Characteristics and Outcomes of Patients Admitted to Swedish Intensive Care Units for COVID-19
Characteristics and Outcomes of Patients Admitted to Swedish Intensive Care Units for COVID-19 During the First 60 Days of the 2020 Pandemic
This is a registry-based cohort study of all adult patients (≥18 years) admitted to Swedish Intensive Care Units with confirmed SARS-CoV-2 infection and COVID-19 disease during the first 2 months of the 2020 pandemic.
The main goal is to describe demographic characteristics, coexisting conditions, treatments and outcomes among critically ill patients with COVID-19. A secondary goal is to identify independent risk factors associated with increased mortality for these patients.
Data regarding baseline characteristics including comorbidities, intensive care treatments and outcomes will be extracted. ICU lengths of stay and 30-day mortalities will be calculated. The primary outcome is 30-day all-cause mortality. THIS PART OF THE STUDY HAS BEEN COMPLETED.
UPDATE 26 Feb 2022:
Characteristics and outcomes of 'first wave' patients admitted to Swedish ICUs was published in Eur J Anaesthesiol. 2021 Apr 1;38(4):335-343. doi: 10.1097/EJA.0000000000001459.
A description of the surge response and aggregated data outcomes in Scandinavian countries was published in https://onlinelibrary.wiley.com/doi/10.1111/aas.13983.
ADDITIONAL SUMMARY - EXTENDED INCLUSION PERIOD AND ADDITION OF LONG-TERM OUTCOMES Due to the continued influx of patients requiring intensive care throughout 2020 and 2021, we extended the inclusion period to 30 June 2021. Thus this new cohort will include all patients admitted to ICUs in Sweden from 6 March 2020 to 30 June 2021.
We will investigate short (30day mortality) and long-term outcomes (365d mortality and cardiovascular complications) of patients admitted to Swedish ICUs with confirmed SARS-CoV-2 infection and COVID-19 disease.
研究概览
详细说明
Previous studies reporting outcomes for COVID-19 patients admitted to intensive care units (ICUs) have been hampered by right-censoring after short observation periods. None have reported 30-day mortality rates and the vast majority of studies have substantial proportions of undischarged patients at the time of follow-up. The lack of follow-up at least to ICU discharge may cause bias in reported mortality rates. Further, national data on critically ill patients have not been previously published.
UPDATE 26 Feb 2022: A number of large, cohort studies including national population outcomes have now been published.
This is a registry-based cohort study of all adult patients (≥18 years) admitted to Swedish Intensive Care Units with confirmed SARS-CoV-2 infection and COVID-19 disease during the first 2 months of the 2020 pandemic. The Swedish Intensive Care Registry (SIR) collects data on patients admitted to all Swedish ICUs, with 100% coverage since 2019. Thus, SIR is able to report on outcomes in a national intensive care population without selection. Little is known about the epidemiology of COVID-19 infections in Sweden, which has one of the world's highest life expectancies and a significant burden of comorbidity. Coupled with Sweden's 'relaxed' approach to COVID-19 pandemic management, health care outcomes are understandably under question.
The main goal is to describe demographic characteristics, coexisting conditions, treatments and outcomes among critically ill patients with COVID-19. A secondary goal is to identify independent risk factors associated with increased mortality for these patients.
ADDITIONAL SUMMARY updated 20 October 2021 Due to the continued influx of COVID-19 patients in ICUs in Sweden throughout 2020 and 2021, we extended of our sample size to encompass all patients admitted up to 30 June 2021 (previously 6 May 2020).
We aim to investigate short- and long-term outcomes including mortality and the incidence of new cardiovascular and respiratory diagnoses up to one year after inclusion.
On 22 mar 2021 we received ethical committee approval for these extensions.
研究类型
注册 (预期的)
联系人和位置
学习地点
-
-
Östergötland
-
Linköping、Östergötland、瑞典、50185
- Department of Anaesthesia and Intensive Care, Linkoeping University Hospital, Region Östergötland
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
Adult patients (≥18 years)
admitted to Swedish Intensive Care Units with confirmed SARS-CoV-2 infection and COVID-19 disease during the first 2 months of the 2020 pandemic (6 March-6May2020).
描述
Inclusion Criteria:
- Adult patients (≥18 years)
- COVID-19 disease
Exclusion Criteria:
- No Swedish personal identity number
- 'Opt out' from Swedish Intensive Care Registry
学习计划
研究是如何设计的？
设计细节
- 观测模型：队列
- 时间观点：追溯
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
30-day mortality
大体时间：30 days
|
all-cause
|
30 days
|
|
365-day mortality
大体时间：365 days (additional outcome added Oct 2021 after additional approval from ethical committee)
|
all-cause
|
365 days (additional outcome added Oct 2021 after additional approval from ethical committee)
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
ICU mortality
大体时间：30 days
|
all cause
|
30 days
|
|
Morbidity
大体时间：up to 365 days after study inclusion
|
Cardiovascular and Respiratory Diseases
|
up to 365 days after study inclusion
|
合作者和调查者
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
新冠肺炎的临床试验
-
University of Roma La SapienzaQueen Mary University of London; Università degli studi di Roma Foro Italico; Bios Prevention Srl完全的
-
Yang I. Pachankis主动，不招人COVID-19 呼吸道感染 | COVID-19 压力综合症 | COVID-19 疫苗不良反应 | COVID-19 相关血栓栓塞 | COVID-19 重症监护后综合症 | COVID-19 相关中风中国
-
Erasmus Medical CenterDa Vinci Clinic; HGC Rijswijk尚未招聘COVID-19 后综合症 | 长COVID | 长Covid19 | COVID-19 后状况 | 后 COVID 综合症 | COVID-19 后状况，未指定 | 新冠疫情后的状况荷兰
-
Endourage, LLC招聘中长COVID | 长Covid19 | 后急性 COVID-19 | 长途 COVID | 长途 COVID-19 | 急性 COVID-19 后综合症美国
-
National Institutes of Health Clinical Center (CC)完全的COVID-19 对全身炎症的急性和长期影响 | COVID-19 对肺功能的急性和长期影响 | COVID-19 对心脏功能的急性和长期影响 | COVID-19 对肾功能的急性和长期影响 | COVID-19 对脑功能的急性和长期影响美国
-
Jonathann Kuo, MD主动，不招人SARS-CoV2 感染 | COVID-19 后综合症 | 自主神经障碍 | 急性 COVID-19 后综合症 | 长COVID | 长Covid19 | COVID-19 复发 | 后急性 COVID-19 | 急性 COVID-19 后感染 | COVID-19 的急性后遗症 | 自主神经样障碍 | 自主神经功能障碍直立性低血压综合征 | COVID-19 后状况 | 后 COVID 综合症 | COVID-19 后状况，未指定美国
-
Indonesia University招聘中
-
University of Witten/HerdeckeInstitut für Rehabilitationsforschung Norderney完全的
-
First Affiliated Hospital Xi'an Jiaotong UniversityShangluo Central Hospital; Ankang Central Hospital; Hanzhong Central Hospital; Yulin No.2 Hospital; Nuclear 215 Hospital of Shaanxi Province 和其他合作者招聘中
-
Medisch Spectrum TwenteZiekenhuisgroep Twente; University of Twente主动，不招人
Admission to ICU for COVID-19的临床试验
-
Arizona State University邀请报名锻炼 | 父母 | 儿童发展 | 饮食，健康 | COVID-19 测试 | 儿童，学前班 | 自我控制美国
-
University Hospital, GhentUniversitaire Ziekenhuizen KU Leuven; Jessa Hospital; University Hospital, Antwerp; AZ Sint-Jan AV; AZ Delta 和其他合作者完全的
-
HIV Prevention Trials NetworkNational Institute on Drug Abuse (NIDA); National Institute of Allergy and Infectious Diseases...邀请报名