Respiratory failure & ventilation

Pulmonary embolism impacts clinical outcomes of intubated patients with acute respiratory distress syndrome related to COVID-19

Anaesth Crit Care Pain MedPublished Retrospective cohort study

Authors' conclusion

The occurrence of PE in patients with ARDS due to COVID-19 had a significant impact on clinical outcomes. They had fewer ventilator-free days, longer duration of IMV, and longer ICU and hospital lengths of stay. However, pulmonary embolism was not associated with higher mortality.

Study context

Population
Intubated patients with acute respiratory distress syndrome (ARDS) due to COVID-19 admitted to the intensive care unit (ICU) of Geneva University Hospitals, March 9, 2020–May 31, 2022
Participants
370 patients
Exposure
Pulmonary embolism (PE) vs no PE
  • PEn = 58
  • No PEn = 312reference
Outcome
Ventilator-free days
Follow-up
First 28 days after ICU admission
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Mortality · did not differ significantly

P = 0.72

Prevalence of PE
15.7% · 58
  • Prevalence of PE: of 370 intubated patients

Duration of IMV, ICU and hospital LOS

Significantly longer with PE

Need for ECMO support

Similar in both groups

Original publication

Pulmonary embolism impacts clinical outcomes of intubated patients with acute respiratory distress syndrome related to COVID-19. Anaesth Crit Care Pain Med. Published 24 January 2024. doi:10.1016/j.accpm.2024.101348

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