Ventilator avoidance among critically ill COVID-19 patients with acute respiratory distress syndrome.

ABSTRACT:

Objective

To determine the incidence and significance of ventilator avoidance in patients with critical coronavirus disease 2019 (COVID-19).

Methods

This prospective observational cohort study evaluated hospital mortality and 1-year functional outcome among critically ill patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-associated acute respiratory distress syndrome (ARDS). The explanatory variable was ventilator avoidance, modeled as 'initial refusal' of intubation (yes/no). Modified Rankin Scale (mRS) scores were obtained from surviving patients (or their surrogates) via phone or email questionnaire.

Results

Among patients for whom intubation was recommended (n = 102), 40 (39%) initially refused (95% confidence interval [CI] 30%, 49%

SUBMITTER: Fletcher JJ 

PROVIDER: S-EPMC9634208 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature