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 |