From: Timing and causes of death in severe COVID-19 patients
All patients (n = 287) | Survivors (n = 194) | Deceased in ICU (n = 93) | p | |
---|---|---|---|---|
Age, years | 63 [54–71] | 61.00 [52–69] | 68.00 [61–75] | < 0.01 |
Female gender | 55 (19.2) | 40 (20.6) | 15 (16.1) | 0.46 |
Body mass index | 28 [25–32] | 28 [25–32] | 28 [25–31] | 0.94 |
Comorbid conditions | ||||
Obesity | 168 (61.3) | 116 (62.7) | 52 (58.4) | 0.58 |
Arterial hypertension | 137 (47.7) | 89 (45.9) | 48 (51.6) | 0.43 |
Diabetes mellitus | 84 (29.3) | 54 (27.8) | 30 (32.3) | 0.53 |
Tobacco use | 38 (13.2) | 26 (13.4) | 12 (12.9) | 1 |
COPD | 34 (11.8) | 22 (11.3) | 12 (12.9) | 0.85 |
Chronic kidney disease | 22 (7.7) | 11 (5.7) | 11 (11.8) | 0.11 |
Cirrhosis | 2 (0.7) | 1 (0.5) | 1 (1.1) | 1 |
Characteristics on ICU admission | ||||
SAPS2, points | 59 [29–53] | 36 [28–46] | 47 [38–63] | < 0.01 |
SOFA, points | 6 [4–9] | 5 [3–8] | 8 [5–10] | < 0.01 |
Initial P/F ratio | 103 [76–150] | 113 [80–150] | 86 [70–124] | < 0.01 |
Interval from symptom onset to ICU admission | 7 [4–10] | 7 [4–10] | 7 [4–10] | 0.93 |
ICU management | ||||
Mechanical ventilation | 262 (91.3) | 170 (87.6) | 92 (98.9) | < 0.01 |
Norepinephrine | 217 (75.9) | 130 (67.4) | 87 (93.5) | < 0.01 |
Neuromuscular blockade | 244 (85.0) | 154 (79.4) | 90 (96.8) | < 0.01 |
Prone positioning | 194 (67.6) | 113 (58.2) | 81 (87.1) | < 0.01 |
Extracorporeal membrane oxygenation | 25 (8.7) | 11 (6.4) | 14 (15.7) | 0.03 |
Renal replacement therapy | 82 (28.6) | 38 (19.6) | 44 (47.3) | < 0.01 |
Specific treatment | ||||
Hydroxychloroquine | 84 (29.3) | 55 (28.5) | 29 (31.5) | 0.70 |
Azithromycin | 75 (26.1) | 48 (24.9) | 27 (29.3) | 0.51 |
Lopinavir/ritonavir | 61 (21.3) | 33 (17.1) | 28 (30.4) | 0.02 |
Corticosteroids | 55 (19.2) | 31 (18.0) | 24 (27.3) | 0.12 |
Remdesivir | 10 (3.4) | 9 (4.7) | 1 (1.1) | 0.23 |
Tocilizumab | 8 (2.8) | 3 (1.6) | 5 (5.4) | 0.14 |
Outcomes | ||||
Length of stay, days | 19 [10–30] | 19 [12–31] | 15 [7–27] | 0.04 |
Duration of mechanical ventilation, days | 16 [8–28] | 16 [9–28] | 15 [7–27] | 0.75 |
Secondary infection | 151 (53.0) | 97 (50.3) | 54 (58.7) | 0.23 |
End-of-life decision | 42 (14.6) | 0 (0) | 42 (45.2) | < 0.01 |