Survival analysis of COVID-19 versus non-COVID-19 patients requiring intensive care for acute respiratory distress syndrome: An observational retrospective study.

Background/Aim: This study analyzed clinical factors impacting the survival of COVID-19 patients with acute respiratory distress síndrome, or ARDS (CARDS) to ICU compared to non-COVID-19 ARDS patients. Methods: Clinical variables from 1,008 CARDS cases and 332 ARDS cases were computed using learning...

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Publicado en:Canadian Journal of Respiratory Therapy Vol. 60; pp. 112 - 122
Autores principales: Navas Boada, Paulo, Chamorro, Kevin, Ballaz, Santiago
Formato: research tables/charts Journal Article
Publicado: Canadian Society of Respiratory Therapists 2024
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Canadian Journal of Respiratory Therapy
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      dt: 2024
      vid: 60
      pid: 13751
      pub: Canadian Society of Respiratory Therapists
      place: Ottawa, Ontario
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        10.29390/001c.122402
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        atl: Survival analysis of COVID-19 versus non-COVID-19 patients requiring intensive care for acute respiratory distress syndrome: An observational retrospective study.
      aug:
        au:
          Navas Boada, Paulo
          Chamorro, Kevin
          Ballaz, Santiago
        affil: School of Biological Sciences and Engineering Universidad Yachay Tech
      sug:
        subj:
          COVID-19 Prognosis
          Intensive Care Units
          Respiratory Distress Syndrome, Acute Therapy
          Human
          Nonexperimental Studies
          Retrospective Design
          Algorithms
          Cox Proportional Hazards Model
          Risk Assessment
          Hospital Mortality
          Survival Analysis
          Random Forest
          Respiration, Artificial
          Superinfection
          Oxygenation
          Shock, Septic
          Multivariate Analysis
          T-Tests
          Kaplan-Meier Estimator
          Male
          Female
          Chi Square Test
          Middle Age
          Aged
          Adult
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adult: 19-44 years
          Male
          Female
      ab: Background/Aim: This study analyzed clinical factors impacting the survival of COVID-19 patients with acute respiratory distress síndrome, or ARDS (CARDS) to ICU compared to non-COVID-19 ARDS patients. Methods: Clinical variables from 1,008 CARDS cases and 332 ARDS cases were computed using learning algorithms. The multivariable Cox proportional hazards regression models with the enter method evaluated risk factors and ICU mortality relationships. The survival analysis was completed with Kaplan-Meier and the log-rank tests. Results: A Random Forest model revealed that mechanical ventilation-related factors, oxygenation, blood pH, superinfection, shock, and ICU length of stay have the greatest effects on ICU survival. According to a multivariate Cox model, reintubation and a high-flow nasal cannula were essential for survival in CARDS patients during the ICU stay. The length of stay in the ICU diminishes in patients older than 45 years, regardless of the source of ARDS. Conclusion: This study gives recommendations for the respiratory care of ARDS in COVID-19 patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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