective effect at a young age and then a significant risk factor for admission to the ICU ward at an old age. ConclusionsMen, older adults, people who suffer from ARDS, patients with SpO(2) levels of less than 93% and cases with comorbidities had the highest odds of ICU admission. Therefore, these groups should take all necessary precautions to avoid contracting COVID-19.

引用

页数：8