Clinical indicators, nursing diagnoses, and mortality risk in critically ill patients with COVID-19: a retrospective cohort.
Elis Maria Secoti Barioni, Cawana da Silva do Nascimento, Thatiana Lameira Maciel Amaral and 2 others
PMID 35802657WHAT IT FOUND
In 57 ICU patients who died from COVID-19, nursing diagnoses of ineffective protection, ineffective tissue perfusion, contamination, ineffective breathing pattern, impaired spontaneous ventilation, acute confusion, frailty, obesity, and decreased cardiac output were reported as the highest mortality risk.
Monitor these diagnoses.
Key findings
01Nursing diagnoses with the highest mortality risk were ineffective protection, ineffective tissue perfusion, contamination, ineffective breathing pattern, impaired spontaneous ventilation, acute confusion, frailty syndrome, obesity, and decreased cardiac output.
02The main clinical indicators of COVID-19 were dyspnea (80.7%), fever (45.6%), fatigue (24.6%), and cough (22.8%), plus headache, myalgia, loss of appetite, and anosmia.
03Of the 57 patients, 50.0% were over 60 years, 52.6% were hypertensive, 40.3% were diabetic, and 17.5% had cardiorespiratory diseases.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small, with 57 patients. All patients in the sample had died, so there were no surviving ICU patients to compare against. The study used retrospective clinical records, and missing documentation limited some nursing diagnoses. Little information was available for nursing diagnoses related to coping, life principles, and comfort. The paper does not show that the nursing diagnoses caused death or that treating them changed mortality.
The easy way to misread this
Do not read the listed nursing diagnoses as proof that these diagnoses cause death or that nursing interventions targeting them reduce mortality. The study reviewed records of 57 patients who all died, so it shows associations in a severely ill group, not a tested treatment effect.