Respiratory failure & ventilation

Increased national critical care demands were associated with a higher mortality of intubated COVID-19 patients in Japan: a retrospective observational study

J Intensive CarePublished Retrospective observational study

Authors' conclusion

The national critical care demands were independently associated with the mortality of COVID-19 patients requiring mechanical ventilation. This effect was more pronounced in hospitals with higher baseline risk.

Study context

Population
Mechanically ventilated COVID-19 patients in a Japanese national database, February 6, 2020–May 16, 2023
Participants
8,327 participants · 264 centers
Exposure
Association of national critical care demands and overall medical demands with mortality
Outcome
Mortality
Methodological detailsnational database, multicentre, multivariable logistic regression, generalized linear mixed effect model
  • National database
  • Multicentre
  • Multivariable logistic regression
  • Generalized linear mixed effect model

Main finding

As reported in the abstract

Critical care demands (total number of critically ill COVID-19 patients) independently associated with mortality, OR

1.11

95% CI 1.07–1.16p < 0.001

Overall mortality rate

24%

1990/8327

Observational data: associations, not effects.

Further findings

Variation in effect of critical care demands across hospitals vs baseline risk

Effect of critical care demands on mortality more pronounced in hospitals with higher baseline risk
r = 0.67

Original publication

Increased national critical care demands were associated with a higher mortality of intubated COVID-19 patients in Japan: a retrospective observational study. J Intensive Care. Published 5 November 2024. doi:10.1186/s40560-024-00758-8

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

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