Factors related to ICU transfer among patients with COVID-19 infections hospitalized in intermediate ICU: the study of phase 3 pandemic
DOI:
https://doi.org/10.14456/dcj.2024.17Keywords:
COVID-19 patients, treatment in intensive care unit (ICU), related factorsAbstract
In the situation of the COVID-19 outbreak, there are many factors that related with patients need to be transferred to the intensive care unit (ICU). This study was conducted among 439 COVID-19 infected patients who had been admitted to an intermediate care unit in Ramathibodi Chakri Naruebodindra Hospital during the phase 3 pandemic. The inclusion criteria were inpatients who were diagnosed with COVID-19 infection. Fifteen patients were excluded from the study as they died while being hospitalized in the intermediate ICU. There were totally 424 patients. The study was conducted between May 1 and September 30, 2021. Data was analyzed using descriptive statistics, which includes frequency, percentage, and standard deviation. The factors associated with transfer to ICU were assessed using the multiple logistic regression and an adjusted OR (aOR) at a 95% confidence interval. The results indicated that the study population consists of 207 male patients (48.8%), with a mean age of 59.8 ±16.0 years (SD=16.05). Seventy-five patients (17.7%) were transferred to ICU, while 349 patients (82.3%) were not transferred to ICU. The factors associated with transfer to ICU were awake prone position (aOR, 1.88; 95% CI; 1.01-3.51) and used the fraction of inspired oxygen (FiO2) above 0.6 (aOR, 8.32; 95% CI; 4.36-15.86). Findings from this study could be used as supporting information to determine ways to reduce the rate of unplanned ICU admissions and for the purposes of monitoring in high-risk patients to ensure more effective and high quality patient care.
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