Impact of the gamma variant on the icu admission in a hospital of the autonomous city of Buenos Aires (Caba), Argentina
<p>Objectives: Comparison between patients admitted to the Intensive Care Unit (ICU) with ventilatory support during the first and second wave (Gamma variant) of COVID 19 in a tertiary hospital in the City of Buenos Aires.</p><p>Design: Descriptive, observational, prospective cohor...
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Global Journal of Infectious Diseases and Clinical Research - Peertechz Publications,
2021-11-18.
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| LEADER | 00000 am a22000003u 4500 | ||
|---|---|---|---|
| 001 | peertech__10_17352_2455-5363_000048 | ||
| 042 | |a dc | ||
| 100 | 1 | 0 | |a Verónica Mandich |e author |
| 700 | 1 | 0 | |a Daniel Chiacchiara |e author |
| 700 | 1 | 0 | |a Antonio Pilipec |e author |
| 700 | 1 | 0 | |a Santiago Grimaldi |e author |
| 700 | 1 | 0 | |a Johnny Cotez |e author |
| 700 | 1 | 0 | |a Víctor Paniouk |e author |
| 700 | 1 | 0 | |a Oswaldo Escobar |e author |
| 700 | 1 | 0 | |a Henry Arévalo |e author |
| 700 | 1 | 0 | |a Sebastián Pérez Flach |e author |
| 700 | 1 | 0 | |a Amílcar Herbas Pozo |e author |
| 700 | 1 | 0 | |a Alejandro Aimar |e author |
| 700 | 1 | 0 | |a Marcelo Bravo |e author |
| 245 | 0 | 0 | |a Impact of the gamma variant on the icu admission in a hospital of the autonomous city of Buenos Aires (Caba), Argentina |
| 260 | |b Global Journal of Infectious Diseases and Clinical Research - Peertechz Publications, |c 2021-11-18. | ||
| 520 | |a <p>Objectives: Comparison between patients admitted to the Intensive Care Unit (ICU) with ventilatory support during the first and second wave (Gamma variant) of COVID 19 in a tertiary hospital in the City of Buenos Aires.</p><p>Design: Descriptive, observational, prospective cohort study.</p><p>Setting: ICU of an acute general hospital in Argentina.</p><p>Patients: Adult patients with COVID-19 admitted consecutively to the ICU.</p><p>Intervention: Admission to ICU.</p><p>Main variables of interest: Demographic and laboratory data, history, duration of MV, mortality.</p><p>Results: 44 patients were recruited during the first wave, and 80 in the second. Significant differences were observed in the second wave for age (60, [SD 11]; vs 68 [SD 11]; p <0.01), days with symptoms (9 [SD 5]; vs 4.5 [SD 3]; p <0.01), duration of MV (10 days [SD 7]; vs 16 [SD 13]; p <0.01), Ferritin (1450 mcg / l [SD 547]; vs 941 mcg / l [ SD 593]; p 0.04) and use of antibiotics (97% vs 45% p <0.01). There was no difference in mortality (66% vs 78% p 0.14) but there was in its primary causes; being more frequent hypoxemia associated with sepsis in the second wave (40% vs 3.4% p <0.01) and hypoxemia and multiorgan failure in the first (28% vs 4% p <0.01).</p><p>Conclusions: During the second wave of the pandemic, due to Gamma variant, more patients were admitted to our unit, younger, with a longer evolution time, a shorter time on MV and a greater inflammatory response, with no difference in mortality, although there was a difference in its causes.</p> | ||
| 540 | |a Copyright © Verónica Mandich et al. | ||
| 546 | |a en | ||
| 655 | 7 | |a Research Article |2 local | |
| 856 | 4 | 1 | |u https://doi.org/10.17352/2455-5363.000048 |z Connect to this object online. |