Critical Illness Clinical Trial
Official title:
Characteristics and Outcomes of Patients With COVID-19 Admitted to the ICU
This is a case series of patients with COVID-19 admitted to the largest university hospital
in Sao Paulo, Brazil, during the 2020 COVID-19 pandemic. Data will be collected prospectively
and retrospectively.
The main objective is to describe the characteristics of critically ill patients with
COVID-19 and their clinical outcomes, and to identify risk factors associated with survival,
to inform clinical decision-making and to guide the strategy to mitigate the epidemic, both
within each hospital and ICU and in public health management.
In December 2019, an outbreak of Severe Acute Respiratory Syndrome (SARS) attributed to a new
coronavirus, called SARS-CoV-2, was described in the Wuhan region of China. This SARS, caused
by SARS-CoV-2 was called COVID-19, spread across the globe, causing millions of cases on all
continents, and thousands of deaths, being characterized as a pandemic.
COVID-19 is characterized by a flu-like syndrome, with symptoms such as fever, cough, myalgia
and gastrointestinal symptoms. Most cases are mild, some even asymptomatic, but approximately
15% of patients have more severe presentation, and approximately 5% are critical (7).
The acute respiratory failure of critically ill patients with COVID-19 has different aspects,
including hypoxemia of difficult treatment, associated in some cases with clotting disorders,
changes in immunity and inflammatory phenomena that pose challenges for the management of
these patients, whose mortality can be high.
The Hospital das Clínicas da Faculdade de Medicina de São Paulo implemented an action plan
that provides for the creation of 200 ICU beds to serve patients with COVID-19. Knowing the
characteristics of critically ill patients with COVID-19 and their clinical outcomes is
extremely important to inform clinical decision-making and to guide the strategy to mitigate
the epidemic, both within each hospital and ICU and in public health management.
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