Baseline Characteristics and Outcomes of 1591 Patients Infected With SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy

JAMA - Journal of the American Medical Association - Tập 323 Số 16 - Trang 1574 - 2020
Giacomo Grasselli1,2, Alberto Zangrillo3,4, Alberto Zanella1,2, Massimo Antonelli5,6, Domenico Luca Grieco7, Antonio Castelli8, Danilo Cereda9, Antonio Coluccello10, Giuseppe Citerio11,12, Roberto Fumagalli12, Giorgio Antonio Iotti13, Nicola Latronico14,15, Ferdinando Luca Lorini16, Stefano Merler17, Giuseppe Natalini18, Alessandra Piatti7, Marco Vito Ranieri19, Anna Mara Scandroglio3, Enrico Storti20, Maurizio Cecconi21,22, Antonio Pesenti1,2, Emiliano Agosteo23, Valentina Alaimo23, Giovanni Albano23, A. Albertin23, Armando Alborghetti23, Giorgio Aldegheri23, Benvenuto Antonini23, Enrico Barbara23, Nicolangela Belgiorno23, Mirko Belliato23, Annalisa Benini23, Enrico Beretta23, Leonardo Bianciardi23, Stefano Bonazzi23, Massimo Borelli23, Enrico Boselli23, Nicola Bronzini23, Carlo Capra23, L Carnevale23, Giampaolo Casella23, Gianpaolo Castelli23, E Catena23, Sergio Cattaneo23, Davide Chiumello23, Silvia Cirri23, Sergio Colombo23, Davide Coppini23, Alberto Corona23, Paolo Ferroli23, Elena Costantini23, Remo Daniel Covello23, Gianluca De Filippi23, Marco Poli23, Federica Mura23, Giulia Evasi23, Raquel Fernandez-Olmos23, Andrea Forastieri Molinari23, Marco Galletti23, G Gallioli23, Marco Gemma23, Paolo Gnesin23, Lorenzo Grazioli23, Stefano Greco23, Paolo Gritti23, Paolo Grosso23, Luca Guatteri23, Davide Guzzon23, Fabiola Harizay23, Roberto Keim23, Giovanni Landoni23, Thomas Länger23, Andrea Lombardo23, Annalisa Malara23, Elena Malpetti23, Francesco Marino23, Maurizio Mazzoni23, Guido Merli23, Antonio Micucci23, Francesco Salinaro23, G Pittoni23, Adriana Nailescu23, Mauro Panigada23, Paolo Perazzo23, Giovanni Battista Perego23, Nicola Petrucci23, Angelo Pezzi23, Alessandro Protti23, Danilo Radrizzani23, Maurizio Raimondi23, Marco Ranucci23, Frank Rasulo23, Mario Riccio23, Roberto J. Rona23, Claudio Roscitano23, Patrizia Ruggeri23, Antonello Sala23, Giuseppe Sala23, Luca Salvi23, Pietro Sebastiano23, Paolo Severgnini23, Ilaria Sforzini23, Francesco Donato Sigurtà23, Matteo Subert23, Paola Tagliabue23, Carmine Troiano23, Roberto Valsecchi23, Uberto Viola23, Giovanni Vitale23, Massimo Zambon23, Elena Zoia23
1Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
2Dipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
3Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy
4Vita-Salute San Raffaele University, Milan, Italy
5Department of Anesthesiology Intensive Care and Emergency Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
6Università Cattolica del Sacro Cuore, Rome, Italy
7Università degli Studi dell'Insubria and Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi, Varese, Italy
8Department of Anesthesiology and Intensive Care, ASST Fatebenefratelli Sacco, Luigi Sacco Hospital – Polo Universitario, University of Milan, Milan, Italy
9DG Welfare, Lombardy Region, Milan, Italy
10Department of Anesthesiology and Intensive Care, ASST Cremona - Ospedale di Cremona, Cremona, Italy
11Department of Anesthesia and Intensive Care Medicine, ASST Monza, Monza, Italy
12School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy
13Department of Anaesthesia and Intensive Care Unit, IRCCS San Matteo Hospital and University of Pavia, Pavia, Italy
14Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Spedali Civili University Hospital, Brescia, Italy
15Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
16Department of Anaesthesia and Intensive Care, ASST Papa Giovanni XXIII, Bergamo, Italy
17Bruno Kessler Foundation, Trento, Italy
18Department of Anesthesia and Intensive Care, Fondazione Poliambulanza Hospital, Brescia, Italy
19Anesthesia and Intensive Care Medicine, Policlinico Di Sant’Orsola, Alma Mater Studiorum University of Bologna, Bologna, Italy
20Dipartimento Emergenza Urgenza, UOC Anestesia e Rianimazione, ASST, Lodi, Italy
21Department of Anaesthesia and Intensive Care Medicine, Humanitas Clinical and Research Centre-IRCCS, Rozzano, Milan, Italy
22Humanitas University, Milan, Italy
23for the COVID-19 Lombardy ICU Network

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Tài liệu tham khảo

Grasselli, Critical care utilization for the COVID-19 outbreak in Lombardy, Italy: early experience and forecast during an emergency response., JAMA

Guan, Clinical characteristics of coronavirus disease 2019 in China., N Engl J Med

Huang, 2020, Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China., Lancet, 395, 497, 10.1016/S0140-6736(20)30183-5

Rhodes, 2012, The variability of critical care bed numbers in Europe., Intensive Care Med, 38, 1647, 10.1007/s00134-012-2627-8

Arentz, Characteristics and outcomes of 21 critically ill patients with COVID-19 in Washington State., JAMA

Wang, 2020, Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China., JAMA, 323, 1061, 10.1001/jama.2020.1585

Yang, 2020, Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study., Lancet Respir Med, 10.1016/S2213-2600(20)30079-5

Zhou, 2020, Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study., Lancet, 395, 1054, 10.1016/S0140-6736(20)30566-3

WHO Director-General's opening remarks at the media briefing on COVID-19: 11 March 2020. Published March 11, 2020. Accessed March 30, 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020

Coronavirus COVID-19 global cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins. Updated March 30, 2020. Accessed March 30, 2020. https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6

WHO. Clinical management of severe acute respiratory infection when novel coronavirus (????nCoV)???? infection is suspected: interim guidance, 25 January 2020. Published January 25, 2020. Accessed March 30, 2020. https://apps.who.int/iris/handle/10665/330854

Istituto Superiore di Sanità [Higher Institute of Health]. Integrated surveillance of COVID-19 in Italy. Published March 22, 2020. Accessed March 30, 2020. https://www.epicentro.iss.it/coronavirus/bollettino/Infografica_22marzo%20ENG.pdf