The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients
COVID-19; Mechanical ventilation; Ventilatory ratio
| Autores: | , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Departament de Salut de la Generalitat de Catalunya (DS) |
| Repositorio: | Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| OAI Identifier: | oai:scientiasalut.gencat.cat:11351/7382 |
| Acceso en línea: | https://hdl.handle.net/11351/7382 |
| Access Level: | acceso abierto |
| Palabra clave: | Respiració artificial Prognosi COVID-19 (Malaltia) - Espanya DISEASES::Respiratory Tract Diseases::Lung Diseases::Respiratory Distress Syndrome, Adult ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Therapeutics::Emergency Treatment::Resuscitation::Therapeutics::Respiration, Artificial ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::síndrome de dificultad respiratoria del adulto TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapéutica::tratamiento de urgencia::resucitación::terapéutica::respiración artificial TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico |
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| dc.title.none.fl_str_mv |
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients |
| title |
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients |
| spellingShingle |
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients Torres-Martí, Antoni Respiració artificial Prognosi COVID-19 (Malaltia) - Espanya DISEASES::Respiratory Tract Diseases::Lung Diseases::Respiratory Distress Syndrome, Adult ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Therapeutics::Emergency Treatment::Resuscitation::Therapeutics::Respiration, Artificial ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::síndrome de dificultad respiratoria del adulto TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapéutica::tratamiento de urgencia::resucitación::terapéutica::respiración artificial TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico |
| title_short |
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients |
| title_full |
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients |
| title_fullStr |
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients |
| title_full_unstemmed |
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients |
| title_sort |
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients |
| dc.creator.none.fl_str_mv |
Torres-Martí, Antoni Motos, Anna Riera Del Brío, Jordi Fernández‑Barat, Laia Ceccato, Adrián Pérez‑Arnal, Raquel Ferrer Roca, Ricard |
| author |
Torres-Martí, Antoni |
| author_facet |
Torres-Martí, Antoni Motos, Anna Riera Del Brío, Jordi Fernández‑Barat, Laia Ceccato, Adrián Pérez‑Arnal, Raquel Ferrer Roca, Ricard |
| author_role |
author |
| author2 |
Motos, Anna Riera Del Brío, Jordi Fernández‑Barat, Laia Ceccato, Adrián Pérez‑Arnal, Raquel Ferrer Roca, Ricard |
| author2_role |
author author author author author author |
| dc.contributor.none.fl_str_mv |
Institut Català de la Salut [Torres A] Centro de Investigación Biomedica En Red – Enfermedades Respiratorias (CIBERES), Barcelona, Spain. Institut d’Investigacions August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain. Servei de Pneumologia i Al·lèrgia Respiratòria, Hospital Clínic, 08036 Barcelona, Spain. [Motos A, Fernández-Barat L] Centro de Investigación Biomedica En Red – Enfermedades Respiratorias (CIBERES), Barcelona, Spain. Institut d’Investigacions August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain. [Riera J, Ferrer R] Servei de Cures Intensives, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Ceccato A] Centro de Investigación Biomedica En Red – Enfermedades Respiratorias (CIBERES), Barcelona, Spain. [Pérez-Arnal R] Barcelona Supercomputing Center (BSC), Barcelona, Spain Vall d'Hebron Barcelona Hospital Campus |
| dc.subject.none.fl_str_mv |
Respiració artificial Prognosi COVID-19 (Malaltia) - Espanya DISEASES::Respiratory Tract Diseases::Lung Diseases::Respiratory Distress Syndrome, Adult ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Therapeutics::Emergency Treatment::Resuscitation::Therapeutics::Respiration, Artificial ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::síndrome de dificultad respiratoria del adulto TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapéutica::tratamiento de urgencia::resucitación::terapéutica::respiración artificial TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico |
| topic |
Respiració artificial Prognosi COVID-19 (Malaltia) - Espanya DISEASES::Respiratory Tract Diseases::Lung Diseases::Respiratory Distress Syndrome, Adult ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Therapeutics::Emergency Treatment::Resuscitation::Therapeutics::Respiration, Artificial ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::síndrome de dificultad respiratoria del adulto TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapéutica::tratamiento de urgencia::resucitación::terapéutica::respiración artificial TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico |
| description |
COVID-19; Mechanical ventilation; Ventilatory ratio |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2022 2022 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/11351/7382 |
| url |
https://hdl.handle.net/11351/7382 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Critical Care;25 https://doi.org/10.1186/s13054-021-03727-x |
| dc.rights.none.fl_str_mv |
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
BMC |
| publisher.none.fl_str_mv |
BMC |
| dc.source.none.fl_str_mv |
Scientia reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut instname:Departament de Salut de la Generalitat de Catalunya (DS) |
| instname_str |
Departament de Salut de la Generalitat de Catalunya (DS) |
| reponame_str |
Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| collection |
Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| repository.name.fl_str_mv |
|
| repository.mail.fl_str_mv |
|
| _version_ |
1869414614631972864 |
| spelling |
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patientsTorres-Martí, AntoniMotos, AnnaRiera Del Brío, JordiFernández‑Barat, LaiaCeccato, AdriánPérez‑Arnal, RaquelFerrer Roca, RicardRespiració artificialPrognosiCOVID-19 (Malaltia) - EspanyaDISEASES::Respiratory Tract Diseases::Lung Diseases::Respiratory Distress Syndrome, AdultANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Therapeutics::Emergency Treatment::Resuscitation::Therapeutics::Respiration, ArtificialANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::PrognosisENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::síndrome de dificultad respiratoria del adultoTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapéutica::tratamiento de urgencia::resucitación::terapéutica::respiración artificialTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronósticoCOVID-19; Mechanical ventilation; Ventilatory ratioCOVID-19; Respiració assistida; Relació ventilatòriaCOVID-19; Ventilación mecánica; Relación ventilatoriaBackground Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0–171.2] to 180.0 [135.4–227.9] mmHg and the ventilatory ratio from 1.73 [1.33–2.25] to 1.96 [1.61–2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01–1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01–1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93–1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation.Financial support was provided by the Instituto de Salud Carlos III de Madrid (COV20/00110, ISCIII), Fondo Europeo de Desarrollo Regional (FEDER), "Una manera de hacer Europa", and by the Centro de Investigación Biomedica En Red – Enfermedades Respiratorias (CIBERES). DdGC has received financial support from Instituto de Salud Carlos III (Miguel Servet 2020: CP20/00041), co-funded by European Social Fund (ESF)/”Investing in your future”.BMCInstitut Català de la Salut[Torres A] Centro de Investigación Biomedica En Red – Enfermedades Respiratorias (CIBERES), Barcelona, Spain. Institut d’Investigacions August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain. Servei de Pneumologia i Al·lèrgia Respiratòria, Hospital Clínic, 08036 Barcelona, Spain. [Motos A, Fernández-Barat L] Centro de Investigación Biomedica En Red – Enfermedades Respiratorias (CIBERES), Barcelona, Spain. Institut d’Investigacions August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain. [Riera J, Ferrer R] Servei de Cures Intensives, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Ceccato A] Centro de Investigación Biomedica En Red – Enfermedades Respiratorias (CIBERES), Barcelona, Spain. [Pérez-Arnal R] Barcelona Supercomputing Center (BSC), Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202220222021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11351/7382Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésCritical Care;25https://doi.org/10.1186/s13054-021-03727-xAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/73822026-06-12T09:38:37Z |
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15.81155 |