Characteristics, treatment, and nursing care of patients infected by Sars-CoV-2 hospitalized in intensive care units: multicenter study of colombian hospitals.
Olga L Cortés, María Del Pilar Paipa, Carolina Mojica and 7 others
PMID 35485621WHAT IT FOUND
Colombian ICU patients with severe or critical SARS-CoV-2 ARDS who died were older, had more cardiopulmonary comorbidities, and received more pronation, ventilation, vasopressors, renal replacement, and enteral feeding; survivors had more oral hygiene and family video calls.
Key findings
01Among 473 analysed ICU patients with severe or critical ARDS due to SARS-CoV-2, 207 died and 266 survived.
02Patients who died had a median age of 68.4 years, versus 59.3 years in survivors, and more hypertension, COPD, cardiomyopathy, arrhythmias, peripheral vascular disease, and higher BMI.
03Deceased patients received more invasive ventilation, pronation, vasopressors, inotropes, renal replacement, and enteral nutrition, and had more pressure ulcers, septic shock, and renal failure; survivors received more oral hygiene and family video calls.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study did not test whether any treatment or nursing action changed survival; it only describes what care patients received. Patients who could not sign consent, including those who died or whose families could not enter the hospital, were excluded, so selection bias is possible. Some data were collected retrospectively from records after death, so information may be incomplete. The study included only a small number of Colombian hospitals, so results may not generalise to other settings. The included count and analysed count differ.
The easy way to misread this
Do not conclude that pronation, mechanical ventilation, vasopressors, inotropes, antibiotics, anticoagulants, renal replacement, enteral feeding, oral hygiene, or family video calls caused death or survival. The study only describes what care each group received and cannot separate the effect of any single treatment or nursing action from disease severity and other treatments.