![]() This made it necessary to implement organizational and care strategies at all levels: primary care, out- and in-hospital emergency care, conventional hospitalization, admission to the Intensive Care Unit (ICU), and hospitalization in unconventional alternative centers or units of different kinds. The enormous number of patients with coronavirus disease 2019 (COVID-19) attended by the healthcare systems of those countries hardest hit by the pandemic caused these systems to become overwhelmed from the early stages. ![]() The pandemic caused by SARS-CoV-2 infection has resulted in the greatest healthcare crisis seen in recent times. ConclusionesĮl perfil de los pacientes COVID fallecidos sin ingresar en UCI se ajustó a lo observado en la práctica médica habitual antes de la pandemia, y las características basales que limitaron su ingreso fueron la edad y la carga de comorbilidad global, especialmente la demencia y el cáncer activo. Los análisis de sensibilidad no mostraron diferencias destacables respecto al análisis principal. En el análisis multivariable, tres de las 20 características basales analizadas se asociaron independientemente con ingreso en UCI de los pacientes fallecidos: demencia (no hubo pacientes fallecidos con demencia que ingresasen en UCI OR = 0, IC 95% = no calculable), cáncer activo (OR = 0,07, IC 95% = 0,02-0,21) y edad ( 2 puntos: OR = 0,09, IC 95% = 0,04-0,23). Se incluyeron los 338 pacientes de la cohorte SIESTA fallecidos de ellos, 77 (22,8%) accedieron a una UCI previamente al fallecimiento. Se identificaron los factores independientes relacionados con ingreso en UCI, y se realizaron diversos análisis de sensibilidad para contrastar la consistencia de los hallazgos del análisis principal. Se recogieron sus características demográficas y comorbilidades, individuales y globalmente, estimadas mediante el índice de comorbilidad de Charlson (ICC). MétodosĪnálisis secundario de los pacientes de la cohorte SIESTA (formada por pacientes COVID de 62 hospitales españoles) fallecidos durante la hospitalización. The basal characteristics limiting their admission were age and global burden due to comorbidity, especially dementia and active cancer.ĭescribir las características demográficas y de comorbilidad de los pacientes con COVID-19 fallecidos en hospitales españoles durante el brote pandémico de 2020 y compararlas según si ingresaron o no en una Unidad de Cuidados Intensivos (UCI) antes del fallecimiento. The profile of COVID-19 patients who died without ICU admission is similar to that observed in the usual medical practice before the pandemic. The sensitivity analyses showed no gross differences compared to the principal analysis. After multivariate adjustment, 3 out of the 20 basal characteristics analyzed in the present study were independently associated with ICU admission: dementia (no patients with dementia who died were admitted to the ICU: OR = 0, 95%CI = not calculable), active cancer (OR = 0.07 95%CI = 0.02–0.21) and age (2 points: OR = 0.09 95%CI = 0.04–0.23). Of these, 77 (22.8%) were admitted to an ICU before dying. We included the 338 patients from the SIESTA cohort that died during hospitalization. Independent factors related to ICU admission were identified and different analyses of sensitivity were performed to contrast the consistency of the findings of the principal analysis. ![]() We collected the demographic characteristics and comorbidities, determined both individually and estimated globally by the Charlson index (ChI). We performed a secondary analysis of COVID-19 patients who died during hospitalization included by 62 Spanish emergency departments in the SIESTA cohort. To describe and compare the demographic characteristics and comorbidities of patients with COVID-19 who died in Spanish hospitals during the 2020 pandemic based on whether they were or were not admitted to an intensive care unit (ICU) prior to death.
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