Respiratory failure & ventilation

Outcomes and predictors of mortality in patients with severe COVID-19 and chronic obstructive pulmonary disease (COPD) admitted to ICU: A multicenter study

Anaesth Crit Care Pain MedPublished Multicentre observational cohort study

Main finding · 90-day mortality predictors in COPD (95% with ARDS due to COVID-19)Result — go to the resultHazard ratio 0.54 95% CI 0.31–0.95

Authors' conclusion

In COPD patients with ARDS due to COVID-19, the use of HFNC was associated with a better prognosis.

Study context

Population
Patients hospitalized with COVID-19 in 55 Spanish intensive care units (ICUs)
Participants
6,512 patients · 55 Spanish ICUs
Exposure
COPD vs other chronic respiratory diseases (CRD) vs No CRD; within COPD, predictors of 90-day mortality
  • COPDn = 328
  • CRDn = 547
  • No CRDn = 5,124reference
Outcome
Clinical predictors for 90-day mortality, focusing on the COPD group
Follow-up
90 days
Methodological details55 Spanish ICUs, propensity score matching
  • 55 Spanish ICUs
  • Propensity score matching

Main finding

As reported in the abstract

90-day mortality predictors in COPD (95% with Acute Respiratory Distress Syndrome (ARDS) due to COVID-19)

Hazard ratio

0.54

95% CI 0.31–0.95

HFNC
HR 0.54 (95% CI 0.31–0.95)

Observational data: associations, not effects.

Further findings

Mortality by respiratory comorbidity — COPD
50%

Mortality by respiratory comorbidity

33% mortality in those with other CRD and those without respiratory comorbidities (No CRD)

Original publication

Outcomes and predictors of mortality in patients with severe COVID-19 and COPD admitted to ICU: A multicenter study. Anaesth Crit Care Pain Med. Published 22 May 2025. doi:10.1016/j.accpm.2025.101558

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