ICU sedation, delirium & recovery

Mass Medical Evacuations to Decrease the Intensive Care Burden: Results From the Mass Transfer of COVID-19 Patients (TRANSCOV) Cohort Study

ChestPublished Retrospective cohort study

Main findingResult — go to the resultAdjusted incidence rate ratio 0.14 95% CI 0.10–0.19

Authors' conclusion

Although the selection of healthier patients likely contributed to better survival, removal from an overcrowded care environment probably also explains the large survival benefit associated with transfer.

Study context

Population
ICU patients with COVID-19 in France during the first epidemic wave (spring 2020)
Participants
285 vs 667
Exposure
ICU-to-ICU mass transfer vs no transfer
  • Transferredn = 285
  • Controln = 667reference
Outcome
ICU case fatality
Follow-up
28 days
Methodological detailsmulticentre, matched controls
  • Multicentre
  • Matched controls

Main finding

As reported in the abstract

Adjusted incidence rate ratio

0.14

95% CI 0.10–0.19

Transferred vs Control
adjusted IRR 0.14 (95% CI 0.10–0.19)

Observational data: associations, not effects.

Further findings

ICU stay longer in transferred patients

Safety

AKI

P < 0.0001

Delirium, psychiatric disorders, NMB exposure

More frequent in transferred patients than control patients

Original publication

Mass Medical Evacuations to Decrease the Intensive Care Burden: Results From the Mass Transfer of COVID-19 Patients (TRANSCOV) Cohort Study. Chest. Published 10 September 2025. doi:10.1016/j.chest.2025.08.023

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

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