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Since patient characteristics and the severity of illness have remained the same throughout the pandemic, the study suggests that hospital staff quickly improved their approach to patient care. ....
Outcomes of critically ill COVID patients improved consistently during the pandemic Despite unchanging patient characteristics and severity of COVID-19, mortality rates for critically ill patients treated in the ICU for the virus progressively declined over time during the first surge of the pandemic, according to researchers in the Perelman School of Medicine. The study suggests that clinicians and hospital staff rapidly improved their approach to managing the novel disease even before widespread use of evidence-based medications. The findings are published in the Using data from 21 ICUs across 5 hospitals within Penn Medicine, researchers looked at the outcomes of patients with COVID-19 admitted over 15-day increments starting in March 2020 and ending in July 2020. During each consecutive period, mortality over a 28-day period decreased. In-hospital mortality for COVID ICU patients in the earliest period was 43.5%. By the last 15-day period in the study, mortality dropp ....
Jan 22, 2021 THURSDAY, Jan. 21, 2021 (HealthDay News) For adults with COVID-19-related critical illness admitted to the intensive care unit (ICU), mortality has decreased over time, according to a study published online Jan. 19 in the Annals of Internal Medicine. George L. Anesi, M.D., from the University of Pennsylvania in Philadelphia, and colleagues describe the epidemiology of COVID-19-related critical illness, including trends in outcomes and care delivery, in a multihospital retrospective cohort study. Data were included for 468 patients with COVID-19-related critical illness who were admitted to an ICU during the initial surge of the pandemic, from March 1 to May 11, 2020; 68.2 and 25.9 percent were treated with mechanical ventilation and vasopressors, respectively. ....
Mortality over a 28-day period declined with each consecutive period. And while in-hospital COVID-19 mortality in ICUs was as high as 43.5% during the earliest period, that figure dropped to 19.2% during the final 15-day period, despite many of these patients showing the same disease characteristics and severity. These findings make us proud after a difficult year, said co-lead author Dr. George L. Anesi, who co-chairs the Penn Medicine Critical Care Alliance COVID-19 and Pandemic Preparedness Committee. COVID-19 remains a dangerous and deadly disease, but data suggests that our clinicians and front-line workers have quickly gained wisdom and practical knowledge from all of the experience and used that to help more critically ill patients survive. ....