Evidence map›Paper›PMID 33501998›Full record

Observational studyActa anaesthesiologica Scandinavica2021

Characteristics, management and survival of ICU patients with coronavirus disease-19 in Norway, March-June 2020. A prospective observational study.

Jon H Laake, Eirik A Buanes, Milada C Småstuen, Reidar Kvåle, Brita F Olsen, Tone Rustøen, Kristian Strand, Vibecke Sørensen, Kristin Hofsø

Abstract readObservational Study
In one paragraph

Observational study in Acta anaesthesiologica Scandinavica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  16. Morbidity after severe Covid-19; the emperors´ new clothes?Acta anaesthesiologica Scandinavica · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jon H LaakeDepartment of Anaesthesiology, Division of Emergencies and Critical Care, Rikshospitalet Medical Centre, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-6157-5359
Eirik A BuanesDepartment of Intensive Care, Haukeland University Hospital, Bergen, Norway.
Milada C SmåstuenOslo Metropolitan University, Oslo, Norway.
Reidar KvåleDepartment of Intensive Care, Haukeland University Hospital, Bergen, Norway.
Brita F OlsenIntensive and Postoperative Unit, Østfold Hospital Trust, Grålum, Norway.
Tone RustøenDepartment of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Kristian StrandDepartment of Intensive Care, Stavanger University Hospital, Stavanger, Norway.
Vibecke SørensenAkershus University Hospital, Lørenskog, Norway.
Kristin HofsøDepartment of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.

Funding

Oslo University HospitalThe Norwegian Research Council
6 · The paper itself

Abstract

backgroundNorwegian hospitals have operated within capacity during the COVID-19 pandemic. We present patient and management characteristics, and outcomes for the entire cohort of adult (>18 years) COVID-19 patients admitted to Norwegian intensive care units (ICU) from 10 March to 19 June 2020.

methodsData were collected from The Norwegian intensive care and pandemic registry (NIPaR). Demographics, co-morbidities, management characteristics and outcomes are described. ICU length of stay (LOS) was analysed with linear regression, and associations between risk factors and mortality were quantified using Cox regression.

resultsIn total, 217 patients were included. The male to female ratio was 3:1 and the median age was 63 years. A majority (70%) had one or more co-morbidities, most frequently cardiovascular disease (39%), chronic lung disease (22%), diabetes mellitus (20%), and obesity (17%). Most patients were admitted for acute hypoxaemic respiratory failure (AHRF) (91%) and invasive mechanical ventilation (MV) was used in 86%, prone ventilation in 38% and 25% of patients received a tracheostomy. Vasoactive drugs were used in 79% and renal replacement therapy in 15%. Median ICU LOS and time of MV was 14.0 and 12.0 days. At end of follow-up 45 patients (21%) were dead. Age, co-morbidities and severity of illness at admission were predictive of death. Severity of AHRF and male gender were associated with LOS.

conclusionsIn this national cohort of COVID-19 patients, mortality was low and attributable to known risk factors. Importantly, prolonged length-of-stay must be taken into account when planning for resource allocation for any next surge.

Indexed as

SARS-CoV-2AdultAgedAged, 80 and overCOVID-19FemaleHealth ResourcesHumansIntensive Care UnitsLength of StayMaleMiddle AgedNorwayProspective StudiesTime FactorsARDScovid-19ICUmechanical ventilationnational cohortNorwaySARS-CoV2

Identifiers

PMID33501998
PMCPMC8014826

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.