ICNARC Report on COVID-19 in Critical Care Patients

Posted by

Salient Points

This article focuses on the data of 2,249 confirmed COVID-19 cases reported to ICNARC up to 3rd April 2020 from the critical care units.

The main organ support was needed for advanced and basic respiratory and cardiovascular support, with renal support in 3rd place. Overall outcomes were poor, with almost 2/3 of patients who were in respiratory failure not surviving.


Detailed Summary

Cumulative Number of Patients Critically ill with confirmed COVID-19

As of 3rd April 2020

  1. Notification of almost 3,000 patients received.
  2. Patient data of 2,249 patients received.

Patient Demographic with Confirmed COVID-19

  1. Age at admission
    1. Mean = 60.1
    2. Median = 61
  2. Sex
    1. Male = 73%
    2. Female = 27%
  3. Ethnicity
    1. White = 64.8%
    2. Mixed = 1.2%
    3. Asian = 13.8%
    4. Black = 13.6%
  4. BMI
    1. < 18.5 = 0.7%
    2. 5 – 25 = 25.9%
    3. 25 – 30 = 35.7%
    4. 30 – 40 = 30.7%
    5. > 40 = 7%

Medical History of Patients with Confirmed COVID-19

  • Severe Comorbidities:
  1. CVS = 0.3%
  2. Respiratory = 1.1%
  3. Renal = 1.6%
  4. Liver = 0.2%
  5. Metastatic Disease = 0.4%
  6. Haematological Malignancy = 1.1%
  7. Immunocompromised = 2.3%

Outcome, Length of Stay and Organ Support

  • As of performing the study, critical care unit outcomes of 690 patients were received, of whom 346 patients have died, 344 were discharged alive from critical care.
  • Median length of stay in critical care
  1. Survivors = 4 days
  2. Non – Survivors = 5 days
  • Organ Support
  1. Advanced Respiratory Support = 67.2%
  2. Basic Respiratory Support = 49.9 %
  3. Advanced Cardiovascular Support = 24.8%
  4. Basic Cardiovascular Support = 88.9%
  5. Renal Support = 18.5%
  6. Liver Support = 0
  7. Neurological Support = 4.5%
  • Median Duration of Organ Support
  1. Advanced Respiratory Support = 6 Days
  2. Total Respiratory Support = 5 Days
  3. Advanced Cardiovascular Support = 3 Days
  4. Total Cardiovascular Support = 5 Days
  5. Renal Support = 4 Days
  • Critical Care Outcomes of Patients on Respiratory Support (N = 388)
  1. Alive = 32.7%
  2. Dead = 67.3%
  3. Median Length of Stay in Critical Care
    1. Survivors = 7 Days
    2. Non – Survivors = 5 Days

Reference Link : https://www.icnarc.org/DataServices/Attachments/Download/76a7364b-4b76-ea11-9124-00505601089b

Leave a Reply

Your email address will not be published. Required fields are marked *