RESUMEN
Objectives: During the COVID-19 pandemic, the risk of collapse for the health system created great difficulties. We will demonstrate that intermediate respiratory care units (IRCU) provide adequate management of patients with non-invasive respiratory support, which is particularly important for patients with SARS-CoV-2 pneumonia. Methods: A prospective observational study of patients with COVID-19 admitted to the ICU of a tertiary hospital. Sociodemographic data, comorbidities, pharmacological, respiratory support, laboratory and blood gas variables were collected. The overall cost of the unit was subsequently analyzed. Results: 991 patients were admitted, 56 to the IRCU (from a of 81 admitted to the critical care unit). Mean age was 65 years (SD 12.8), Barthel index 75 (SD 8.3), Charlson comorbidity index 3.1 (SD 2.2), HTN 27%, COPD 89% and obesity 24%. A significant relationship (p < 0.05) with higher mortality was noted for the following parameters: fever greater than or equal to 39 °C [OR 5.6; 95% CI (1.2−2.7); p = 0.020], protocolized pharmacological treatment [OR 0.3; 95% CI (0.1−0.9); p = 0.023] and IOI [OR 3.7; 95% CI (1.1−12.3); p = 0.025]. NIMV had less of a negative impact [OR 1.8; 95% CI (0.4−8.4); p = 0.423] than IOI. The total cost of the IRCU amounted to 66,233. The cost per day of stay in the IRCU was 164 per patient. The total cost avoided was 214,865. Conclusions: The pandemic has highlighted the importance of IRCUs in facilitating the management of a high patient volume. The treatment carried out in IRCUs is effective and efficient, reducing both admissions to and stays in the ICU.
Asunto(s)
COVID-19 , Unidades de Cuidados Respiratorios , Anciano , COVID-19/epidemiología , Humanos , Unidades de Cuidados Intensivos , Pandemias , SARS-CoV-2 , España/epidemiologíaAsunto(s)
Ascitis/etiología , Quilotórax/etiología , Síndrome Nefrótico/complicaciones , Adulto , Ascitis/diagnóstico , Ascitis/tratamiento farmacológico , Quilotórax/diagnóstico , Quilotórax/tratamiento farmacológico , Femenino , Glucocorticoides/uso terapéutico , Humanos , Síndrome Nefrótico/tratamiento farmacológico , Síndrome Nefrótico/patología , Prednisona/uso terapéutico , Resultado del TratamientoRESUMEN
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