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Intensive care unit hospitalizations and outcomes in patients with severe COVID-19 during summer and fall surges in Georgia

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World Journal of Critical Care Medicine 2021年第6期10卷 369-376页

作者： Titilope Olanipekun Temidayo Ayotomiwa Abe Valery Sammah Effoe Joffi E Musonge-Effoe Agusiegbe Chuks esther kwara Alexandra Caldwell Samed Obeng Nicolas Bakinde Gloria Westney Richard Snyder Department of Hospital Medicine Covenant Health SystemKnoxvilleTNCovenant Health SystemKnoxvilleTX 37922United States Department of Medicine Morehouse School of MedicineAtlantaGA 30310United States Department of Cardiology Morehouse School of MedicineAtlantaGA 30310United States Department of Clinical Research Morehouse School of MedicineAtlantaGA 30310United States Department of Medicine Pulmonary and Critical Care SectionMorehouse School of MedicineAtlantaGA 30310United States

BACKGROUND There is limited data on the difference in the clinical characteristics and outcomes of patients with severe coronavirus disease 2019(COVID-19)infection in the summer compared to the fall *** To compare the sociodemographic,clinical characteristics,and outcomes among mechanically ventilated patients with severe COVID-19 infection admitted to the intensive care unit(ICU)during the summer and fall surges in the year *** We included patients admitted to the ICU and treated with invasive mechanical ventilation for COVID-19 associated respiratory failure between April 1 and December 31,*** were categorized into summer surge for ICU admissions between June 15,2020,and August 15,2020,and fall surge between October 15,2020,and December 31,*** compared patients'characteristics and outcomes using descriptive and inferential *** A total of 220 patients were admitted to the Grady Memorial Hospital ICU and mechanically ventilated for COVID-19 associated hypoxemic respiratory failure during the period considered(125 during the summer surge and 95 during the fall surge).More women were admitted in the fall compared to summer(41.1%vs 36.8%,difference,4.3%;95%CI:1.2,7.5).Patients admitted in the fall had fewer comorbidities(chronic obstructive pulmonary disease,stroke,diabetes mellitus,obstructive sleep apnea and body mass index≥35 kg/m2).Overall,patients in the fall had a lower ICU mortality rate(27.4%vs 38.4%,difference,-11.0;95%CI:-6.4,-18.2),shorter length of stay on the mechanical ventilator(7 d vs 11 d,difference,4 d;95% CI:2.1,6.6)and shorter ICU length of stay(9 d vs 14 d,difference,5 d;95% CI:2.7,9.4).CONCLUSION Patients admitted with severe COVID-19 infection requiring mechanical ventilation had better outcomes in the fall than *** difference observed is likely attributable to a better understanding of the condition and advances in treatment strategies.

关键词： COVID-19 COVID-19 surge Georgia Intensive care unit Mechanical ventilation

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Journal of Integrative Nursing 2024年第3期6卷 169-177页

作者： Oluwaseyi Abiodun AKPOR Ishaq Ajibola AFOLAYAN Funmilayo Abimbola IBITOBA Oghenerobor Benjamin AKPOR Olubukola esther ABIODUN-OJO Department of Nursing Science Afe Babalola UniversityAdo-ekitiEkiti StateNigeria Afe Babalola University Ado-ekitiEkiti StateNigeria

Objective:The study assessed the quality of life(QoL)and coping strategies of patients on hemodialysis in selected hospitals in Ilorin,kwara ***:The study was a descriptive cross-sectional design using a quantitative strategy.A multistage sampling technique was adopted to select 80 *** data were collected using an adapted questionnaire including four sections:sociodemographic characteristics,hemodialysis stressor scale consisting of four stressors,Jaloweic Coping Scale consisting of eight coping strategies,and QoL consisting of four *** data were analyzed using SPSS version ***:Findings from the study revealed that 50%of the participants were between the ages of 18 and 39 years,40%of the participants have been on hemodialysis for 1-2 years,whereas 52.5%had hypertension as a comorbidity.A total of 12.5%,63.8%,and 23.8%of the respondents were categorized as experiencing low,moderate,and high stress due to hemodialysis,*** of the respondents revealed that 49.4%had no problem in self-care *** monthly income(χ^(2)=16.36,P=0.04)was observed to be significantly associated with coping strategies,whereas religion(χ^(2)=11.14,P=0.03)and frequency of hemodialysis(χ^(2)=10.26,P=0.04)were significantly associated with coping ***:All participants experienced stress at varying *** results in marked changes in the quality of patients’life,since it includes a number of modifications and restrictions,which affects patients’health *** study revealed a wide range of information on the psychological and physiological stressors of people under hemodialysis.

关键词： Chronic renal failure coping strategies health-related quality of life hemodialysis

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