Next Article in Journal
Micro- and Macroelements Content of Plants Used for Landfill Leachate Treatment Based on Phragmites australis and Ceratophyllum demersum
Previous Article in Journal
Physical Restraint Events in Psychiatric Hospitals in Hong Kong: A Cohort Register Study
 
 
Article

Effectiveness of Intermediate Respiratory Care Units as an Alternative to Intensive Care Units during the COVID-19 Pandemic in Catalonia

1
Unidad de Ventilación y Cuidados Respiratorios Intermedios, Servicio de Neumología, Direcció Clínica Àrea del Tórax, Hospital Universitari Germans Trias i Pujol, IGTP, Universitat Autónoma de Barcelona, Reseau Europén de Recherche en Ventilation Artificielle (REVA), 08193 Barcelona, Spain
2
Unidad de Economía de la Salud, Dirección de Innovación de la Gerencia Territorial Metropolitana Norte, Institut Català de la Salut, 08007 Barcelona, Spain
3
Doctorat de Medicina i Recerca Translacional, Facultat de Medicina, Universitat de Barcelona, 08193 Barcelona, Spain
4
Servicio de Neumología, Hospital de Viladecans, 08840 Barcelona, Spain
5
Unidad de Innovación Clínica y Promoción de la Salud, Hospital Universitario Sagrat Cor, Grupo Quirón Salud, 08029 Barcelona, Spain
6
Servicio de Medicina Interna, Hospital Universitario Sagrat Cor, Quirón Salud, 08029 Barcelona, Spain
7
Unidad de Cuidados Intermedios Respiratorios, Hospital Fundación Jimenez Díaz, Grupo Quirón Salud, Reseau Europén de Recherche en Ventilation Artificielle, 28040 Madrid, Spain
8
Unidad del Sueño, Servicio de Neumología, Hospital Clínic Provincial Barcelona, Universitat de Barcelona, 08193 Barcelona, Spain
9
Servicio de Neumología, Direcció Clínica Àrea del Tórax, Hospital Universitari Germans Trias i Pujol, IGTP, Universitat Autónoma de Barcelona, 08193 Barcelona, Spain
10
Unidad de Sueño Servicio de Neumología, Hospital Universitario Sagrat Cor, Quirón Salud, 08029 Barcelona, Spain
*
Author to whom correspondence should be addressed.
Academic Editors: Yudong Zhang, Juan Manuel Gorriz and Zhengchao Dong
Int. J. Environ. Res. Public Health 2022, 19(10), 6034; https://doi.org/10.3390/ijerph19106034
Received: 11 April 2022 / Revised: 11 May 2022 / Accepted: 13 May 2022 / Published: 16 May 2022
Objectives: During the COVID-19 pandemic, the risk of collapse for the health system created great difficulties. We will demonstrate that intermediate respiratory care units (IRCU) provide adequate management of patients with non-invasive respiratory support, which is particularly important for patients with SARS-CoV-2 pneumonia. Methods: A prospective observational study of patients with COVID-19 admitted to the ICU of a tertiary hospital. Sociodemographic data, comorbidities, pharmacological, respiratory support, laboratory and blood gas variables were collected. The overall cost of the unit was subsequently analyzed. Results: 991 patients were admitted, 56 to the IRCU (from a of 81 admitted to the critical care unit). Mean age was 65 years (SD 12.8), Barthel index 75 (SD 8.3), Charlson comorbidity index 3.1 (SD 2.2), HTN 27%, COPD 89% and obesity 24%. A significant relationship (p < 0.05) with higher mortality was noted for the following parameters: fever greater than or equal to 39 °C [OR 5.6; 95% CI (1.2–2.7); p = 0.020], protocolized pharmacological treatment [OR 0.3; 95% CI (0.1–0.9); p = 0.023] and IOI [OR 3.7; 95% CI (1.1–12.3); p = 0.025]. NIMV had less of a negative impact [OR 1.8; 95% CI (0.4–8.4); p = 0.423] than IOI. The total cost of the IRCU amounted to €66,233. The cost per day of stay in the IRCU was €164 per patient. The total cost avoided was €214,865. Conclusions: The pandemic has highlighted the importance of IRCUs in facilitating the management of a high patient volume. The treatment carried out in IRCUs is effective and efficient, reducing both admissions to and stays in the ICU. View Full-Text
Keywords: respiratory care; COVID; ICU; cost-effectiveness respiratory care; COVID; ICU; cost-effectiveness
Show Figures

Figure 1

MDPI and ACS Style

Galdeano Lozano, M.; Alfaro Álvarez, J.C.; Parra Macías, N.; Salas Campos, R.; Heili Frades, S.; Montserrat, J.M.; Rosell Gratacós, A.; Abad Capa, J.; Parra Ordaz, O.; López Seguí, F. Effectiveness of Intermediate Respiratory Care Units as an Alternative to Intensive Care Units during the COVID-19 Pandemic in Catalonia. Int. J. Environ. Res. Public Health 2022, 19, 6034. https://doi.org/10.3390/ijerph19106034

AMA Style

Galdeano Lozano M, Alfaro Álvarez JC, Parra Macías N, Salas Campos R, Heili Frades S, Montserrat JM, Rosell Gratacós A, Abad Capa J, Parra Ordaz O, López Seguí F. Effectiveness of Intermediate Respiratory Care Units as an Alternative to Intensive Care Units during the COVID-19 Pandemic in Catalonia. International Journal of Environmental Research and Public Health. 2022; 19(10):6034. https://doi.org/10.3390/ijerph19106034

Chicago/Turabian Style

Galdeano Lozano, Marina, Julio César Alfaro Álvarez, Núria Parra Macías, Rosario Salas Campos, Sarah Heili Frades, Josep Maria Montserrat, Antoni Rosell Gratacós, Jorge Abad Capa, Olga Parra Ordaz, and Francesc López Seguí. 2022. "Effectiveness of Intermediate Respiratory Care Units as an Alternative to Intensive Care Units during the COVID-19 Pandemic in Catalonia" International Journal of Environmental Research and Public Health 19, no. 10: 6034. https://doi.org/10.3390/ijerph19106034

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop