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Clinical Mortality in a Large COVID-19 Cohort: Observational Study.

Mark P JarrettSusanne SchultzJulie LyallJason J WangLori StierMarcella De GeronimoKaren Nelson
Published in: Journal of medical Internet research (2020)
This study represents one of the largest reviewed cohorts of mortality that also captures data in nonstructured fields. Approximately 50% of deaths occurred at a non-ICU level of care despite admission to the appropriate care setting with normal staffing. The data imply a sudden, unexpected deterioration in respiratory status requiring RRT/CA in a large number of non-ICU patients. Patients admitted at a non-ICU level of care suffered rapid clinical deterioration, often with a sudden decrease in oxygen saturation. These patients could benefit from additional monitoring (eg, continuous central oxygenation saturation), although this approach warrants further study.
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