Assessing the need for transfer to the intensive care unit for Coronavirus-19 disease: Epidemiology and risk factors. (Record no. 5835)

MARC details
000 -LEADER
fixed length control field 04208nam a22007097a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 201229s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0954-6111
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.rmed.2020.106203 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC7588314 [pmc]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0954-6111(20)30343-7 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33147562
245 ## - TITLE STATEMENT
Title Assessing the need for transfer to the intensive care unit for Coronavirus-19 disease: Epidemiology and risk factors.
251 ## - Source
Source Respiratory Medicine. 174:106203, 2020 Nov - Dec.
252 ## - Abbreviated Source
Abbreviated source Respir Med. 174:106203, 2020 Nov - Dec.
252 ## - Abbreviated Source
Former abbreviated source Respir Med. 174:106203, 2020 Oct 27.
253 ## - Journal Name
Journal name Respiratory medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2020-12-29
268 ## - Previous citation
-- Respiratory Medicine. 174:106203, 2020 Oct 27.
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Although many patients with coronavirus disease 2019 (Covid-19) require direct admission to the intensive care unit (ICU), some are sent after admission. Clinicians require an understanding of this phenomenon and various risk stratification approaches for recognizing these subjects.
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: Covid-19 patients admitted to general wards face a significant risk for deterioration necessitating ICU admission and respiratory failure can occur late in this disease. Neither baseline clinical factors nor the CURB-65 score perform well as screening tests to categorize these subjects as likely to progress to ICU care. Copyright (c) 2020. Published by Elsevier Ltd.
520 ## - SUMMARY, ETC.
Abstract METHODS: We examined all Covid-19 patients sent initially to a ward who subsequently required care in the ICU. We examined the timing transfer and attempted to develop a risk score based on baseline variables to predict progressive disease. We evaluated the utility of the CURB-65 score at identifying the need for ICU transfer.
520 ## - SUMMARY, ETC.
Abstract RESULTS: The cohort included 245 subjects (mean age 59.0 +/- 14.2 years, 61.2% male) and 20% were eventually sent to the ICU. The median time to transfer was 2.5 days. Approximately 1/3rd of patients were not moved until day 4 or later and the main reason for transfer (79.2%) was worsening respiratory failure. A baseline absolute lymphocyte count (ALC) of <=0.8 103/ml and a serum ferritin >=1000 ng/ml were independently associated with ICU transfer. Co-morbid illnesses did not correlate with eventual ICU care. Neither a risk score based on a low ALC and/or high ferritin nor the CURB-65 score performed well at predicting need for transfer.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Intensive Care Units/sn [Statistics & Numerical Data]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Patient Transfer/og [Organization & Administration]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Comorbidity
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Ferritins/bl [Blood]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Hospitalization
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Lymphocyte Count/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Male
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Middle Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pandemics/sn [Statistics & Numerical Data]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Research Design/sn [Statistics & Numerical Data]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Research Design/st [Standards]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Respiratory Insufficiency/ep [Epidemiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Respiratory Insufficiency/et [Etiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Risk Assessment
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Risk Factors
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Time Factors
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/General Internal Medicine
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Pulmonary-Critical Care
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Alnababteh, Muhtadi
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Alunikummannil, Jojo
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Hashmi, Muhammad Daniyal
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Oweis, Emil S
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Shorr, Andrew F
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Vedantam, Karthik
790 ## - Authors
All authors Alnababteh M, Alunikummannil J, Hashmi MD, Oweis ES, Shorr AF, Vedantam K
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.rmed.2020.106203">https://dx.doi.org/10.1016/j.rmed.2020.106203</a>
Public note https://dx.doi.org/10.1016/j.rmed.2020.106203
-- https://dx.doi.org/10.1016/j.rmed.2020.106203
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.rmed.2020.106203">https://dx.doi.org/10.1016/j.rmed.2020.106203</a>
Public note https://dx.doi.org/10.1016/j.rmed.2020.106203
-- https://dx.doi.org/10.1016/j.rmed.2020.106203
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/29/2020   33147562 33147562 12/29/2020 12/29/2020 Journal Article

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