Intubation outcomes and practice trends during the initial New York SARS-COV-19 surge at an academic, level 1 trauma, urban emergency department.
Jason D'AmoreStephen MeigherElizabeth PattersonSowmya SanapalaMichael TarrDan LeismanMichael JonesJoshua B MoskovitzJoseph OffenbacherJeremy SperlingPublished in: Journal of the American College of Emergency Physicians open (2021)
Our findings demonstrate that several demographic, clinical and laboratory parameters correlated with mortality in our cohort of patients intubated during the initial phase of the COVID-19 pandemic. These included male sex, advanced age, high levels of initial lactic acidosis, elevated D-dimer, and chronic kidney disease/acute kidney injury. In contrast, presenting respiratory characteristics were not correlated with mortality. In addition, our findings demonstrate that physician attitudes and strategies related to COVID-19 airway management evolved significantly and rapidly over the initial phase of the pandemic.
Keyphrases
- sars cov
- end stage renal disease
- emergency department
- chronic kidney disease
- coronavirus disease
- primary care
- peritoneal dialysis
- cardiovascular events
- respiratory syndrome coronavirus
- newly diagnosed
- magnetic resonance
- ejection fraction
- risk factors
- healthcare
- mental health
- patient reported outcomes
- case report
- type diabetes
- quality improvement
- insulin resistance
- electronic health record
- adverse drug
- patient reported