Sepsis & infection

Clinical outcomes during and beyond different COVID-19 critical illness variant periods compared with other lower respiratory tract infections

Crit CarePublished Population-based cohort study

Authors' conclusion

Overall, COVID-19 critical was associated with an increased hazard of in-hospital mortality, but among those discharged alive from the hospital, less severe long-term outcomes were observed compared with other LRTIs.

Study context

Population
Intensive Care Unit (ICU)-admitted adults in Stockholm, Sweden, 1 January 2016 to 15 September 2022
Participants
1,421 / 551 / 190 / 223 / 2,380
Exposure
COVID-19 vs other LRTI
  • Wild-typen = 1,421
  • Alphan = 551
  • Deltan = 190
  • Omicronn = 223
  • LRTIn = 2,380reference
Outcome
In-hospital mortality
Methodological detailshealth registries
  • Health registries

Main finding

As reported in the abstract

Each group vs LRTIAdjusted cause-specific hazard ratio (95% CI)
Wild-type
1.33(1.16–1.53)
Alpha
1.53(1.28–1.82)
Delta
1.70(1.30–2.24)
Omicron
1.59(1.24–2.02)

Observational data: associations, not effects.

Further findings

OutcomeValues
Post-discharge mortality (among discharged alive) · 180 daysLRTI 9%
Post-discharge mortality (among discharged alive) — Lower in COVID-19 cohorts
1-3%

Hospital readmission (among discharged alive) · 180 days

Lower in COVID-19 cohorts vs LRTI, cause-specific hazard ratio (CSHRs) ranging
0.42 to 0.68

Days alive and at home (DAAH) · 180 days

All COVID-19 cohorts had more DAAH after vs before the critical illness compared with LRTI

Original publication

Clinical outcomes during and beyond different COVID-19 critical illness variant periods compared with other lower respiratory tract infections. Crit Care. Published 6 November 2023. doi:10.1186/s13054-023-04722-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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