Factors Associated with 90-Day Mortality in Invasively Ventilated Patients with COVID-19 in Marseille, France - Aix-Marseille Université Access content directly
Journal Articles Journal of Clinical Medicine Year : 2021

Factors Associated with 90-Day Mortality in Invasively Ventilated Patients with COVID-19 in Marseille, France

Maxime Volff
  • Function : Author
David Tonon
  • Function : Author
Youri Bommel
  • Function : Author
Noémie Peres
  • Function : Author
David Lagier
  • Function : Author
Geoffray Agard
  • Function : Author
Julien Carvelli
  • Function : Author
Howard Max
  • Function : Author
Pierre Simeone
  • Function : Author
Valery Blasco
  • Function : Author
Bruno Pastene
Anderson Loundou
Laurent Boyer
Lionel Velly
Jérémy Bourenne
Nicolas Bruder
  • Function : Author
  • PersonId : 946607

Abstract

OBJECTIVES: To describe clinical characteristics and management of intensive care units (ICU) patients with laboratory-confirmed COVID-19 and to determine 90-day mortality after ICU admission and associated risk factors. METHODS: This observational retrospective study was conducted in six intensive care units (ICUs) in three university hospitals in Marseille, France. Between 10 March and 10 May 2020, all adult patients admitted in ICU with laboratory-confirmed SARS-CoV-2 and respiratory failure were eligible for inclusion. The statistical analysis was focused on the mechanically ventilated patients. The primary outcome was the 90-day mortality after ICU admission. RESULTS: Included in the study were 172 patients with COVID-19 related respiratory failure, 117 of whom (67%) received invasive mechanical ventilation. 90-day mortality of the invasively ventilated patients was 27.4%. Median duration of ventilation and median length of stay in ICU for these patients were 20 (9-33) days and 29 (17-46) days. Mortality increased with the severity of ARDS at ICU admission. After multivariable analysis was carried out, risk factors associated with 90-day mortality were age, elevated Charlson comorbidity index, chronic statins intake and occurrence of an arterial thrombosis. CONCLUSION: In this cohort, age and number of comorbidities were the main predictors of mortality in invasively ventilated patients. The only modifiable factor associated with mortality in multivariate analysis was arterial thrombosis.
Fichier principal
Vignette du fichier
jcm-10-05650.pdf (943.08 Ko) Télécharger le fichier
Origin : Publisher files allowed on an open archive
Licence : CC BY - Attribution

Dates and versions

hal-03591711 , version 1 (29-06-2023)

Licence

Attribution

Identifiers

Cite

Maxime Volff, David Tonon, Youri Bommel, Noémie Peres, David Lagier, et al.. Factors Associated with 90-Day Mortality in Invasively Ventilated Patients with COVID-19 in Marseille, France. Journal of Clinical Medicine, 2021, 10 (23), pp.5650. ⟨10.3390/jcm10235650⟩. ⟨hal-03591711⟩
41 View
14 Download

Altmetric

Share

Gmail Facebook X LinkedIn More