American Thoracic Society (ATS)

Study Demonstrates the Need for Immediate ICU Care for Severe COVID-19 Pneumonia, Describes Patient Characteristics

7-Apr-2020 1:45 PM EDT, by American Thoracic Society (ATS)

Newswise — April 07, 2020─ Researchers have identified the most common clinical characteristics of 109 patients with COVID-19 related pneumonia who died in Wuhan, China in the early stages of the coronavirus pandemic, according to a new study published online in the Annals of the American Thoracic Society.

In “Hospitalization and Critical Care of 109 Decedents With COVID-19 Pneumonia in Wuhan, China,”  Huan-Zong Shi, MD, PhD, and co-authors report on the age, comorbidities (other diseases), treatments and other commonalities among patients who died from this viral infection in three Wuhan hospitals between Dec. 25, 2019 and Feb. 24, 2020. The study was conducted to describe the hospitalization and critical care of patients who died from COVID-19 pneumonia.

“Mortality due to COVID-19 pneumonia was concentrated in patients above 65 years of age, especially those with major comorbidities,” stated Dr. Shi, professor and director of the Department of Respiratory and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University. “We also found that patients who were admitted to the ICU lived longer than those who didn’t. Our findings should aid in the recognition and clinical management of such infections, especially in ICU resource allocation.”

The researchers looked back at the medical records of 109 deceased patients (out of 1,017)  with confirmed COVID-19 pneumonia admitted to three Wuhan hospitals:  Wuhan Pulmonary  Hospital, which is designated as a “COVID-19 hospital,” Tianyou Hospital affiliated with Wuhan University of Science and Technology, and Central Hospital of Wuhan.  They recorded information on patients’ demographics, clinical symptoms, laboratory results on admission and during hospitalization, treatment and date of death.  The team created a database containing this information, and then cross-checked it.  They then performed statistical analyses.

The average age of these patients was 70.7 years.  Eighty-five suffered from comorbidities.  The most common conditions were hypertension (high blood pressure), cardiovascular or cerebrovascular diseases and diabetes.  All 109 patients were critically ill at hospital admission, and their most common condition was progressive shortness of breath (dyspnea).  Prof. Shi observed, “Dyspnea was the most remarkable symptom that rapidly worsened.”

Although all of these patients needed ICU care, only 46.8 percent were admitted to the ICU because of a bed shortage.  Although all of the patients studied died, patients who were in the ICU group in comparison to the non-ICU group, lived an average of 15.9 days vs. 12.5 days following hospitalization. 

“It is not surprising that there were approximately twice as many men as women among non-survivors with COVID-19 pneumonia,” stated Prof. Shi. “In most infectious diseases and related conditions such as sepsis and septic shock men always represent a larger proportion of cases and have higher mortality rates.”

All patients received antibiotics to treat secondary infections and nearly all received antivirals, while all ICU patients also received antifungal drugs. Other medicines, including glucocorticoids and intravenous immune globulin, were given to some patients.  Oxygen therapy of various types was given to all patients.

Based on their observations and analyses, the authors concluded: “Since multiple organ failure, especially respiratory failure and heart failure, occurred rapidly after hospital admission, an organ protection strategy and ICU care should be provided as soon as possible to patients with severe COVID-19 pneumonia in order to prolong their survival. A social distancing policy should also be proposed to slow the rate of cases and prevent health care systems from being overwhelmed by patients for whom they cannot provide ICU care.”

This study was supported by funding from the Beijing Municipal Administration of Hospitals’ Mission Plan and 1351 Talents Program of Beijing Chao-Yang Hospital.

 

Share via Twitter

Study demonstrates the need for immediate #ICU care for severe #COVID-19 #pneumonia, describes patient characteristics. @AnnalsATS @atscommunity @ATSjournals

 

About the Annals of the American Thoracic Society

The AnnalsATS is a peer-reviewed journal published by the American Thoracic Society. The Journal delivers up-to-date and authoritative coverage of adult and pediatric pulmonary and respiratory sleep medicine and adult critical care. The scope of the Journal encompasses content that is applicable to clinical practice, the formative and continuing education of clinical specialists and the advancement of public health. The journal’s impact factor is 4.026.

 

Editor: Colin Cooke, MD, MS, associate professor in the department of internal medicine at the University of Michigan.

 

About the American Thoracic Society

Founded in 1905, the American Thoracic Society is the world's leading medical association dedicated to advancing pulmonary, critical care and sleep medicine. The Society’s 15,000 members prevent and fight respiratory disease around the globe through research, education, patient care and advocacy. The ATS publishes four journals, the American Journal of Respiratory and Critical Care Medicine, the American Journal of Respiratory Cell and Molecular Biology, Annals of the American Thoracic Society and the ATS Scholar.

 

SEE ORIGINAL STUDY




Filters close

Showing results

110 of 2011
Released: 29-May-2020 11:55 PM EDT
Heart surgery stalled as COVID-19 spread
University of Ottawa

As the novel coronavirus spread across the globe in early 2020, hospitals worldwide scaled back medical procedures, including life-saving heart surgery, to deal with the emerging threat of COVID-19.

Released: 29-May-2020 11:30 PM EDT
UCLA AASC & FSPH launch COVID-19 Multilingual Resource Hub to support safety for diverse communities
UCLA Fielding School of Public Health

UCLA Asian American Studies Center and the UCLA Fielding School of Public Health COVID-19 Multilingual Resource Hub to support safety for diverse communities; partnership develops resources for COVID-19 response

Newswise: UTEP Study Examines COVID-19 Stress, Coping Strategies, and Well-Being
Released: 29-May-2020 6:15 PM EDT
UTEP Study Examines COVID-19 Stress, Coping Strategies, and Well-Being
University of Texas at El Paso

Emre Umucu, Ph.D., assistant professor of rehabilitation counseling at The University of Texas at El Paso, and Beatrice Lee, an incoming rehabilitation counseling faculty member, examined the perceived stress levels and coping mechanisms related to COVID-19, and how coping affects well-being in people with self-reported chronic conditions and disabilities.

Newswise: 233197_web.jpg
Released: 29-May-2020 4:55 PM EDT
CT findings of coronavirus disease (COVID-19) in children 'often negative'
American Roentgen Ray Society (ARRS)

An investigation published open-access in the American Journal of Roentgenology (AJR) revealed a high frequency of negative chest CT findings among pediatric patients with laboratory-confirmed coronavirus disease (COVID-19), while also suggesting that bilateral, lower lobe-predominant ground-glass opacities (GGOs) are common in the subset of patients with positive CT findings.

Newswise: 233198_web.jpg
Released: 29-May-2020 4:40 PM EDT
Modelling predicts COVID-19 resurgence if physical distancing relaxed
University of Guelph

If physical distancing measures in Ontario are relaxed too much or too quickly, the province could see hospitals overwhelmed with COVID-19 patients as well as exponential growth in deaths, concludes new research involving a University of Guelph infectious disease modeller.

Released: 29-May-2020 3:35 PM EDT
Using Wastewater to Track, Contain SARS-CoV-2
SUNY College of Environmental Science and Forestry

Researchers took a novel approach to tracking the virus that causes COVID-19 that promises to be cost effective and ensure privacy by using a method that surveils for the virus in a local's untreated wastewater facilities.

Newswise: fimmu-11-01208-g001.jpg
Released: 29-May-2020 2:40 PM EDT
Genetics May Explain High COVID-19 Mortality in Italy, Inform Global Pandemic Response
Sbarro Health Research Organization (SHRO)

Researchers predict the Human Leukocyte Antigen (HLA) gene has a key role in shaping immune response to COVID.

Released: 29-May-2020 1:40 PM EDT
Study finds surge in hydroxychloroquine/chloroquine prescriptions during COVID-19
Brigham and Women’s Hospital

A new study by investigators from Brigham and Women's Hospital examines changes in prescription patterns in the United States during the COVID-19 pandemic.


Showing results

110 of 2011

close
0.70542