Critical Care Transport of Patients With COVID-19
Purpose: Critical care transport is associated with a high rate of adverse events, and the risks and outcomes of transporting critically ill patients during the COVID-19 pandemic have not been previously described. Materials and Methods: We performed a retrospective review of transports of subjects...
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| Veröffentlicht in: | Journal of intensive care medicine 2021-06, Vol.36 (6), p.704-710 |
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| container_title | Journal of intensive care medicine |
| container_volume | 36 |
| creator | Frakes, Michael A. Richards, Jeremy B. Cocchi, Michael N. Cohen, Ari Cohen, Jason E. Dargin, James Friedman, Franklin D. Kaye, Adam S. Rettig, Jordan S. Seethala, Raghu Wilcox, Susan R. |
| description | Purpose:
Critical care transport is associated with a high rate of adverse events, and the risks and outcomes of transporting critically ill patients during the COVID-19 pandemic have not been previously described.
Materials and Methods:
We performed a retrospective review of transports of subjects with suspected or confirmed COVID-19 from sending hospitals to tertiary care hospitals in Boston. Follow-up data were obtained for patients transported between March 1st and April 20th, 2020.
Results:
Of 254 charts identified, 250 patients were transported. Nine patients (3.5%) had cardiac arrest prior to transport. Twenty-nine (11.6%) had hypotension, 22 (8.8%) had a critical desaturation, and 4 (1.6%) had both en route. Hospital follow-up data were available for 189 patients. Of those intubated during their hospitalization, 44 (25.0%) had died, 59 (33.5%) had been extubated, and 13 (17.6%) had been discharged alive. For the subgroup with prior cardiac arrest, follow-up data available for 6. Of these 6, 2 died and 4 (66.7%) have been discharged alive.
Conclusions:
Few patients with COVID-19 had an adverse event in transport. The in-hospital mortality rate was 25%, with a 33.5% extubation rate. Patients resuscitated from cardiac arrest prior to transport had a 66.7% discharge rate among those transported to consortium hospitals. |
| doi_str_mv | 10.1177/08850666211001797 |
| format | Article |
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Critical care transport is associated with a high rate of adverse events, and the risks and outcomes of transporting critically ill patients during the COVID-19 pandemic have not been previously described.
Materials and Methods:
We performed a retrospective review of transports of subjects with suspected or confirmed COVID-19 from sending hospitals to tertiary care hospitals in Boston. Follow-up data were obtained for patients transported between March 1st and April 20th, 2020.
Results:
Of 254 charts identified, 250 patients were transported. Nine patients (3.5%) had cardiac arrest prior to transport. Twenty-nine (11.6%) had hypotension, 22 (8.8%) had a critical desaturation, and 4 (1.6%) had both en route. Hospital follow-up data were available for 189 patients. Of those intubated during their hospitalization, 44 (25.0%) had died, 59 (33.5%) had been extubated, and 13 (17.6%) had been discharged alive. For the subgroup with prior cardiac arrest, follow-up data available for 6. Of these 6, 2 died and 4 (66.7%) have been discharged alive.
Conclusions:
Few patients with COVID-19 had an adverse event in transport. The in-hospital mortality rate was 25%, with a 33.5% extubation rate. Patients resuscitated from cardiac arrest prior to transport had a 66.7% discharge rate among those transported to consortium hospitals.</description><identifier>ISSN: 0885-0666</identifier><identifier>EISSN: 1525-1489</identifier><identifier>DOI: 10.1177/08850666211001797</identifier><identifier>PMID: 33745381</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; COVID-19 - complications ; COVID-19 - mortality ; COVID-19 - therapy ; Critical Care ; Female ; Hospital Mortality ; Hospitalization ; Humans ; Male ; Middle Aged ; Patient Transfer ; Respiration, Artificial ; Retrospective Studies ; Transportation of Patients ; Young Adult</subject><ispartof>Journal of intensive care medicine, 2021-06, Vol.36 (6), p.704-710</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c383t-4974790a6a2d894fc237a5235d14dbb130a130edd5385fc59243040195de22463</citedby><cites>FETCH-LOGICAL-c383t-4974790a6a2d894fc237a5235d14dbb130a130edd5385fc59243040195de22463</cites><orcidid>0000-0002-5541-5209 ; 0000-0001-7477-7531 ; 0000-0002-3501-7094 ; 0000-0002-8922-1955</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/08850666211001797$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/08850666211001797$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33745381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frakes, Michael A.</creatorcontrib><creatorcontrib>Richards, Jeremy B.</creatorcontrib><creatorcontrib>Cocchi, Michael N.</creatorcontrib><creatorcontrib>Cohen, Ari</creatorcontrib><creatorcontrib>Cohen, Jason E.</creatorcontrib><creatorcontrib>Dargin, James</creatorcontrib><creatorcontrib>Friedman, Franklin D.</creatorcontrib><creatorcontrib>Kaye, Adam S.</creatorcontrib><creatorcontrib>Rettig, Jordan S.</creatorcontrib><creatorcontrib>Seethala, Raghu</creatorcontrib><creatorcontrib>Wilcox, Susan R.</creatorcontrib><title>Critical Care Transport of Patients With COVID-19</title><title>Journal of intensive care medicine</title><addtitle>J Intensive Care Med</addtitle><description>Purpose:
Critical care transport is associated with a high rate of adverse events, and the risks and outcomes of transporting critically ill patients during the COVID-19 pandemic have not been previously described.
Materials and Methods:
We performed a retrospective review of transports of subjects with suspected or confirmed COVID-19 from sending hospitals to tertiary care hospitals in Boston. Follow-up data were obtained for patients transported between March 1st and April 20th, 2020.
Results:
Of 254 charts identified, 250 patients were transported. Nine patients (3.5%) had cardiac arrest prior to transport. Twenty-nine (11.6%) had hypotension, 22 (8.8%) had a critical desaturation, and 4 (1.6%) had both en route. Hospital follow-up data were available for 189 patients. Of those intubated during their hospitalization, 44 (25.0%) had died, 59 (33.5%) had been extubated, and 13 (17.6%) had been discharged alive. For the subgroup with prior cardiac arrest, follow-up data available for 6. Of these 6, 2 died and 4 (66.7%) have been discharged alive.
Conclusions:
Few patients with COVID-19 had an adverse event in transport. The in-hospital mortality rate was 25%, with a 33.5% extubation rate. Patients resuscitated from cardiac arrest prior to transport had a 66.7% discharge rate among those transported to consortium hospitals.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>COVID-19 - complications</subject><subject>COVID-19 - mortality</subject><subject>COVID-19 - therapy</subject><subject>Critical Care</subject><subject>Female</subject><subject>Hospital Mortality</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Transfer</subject><subject>Respiration, Artificial</subject><subject>Retrospective Studies</subject><subject>Transportation of Patients</subject><subject>Young Adult</subject><issn>0885-0666</issn><issn>1525-1489</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAUhS0EoqXwA1hQRpYUXz_ieEThValSGQqMlhM7kCqPYjsD_x5XLSxIDFd3uN85uucgdAl4DiDEDc5zjrMsIwAYg5DiCE2BE54Cy-Uxmu7u6Q6YoDPvN5GhhMIpmlAqGKc5TBEUrglNpduk0M4ma6d7vx1cSIY6edahsX3wyVsTPpJi9bq4S0Geo5Nat95eHPYMvTzcr4undLl6XBS3y7SiOQ0pk4IJiXWmicklqytCheaEcgPMlCVQrONYY-IfvK64JIxihkFyYwlhGZ2h673v1g2fo_VBdY2vbNvq3g6jV4RjmgkpGY4o7NHKDd47W6utazrtvhRgtWtK_Wkqaq4O9mPZWfOr-KkmAvM94PW7VZthdH2M-4_jNzoZbE4</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Frakes, Michael A.</creator><creator>Richards, Jeremy B.</creator><creator>Cocchi, Michael N.</creator><creator>Cohen, Ari</creator><creator>Cohen, Jason E.</creator><creator>Dargin, James</creator><creator>Friedman, Franklin D.</creator><creator>Kaye, Adam S.</creator><creator>Rettig, Jordan S.</creator><creator>Seethala, Raghu</creator><creator>Wilcox, Susan R.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5541-5209</orcidid><orcidid>https://orcid.org/0000-0001-7477-7531</orcidid><orcidid>https://orcid.org/0000-0002-3501-7094</orcidid><orcidid>https://orcid.org/0000-0002-8922-1955</orcidid></search><sort><creationdate>202106</creationdate><title>Critical Care Transport of Patients With COVID-19</title><author>Frakes, Michael A. ; Richards, Jeremy B. ; Cocchi, Michael N. ; Cohen, Ari ; Cohen, Jason E. ; Dargin, James ; Friedman, Franklin D. ; Kaye, Adam S. ; Rettig, Jordan S. ; Seethala, Raghu ; Wilcox, Susan R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-4974790a6a2d894fc237a5235d14dbb130a130edd5385fc59243040195de22463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>COVID-19 - complications</topic><topic>COVID-19 - mortality</topic><topic>COVID-19 - therapy</topic><topic>Critical Care</topic><topic>Female</topic><topic>Hospital Mortality</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Transfer</topic><topic>Respiration, Artificial</topic><topic>Retrospective Studies</topic><topic>Transportation of Patients</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frakes, Michael A.</creatorcontrib><creatorcontrib>Richards, Jeremy B.</creatorcontrib><creatorcontrib>Cocchi, Michael N.</creatorcontrib><creatorcontrib>Cohen, Ari</creatorcontrib><creatorcontrib>Cohen, Jason E.</creatorcontrib><creatorcontrib>Dargin, James</creatorcontrib><creatorcontrib>Friedman, Franklin D.</creatorcontrib><creatorcontrib>Kaye, Adam S.</creatorcontrib><creatorcontrib>Rettig, Jordan S.</creatorcontrib><creatorcontrib>Seethala, Raghu</creatorcontrib><creatorcontrib>Wilcox, Susan R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frakes, Michael A.</au><au>Richards, Jeremy B.</au><au>Cocchi, Michael N.</au><au>Cohen, Ari</au><au>Cohen, Jason E.</au><au>Dargin, James</au><au>Friedman, Franklin D.</au><au>Kaye, Adam S.</au><au>Rettig, Jordan S.</au><au>Seethala, Raghu</au><au>Wilcox, Susan R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Critical Care Transport of Patients With COVID-19</atitle><jtitle>Journal of intensive care medicine</jtitle><addtitle>J Intensive Care Med</addtitle><date>2021-06</date><risdate>2021</risdate><volume>36</volume><issue>6</issue><spage>704</spage><epage>710</epage><pages>704-710</pages><issn>0885-0666</issn><eissn>1525-1489</eissn><abstract>Purpose:
Critical care transport is associated with a high rate of adverse events, and the risks and outcomes of transporting critically ill patients during the COVID-19 pandemic have not been previously described.
Materials and Methods:
We performed a retrospective review of transports of subjects with suspected or confirmed COVID-19 from sending hospitals to tertiary care hospitals in Boston. Follow-up data were obtained for patients transported between March 1st and April 20th, 2020.
Results:
Of 254 charts identified, 250 patients were transported. Nine patients (3.5%) had cardiac arrest prior to transport. Twenty-nine (11.6%) had hypotension, 22 (8.8%) had a critical desaturation, and 4 (1.6%) had both en route. Hospital follow-up data were available for 189 patients. Of those intubated during their hospitalization, 44 (25.0%) had died, 59 (33.5%) had been extubated, and 13 (17.6%) had been discharged alive. For the subgroup with prior cardiac arrest, follow-up data available for 6. Of these 6, 2 died and 4 (66.7%) have been discharged alive.
Conclusions:
Few patients with COVID-19 had an adverse event in transport. The in-hospital mortality rate was 25%, with a 33.5% extubation rate. Patients resuscitated from cardiac arrest prior to transport had a 66.7% discharge rate among those transported to consortium hospitals.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>33745381</pmid><doi>10.1177/08850666211001797</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5541-5209</orcidid><orcidid>https://orcid.org/0000-0001-7477-7531</orcidid><orcidid>https://orcid.org/0000-0002-3501-7094</orcidid><orcidid>https://orcid.org/0000-0002-8922-1955</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of intensive care medicine, 2021-06, Vol.36 (6), p.704-710 |
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| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adult Aged Aged, 80 and over COVID-19 - complications COVID-19 - mortality COVID-19 - therapy Critical Care Female Hospital Mortality Hospitalization Humans Male Middle Aged Patient Transfer Respiration, Artificial Retrospective Studies Transportation of Patients Young Adult |
| title | Critical Care Transport of Patients With COVID-19 |
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