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Changes in the management and clinical outcomes of critically ill patients without COVID-19 during the pandemic

Overview of attention for article published in Revista Brasileira de Terapia Intensiva, January 2021
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Title
Changes in the management and clinical outcomes of critically ill patients without COVID-19 during the pandemic
Published in
Revista Brasileira de Terapia Intensiva, January 2021
DOI 10.5935/0103-507x.20210006
Pubmed ID
Authors

Iván Alfredo Huespe, Agustina Marco, Eduardo Prado, Indalecio Carboni Bisso, Pablo Coria, Nicolas Gemelli, Eduardo San Román, Marcos José Las Heras

Abstract

To analyze whether changes in medical care due to the application of COVID-19 protocols affected clinical outcomes in patients without COVID-19 during the pandemic. This was a retrospective, observational cohort study carried out in a thirty-eight-bed surgical and medical intensive care unit of a high complexity private hospital. Patients with respiratory failure admitted to the intensive care unit during March and April 2020 and the same months in 2019 were selected. We compared interventions and outcomes of patients without COVID-19 during the pandemic with patients admitted in 2019. The main variables analyzed were intensive care unit respiratory management, number of chest tomography scans and bronchoalveolar lavages, intensive care unit complications, and status at hospital discharge. In 2020, a significant reduction in the use of a high-flow nasal cannula was observed: 14 (42%) in 2019 compared to 1 (3%) in 2020. Additionally, in 2020, a significant increase was observed in the number of patients under mechanical ventilation admitted to the intensive care unit from the emergency department, 23 (69%) compared to 11 (31%) in 2019. Nevertheless, the number of patients with mechanical ventilation after 5 days of admission was similar in both years: 24 (69%) in 2019 and 26 (79%) in 2020. Intensive care unit protocols based on international recommendations for the COVID-19 pandemic have produced a change in non-COVID-19 patient management. We observed a reduction in the use of a high-flow nasal cannula and an increased number of tracheal intubations in the emergency department. However, no changes in the percentage of intubated patients in the intensive care unit, the number of mechanical ventilation days or the length of stay in intensive care unit.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 62 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 62 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 12 19%
Student > Master 5 8%
Researcher 4 6%
Student > Doctoral Student 4 6%
Student > Ph. D. Student 4 6%
Other 8 13%
Unknown 25 40%
Readers by discipline Count As %
Medicine and Dentistry 19 31%
Nursing and Health Professions 6 10%
Pharmacology, Toxicology and Pharmaceutical Science 3 5%
Economics, Econometrics and Finance 2 3%
Unspecified 1 2%
Other 5 8%
Unknown 26 42%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 April 2021.
All research outputs
#22,774,430
of 25,387,668 outputs
Outputs from Revista Brasileira de Terapia Intensiva
#282
of 350 outputs
Outputs of similar age
#448,987
of 519,506 outputs
Outputs of similar age from Revista Brasileira de Terapia Intensiva
#20
of 25 outputs
Altmetric has tracked 25,387,668 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 350 research outputs from this source. They receive a mean Attention Score of 3.4. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 519,506 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 25 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.