Clinical Mortality in a Large COVID-19 Cohort: Observational Study.
Mark P JarrettSusanne SchultzJulie LyallJason J WangLori StierMarcella De GeronimoKaren NelsonPublished 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.
Keyphrases
- end stage renal disease
- healthcare
- intensive care unit
- palliative care
- newly diagnosed
- chronic kidney disease
- peritoneal dialysis
- coronavirus disease
- quality improvement
- emergency department
- cardiovascular events
- type diabetes
- electronic health record
- pain management
- big data
- sensitive detection
- extracorporeal membrane oxygenation