Podcast 644: Covid Outcomes

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By medicalminute and Emergency Medical Minute. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Meta-analysis of 57,420 COVID+ patients evaluated mortality after intubation
    • 45% mortality rate for all patients in the study
    • 84.4% mortality in patients over 80 years old
  • POSITIONED Trail assessed need for intubation in patients awake self-proning compared to not
    • Risk of intubation and mortality was lower for those self-proning
    • 0.3 hazard ratio for intubation in those self-proning

References

Lim ZJ, Subramaniam A, Ponnapa Reddy M, et al. Case Fatality Rates for Patients with COVID-19 Requiring Invasive Mechanical Ventilation. A Meta-analysis. Am J Respir Crit Care Med. 2021;203(1):54-66. doi:10.1164/rccm.202006-2405OC

Jagan N, Morrow LE, Walters RW, Klein LP, Wallen TJ, Chung J, Plambeck RW. The POSITIONED Study: Prone Positioning in Nonventilated Coronavirus Disease 2019 Patients-A Retrospective Analysis. Crit Care Explor. 2020 Oct 1;2(10):e0229. doi: 10.1097/CCE.0000000000000229. PMID: 33063033; PMCID: PMC7531752.

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD

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