Sepsis & infection

Trends in clinical characteristics and outcomes of all critically ill COVID-19 adult patients hospitalized in France between March 2020 and June 2021: a national database study

Ann Intensive CarePublished Retrospective cohort study

An erratum to this article was published (Ann Intensive Care, 19 Mar 2023 ↗)

Authors' conclusion

In this large database of ICU patients admitted for COVID-19, we observed a decline in invasive mechanical ventilation, vasopressors, and RRT use over time but a high risk of in-hospital death. Vaccination was identified as protective against the risk of invasive mechanical ventilation and in-hospital death.

Study context

Population
All adults with COVID-19 hospitalised in French ICUs, March 1, 2020 to June 30, 2021
Participants
105,979 adults
Exposure
Three COVID-19 surge periods
Outcome
In-hospital mortality
Methodological detailsnational database
  • National database

Main finding

As reported in the abstract

Surge 1

24%

Observational data: associations, not effects.

Secondary outcomes

OutcomeP value
Invasive mechanical ventilation as highest level of respiratory support · whole periodSurge 1 vs Surge 3 · across the three surge periodsP < 0.001

Invasive mechanical ventilation as highest level of respiratory support · whole period

Adjusted, time period associated with less invasive mechanical ventilation

Vasopressor use

Decline in the use of vasopressors over time

Invasive mechanical ventilation, vaccinated vs not

Vaccination against COVID-19, adjusted sub-hazard ratio (aSHR)
0.64 [0.53-0.76]

Intra-hospital death, vaccinated vs not

Vaccination against COVID-19, aSHR
0.80, [0.68-0.95]

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Trends in clinical characteristics and outcomes of all critically ill COVID-19 adult patients hospitalized in France between March 2020 and June 2021: a national database study. Ann Intensive Care. Published 12 January 2023. doi:10.1186/s13613-022-01097-3

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