Clinical characteristics and outcomes of critically ill COVID-19 patients in Sfax, Tunisia.

COVID-19 intensive care unit prognosis respiratory distress

Journal

Acute and critical care
ISSN: 2586-6060
Titre abrégé: Acute Crit Care
Pays: Korea (South)
ID NLM: 101726905

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 23 01 2021
accepted: 11 04 2021
pubmed: 12 8 2021
medline: 12 8 2021
entrez: 11 8 2021
Statut: ppublish

Résumé

Africa, like the rest of the world, has been impacted by the coronavirus disease 2019 (COVID-19) pandemic. However, only a few studies covering this subject in Africa have been published. We conducted a retrospective study of critically ill adult COVID-19 patients-all of whom had a confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection- admitted to the intensive care unit (ICU) of Habib Bourguiba University Hospital (Sfax, Tunisia). A total of 96 patients were admitted into our ICU for respiratory distress due to COVID-19 infection. Mean age was 62.4±12.8 years and median age was 64 years. Mean arterial oxygen tension (PaO2)/fractional inspired oxygen (FiO2) ratio was 105±60 and ≤300 in all cases but one. Oxygen support was required for all patients (100%) and invasive mechanical ventilation for 38 (40%). Prone positioning was applied in 67 patients (70%). Within the study period, 47 of the 96 patients died (49%). Multivariate analysis showed that the factors associated with poor outcome were the development of acute renal failure (odds ratio [OR], 6.7; 95% confidence interval [CI], 1.75-25.9), the use of mechanical ventilation (OR, 5.8; 95% CI, 1.54-22.0), and serum cholinesterase (SChE) activity lower than 5,000 UI/L (OR, 5.0; 95% CI, 1.34-19). In this retrospective cohort study of critically ill patients admitted to the ICU in Sfax, Tunisia, for acute respiratory failure following COVID-19 infection, the mortality rate was high. The development of acute renal failure, the use of mechanical ventilation, and SChE activity lower than 5,000 UI/L were associated with a poor outcome.

Sections du résumé

BACKGROUND BACKGROUND
Africa, like the rest of the world, has been impacted by the coronavirus disease 2019 (COVID-19) pandemic. However, only a few studies covering this subject in Africa have been published.
METHODS METHODS
We conducted a retrospective study of critically ill adult COVID-19 patients-all of whom had a confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection- admitted to the intensive care unit (ICU) of Habib Bourguiba University Hospital (Sfax, Tunisia).
RESULTS RESULTS
A total of 96 patients were admitted into our ICU for respiratory distress due to COVID-19 infection. Mean age was 62.4±12.8 years and median age was 64 years. Mean arterial oxygen tension (PaO2)/fractional inspired oxygen (FiO2) ratio was 105±60 and ≤300 in all cases but one. Oxygen support was required for all patients (100%) and invasive mechanical ventilation for 38 (40%). Prone positioning was applied in 67 patients (70%). Within the study period, 47 of the 96 patients died (49%). Multivariate analysis showed that the factors associated with poor outcome were the development of acute renal failure (odds ratio [OR], 6.7; 95% confidence interval [CI], 1.75-25.9), the use of mechanical ventilation (OR, 5.8; 95% CI, 1.54-22.0), and serum cholinesterase (SChE) activity lower than 5,000 UI/L (OR, 5.0; 95% CI, 1.34-19).
CONCLUSIONS CONCLUSIONS
In this retrospective cohort study of critically ill patients admitted to the ICU in Sfax, Tunisia, for acute respiratory failure following COVID-19 infection, the mortality rate was high. The development of acute renal failure, the use of mechanical ventilation, and SChE activity lower than 5,000 UI/L were associated with a poor outcome.

Identifiants

pubmed: 34380191
pii: acc.2021.00129
doi: 10.4266/acc.2021.00129
pmc: PMC8918704
doi:

Types de publication

Journal Article

Langues

eng

Pagination

84-93

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Auteurs

Mabrouk Bahloul (M)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Sana Kharrat (S)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Kamilia Chtara (K)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Malek Hafdhi (M)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Olfa Turki (O)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Najeh Baccouche (N)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Rania Ammar (R)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Nozha Kallel (N)

Department of Radiology, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Majdi Hsairi (M)

Department of Anesthesiology, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Olfa Chakroun-Walha (O)

Department of Emergency Medicine, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Chokri Ben Hamida (CB)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Hedi Chelly (H)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Khaiereddine Ben Mahfoudh (KB)

Department of Radiology, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Abelhamid Karoui (A)

Department of Anesthesiology, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Hela Karray (H)

Department of Microbiology, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Noureddine Rekik (N)

Department of Emergency Medicine, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Mounir Bouaziz (M)

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Classifications MeSH