2026-04-17T01:06:33Zhttps://recercat.cat/oai/request
oai:recercat.cat:2445/1895632025-12-05T12:34:03Zcom_2072_1057col_2072_478916col_2072_478917
RECERCAT author Gasa, Mercè author Ruiz Albert, Yolanda author Cordoba Izquierdo, Ana author Sarasate, Mikel author Cuevas, Ester author Suárez Cuartín, Guillermo Rafael author Méndez, Lidia author Alfarom Álvarez, Julio César author Sabater Riera, Joan author Pérez Fernández, Xosé Luis author Molina Molina, María author Santos, Salud 2022-10-03T09:55:29Z2022-10-03T09:55:29Z2022-08-292022-09-22T09:17:26Z The intermediate respiratory care units (IRCUs) have a pivotal role managing escalation and de-escalation between the general wards and the intensive care units (ICUs). Since the COVID-19 pandemic began, the early detection of patients that could improve on non-invasive respiratory therapies (NRTs) in IRCUs without invasive approaches is crucial to ensure proper medical management and optimize limiting ICU resources. The aim of this study was to assess factors associated with survival, ICU admission and intubation likelihood in COVID-19 patients admitted to IRCUs. Observational retrospective study in consecutive patients admitted to the IRCU of a tertiary hospital from March 2020 to April 2021. Inclusion criteria: hypoxemic respiratory failure (SpO(2) <= 94% and/or respiratory rate >= 25 rpm with FiO(2) > 50% supplementary oxygen) due to acute COVID-19 infection. Demographic, comorbidities, clinical and analytical data, and medical and NRT data were collected at IRCU admission. Multivariate logistic regression models assessed factors associated with survival, ICU admission, and intubation. From 679 patients, 79 patients (12%) had an order to not do intubation. From the remaining 600 (88%), 81% survived, 41% needed ICU admission and 37% required intubation. In the IRCU, 51% required non-invasive ventilation (NIV group) and 49% did not (non-NIV group). Older age and lack of corticosteroid treatment were associated with higher mortality and intubation risk in the scheme, which could be more beneficial in severe forms. Initial NIV does not always mean worse outcomes. cc by (c) Gasa, Mercè et al., 2022 http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/openAccess COVID-19 Infermeria respiratòria COVID-19 Respiratory nursing Outcomes of COVID-19 Patients Admitted to the Intermediate Respiratory Care Unit: Non-Invasive Respiratory Therapy in a Sequential Protocol info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion