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논문 기본 정보

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학술저널
저자정보
Imran Khalid (King Faisal Specialist Hospital and Research Center Jeddah Saudi Arabia) Romaysaa M Yamani (King Faisal Specialist Hospital and Research Center Jeddah Saudi Arabia) Maryam Imran (Shifa College of Medicine Islamabad Pakistan) Muhammad Ali Akhtar (King Faisal Specialist Hospital and Research Center Jeddah Saudi Arabia) Manahil Imran (Shifa College of Medicine Islamabad Pakistan) Rumaan Gul (Shifa College of Medicine Islamabad Pakistan) Tabindeh Jabeen Khalid (King Faisal Specialist Hospital and Research Center Jeddah Saudi Arabia) Ghassan Y Wali (King Faisal Specialist Hospital and Research Center Jeddah Saudi Arabia)
저널정보
대한중환자의학회 Acute and Critical Care Acute and Critical Care 제36권 제3호
발행연도
2021.8
수록면
223 - 231 (9page)
DOI
10.4266/acc.2021.00388

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Background: Both coronavirus disease 2019 (COVID-19) and Middle East respiratory syndrome (MERS) can cause acute respiratory distress syndrome (ARDS); however, their ARDS course and characteristics have not been compared, which we evaluate in our study. Methods: MERS patients with ARDS seen during the 2014 outbreak and COVID-19 patients with ARDS admitted between March and December 2020 in our hospital were included, and their clinical characteristics, ventilatory course, and outcomes were compared. Results: Forty-nine and 14 patients met the inclusion criteria for ARDS in the COVID-19 and MERS groups, respectively. Both groups had a median of four comorbidities with high Charl son comorbidity index value of 5 points (P>0.22). COVID-19 patients were older, obese, had significantly higher initial C-reactive protein (CRP), more likely to get trial of high-flow oxy gen, and had delayed intubation (P≤0.04). The postintubation course was similar between the groups. Patients in both groups experienced a prolonged duration of mechanical ventila tion, and majority received paralytics, dialysis, and vasopressor agents (P>0.28). The respira tory and ventilatory parameters after intubation (including tidal volume, fraction of inspired oxygen, peak and plateau pressures) and their progression over 3 weeks were similar (P>0.05). Rates of mortality in the ICU (53% vs. 64%) and hospital (59% vs. 64%) among COVID-19 and MERS patients (P≥0.54) were very high. Conclusions: Despite some distinctive differences between COVID-19 and MERS patients pri or to intubation, the respiratory and ventilatory parameters postintubation were not differ ent. The higher initial CRP level in COVID-19 patients may explain the steroid responsiveness in this population.
#acute respiratory distress syndrome #COVID-19 #Middle East respiratory syndrome coronavirus #mortality #outcome #ventilator

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참고문헌 (28)

참고문헌 신청
Shaver CM / 2014 / Clinical and biological heterogeneity in acute respiratory distress syndrome : direct versus indirect lung injury / Clin Chest Med 35:639~653 google schola Gralinski LE / 2015 / Molecular pathology of emerging coronavirus infections / J Pathol 235:185~195 google schola Wong CK / 2004 / Plasma inflammatory cytokines and chemokines in severe acute respiratory syndrome / Clin Exp Immunol 136:95~103 google schola Cockrell AS / 2016 / A mouse model for MERS coronavirus-induced acute respiratory distress syndrome / Nat Microbiol 2:16226 google schola Lew TW / 2003 / Acute respiratory distress syndrome in critically ill patients with severe acute respiratory syndrome / JAMA 290:374~380 google schola

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