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10.1016/j.eimc.2021.06.016

http://scihub22266oqcxt.onion/10.1016/j.eimc.2021.06.016
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34305229!8286862!34305229
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suck abstract from ncbi

pmid34305229      Enferm+Infecc+Microbiol+Clin 2023 ; 41 (2): 70-78
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  • Pacientes criticos COVID-19 inverted question markHan variado el manejo y los resultados en la UCI tras un ano de pandemia? Estudio multicentrico, prospectivo, observacional #MMPMID34305229
  • Rama-Maceiras P; Sanduende Y; Taboada M; Casero M; Leal S; Pita-Romero R; Fernandez R; Lopez E; Lopez JA; Pita E; Tubio A; Rodriguez A; Varela M; Campana D; Delgado C; Lombardia M; Villar E; Blanco P; Martinez A; Sarmiento A; Diaz P; Ojea M; Rodriguez A; Mouriz L; Cid M; Ramos L; Seoane-Pillado T
  • Enferm Infecc Microbiol Clin 2023[Feb]; 41 (2): 70-78 PMID34305229show ga
  • OBJECTIVE: To compare the clinical characteristics, treatments, and evolution of critical patients with COVID-19 pneumonia treated in intensive care units (ICU) after one year of pandemic. METHODOLOGY: Multicenter, prospective study, which included critical COVID-19 patients in 9 ICUs in northwestern Spain. The clinical characteristics, treatments, and evolution of patients admitted to the ICU during the months of March-April 2020 (period 1) were compared with patients admitted in January-February 2021 (period 2). RESULTS: 337 patients were included (98 in period 1 and 239 in period 2). In period 2, fewer patients required invasive mechanical ventilation (IMV) (65% vs. 84%, P < .001), using high-flow nasal cannulas (CNAF) more frequently (70% vs. 7%, P < .001), ventilation non-invasive mechanical (NIMV) (40% vs. 14%, P < .001), corticosteroids (100% vs. 96%, P = .007) and prone position in both awake (42% vs. 28%, P = .012), and intubated patients (67% vs. 54%, P = .034). The days of IMV, ICU stay and hospital stay were lower in period 2. Mortality was similar in the two periods studied (16% vs. 17%). CONCLUSIONS: After one year of pandemic, we observed that in patients admitted to the ICU, CNAF, NIMV, use of the prone position, and corticosteroids have been used more frequently, reducing the number of patients in IMV, and the length of stay in the ICU and hospital stay. Mortality was similar in the two study periods.
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