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Six-month post-intensive care outcomes during high and low bed occupancy due to the COVID-19 pandemic: A multicenter prospective cohort study

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dc.contributor.authorCastro-Avila, Ana Cristina
dc.contributor.authorMerino, Catalina
dc.contributor.authorGonzález Seguel, Felipe
dc.contributor.authorCamus, Agustín
dc.contributor.authorMuñoz, Felipe
dc.contributor.authorLeppe Zamora, Jaime
dc.contributor.authorIMPACCT COVID-19 study group
dc.date.accessioned2024-06-04T21:28:17Z
dc.date.available2024-06-04T21:28:17Z
dc.date.issued2023
dc.description.abstractIntroduction: The COVID-19 pandemic can be seen as a natural experiment to test how bed occupancy affects post-intensive care unit (ICU) patient's functional outcomes. To compare by bed occupancy the frequency of mental, physical, and cognitive impairments in patients admitted to ICU during the COVID-19 pandemic. Methods: Prospective cohort of adults mechanically ventilated >48 hours in 19 ICUs from seven Chilean public and private hospitals. Ninety percent of nationwide beds occupied was the cut-off for low versus high bed occupancy. At ICU discharge, 3- and 6-month follow-up, we assessed disability using the World Health Organization Disability Assessment Schedule 2.0. Quality of life, mental, physical, and cognitive outcomes were also evaluated following the core outcome set for acute respiratory failure. Results: We enrolled 252 participants, 103 (41%) during low and 149 (59%) during high bed occupancy. Patients treated during high occupancy were younger (P50 [P25-P75]: 55 [44-63] vs 61 [51-71]; p<0.001), more likely to be admitted due to COVID-19 (126 [85%] vs 65 [63%]; p<0.001), and have higher education qualification (94 [63%] vs 48 [47%]; p = 0.03). No differences were found in the frequency of at least one mental, physical or cognitive impairment by bed occupancy at ICU discharge (low vs high: 93% vs 91%; p = 0.6), 3-month (74% vs 63%; p = 0.2) and 6-month (57% vs 57%; p = 0.9) follow-up. Conclusions: There were no differences in post-ICU outcomes between high and low bed occupancy. Most patients (>90%) had at least one mental, physical or cognitive impairment at ICU discharge, which remained high at 6-month follow-up (57%).
dc.description.versionPublicada
dc.identifier.citationCastro-Avila A, Merino-Osorio C, González-Seguel F, Camus-Molina A, Muñoz-Muñoz F, Leppe J; IMPACCT COVID-19 study group. Six-month post-intensive care outcomes during high and low bed occupancy due to the COVID-19 pandemic: A multicenter prospective cohort study. PLoS One. 2023 Nov 16;18(11):e0294631. doi: 10.1371/journal.pone.0294631
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0294631
dc.identifier.urihttps://hdl.handle.net/11447/9033
dc.language.isoen
dc.subjectCOVID-19* / epidemiology
dc.subjectBed Occupancy
dc.subjectIntensive Care Units
dc.subjectProspective Studies
dc.subjectQuality of Life
dc.subjectCritical Care
dc.titleSix-month post-intensive care outcomes during high and low bed occupancy due to the COVID-19 pandemic: A multicenter prospective cohort study
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourcePublic Library of Science one
dspace.entity.typePublication
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relation.isAuthorOfPublication507eb05b-daec-4369-9b2c-ce63a17a6844
relation.isAuthorOfPublication90f15585-1663-4877-ad35-b57dea1225b5
relation.isAuthorOfPublication.latestForDiscovery4fe4a390-a8ce-4d42-a250-25c6907cbbba

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