Evidence map›Paper›PMID 37719728›Full record

ArticleFrontiers in public health2023

High mortality rates among COVID-19 intensive care patients in Iraq: insights from a retrospective cohort study at Médecins Sans Frontières supported hospital in Baghdad.

Rami Malaeb, Amna Haider, Mustafa Abdulateef, Mustafa Hameed, Uche Daniel, Gabriel Kabilwa, Ibrahim Seyni, Khalid E Ahmadana, Evgenia Zelikova, Klaudia Porten and 1 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Frontiers in cellular and infection microbiology · 2024
    Article
  4. Article
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

11 authors.

Rami MalaebDepartment of Epidemiology and Training, Epicentre, Dubai, United Arab Emirates.
Amna HaiderDepartment of Epidemiology and Training, Epicentre, Dubai, United Arab Emirates.
Mustafa AbdulateefRusafa Directorate of Health, Baghdad, Iraq.
Mustafa HameedMédecins Sans Frontières, Operational Centre Paris, Baghdad, Iraq.
Uche DanielMédecins Sans Frontières, Operational Centre Paris, Baghdad, Iraq.
Gabriel KabilwaMédecins Sans Frontières, Operational Centre Paris, Baghdad, Iraq.
Ibrahim SeyniMédecins Sans Frontières, Operational Centre Paris, Baghdad, Iraq.
Khalid E AhmadanaMédecins Sans Frontières, Operational Centre Paris, Dubai, United Arab Emirates.
Evgenia ZelikovaMédecins Sans Frontières, Operational Centre Paris, Paris, France.
Klaudia PortenDepartment of Epidemiology and Training, Epicentre, Paris, France.
Aurelie GodardMédecins Sans Frontières, Operational Centre Paris, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Coronavirus Disease 2019 (COVID-19) pandemic has highlighted the challenges of the healthcare system in Iraq, which has limited intensive care unit beds, medical personnel, and equipment, contributing to high infection rates and mortality. The main purpose of the study was to describe the clinical characteristics, the length of Intensive Care Unit (ICU) stay, and the mortality outcomes of COVID-19 patients admitted to the ICU during the first wave and two subsequent surges, spanning from September 2020 to October 2021, in addition to identify potential risk factors for ICU mortality. Methods: This retrospective cohort study analyzed data from COVID-19 patients admitted to the COVID-19 ICU at Al-Kindi Ministry of Health hospital in Baghdad, Iraq, between September 2020 and October 2021. Results: The study included 936 COVID-19 patients admitted to the ICU at Al-Kindi Hospital. Results showed a high mortality rate throughout all waves, with 60% of deaths due to respiratory failure. Older age, male gender, pre-existing medical conditions, ICU procedures, and complications were associated with increased odds of ICU mortality. The study also found a decrease in the number of complications and ICU procedures between the first and subsequent waves. There was no significant difference in the length of hospital stay between patients admitted during different waves. Conclusion: Despite improvements in critical care practices, the mortality rate did not significantly decrease during the second and third waves of the pandemic. The study highlights the challenges of high mortality rates among critical COVID-19 patients in low-resource settings and the importance of effective data collection to monitor clinical presentations and identify opportunities for improvement in ICU care.

Indexed as

COVID-19Critical CareHospitalsHumansIraqMaleRetrospective StudiesBaghdadCOVID-19healthcarehumanitarianICU mortalityICU outcomesIraqlimited resource settings

Identifiers

PMID37719728
PMCPMC10501727

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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.