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The Critical Care Response to the COVID-19 Pandemic in Madrid

Conditions
COVID-19
ARDS, Human
Registration Number
NCT04393324
Lead Sponsor
Hospital San Carlos, Madrid
Brief Summary

Description of the adaptation of ICUs in the region of Madrid to que surge in demand of critical care due to COVID-19

Detailed Description

Background

The worldwide SARS-CoV-2 pandemic has put healthcare systems under the extreme pressure, with intensive care units being faced with a previously unseen number of patients with severe respiratory failure requiring admission for endotracheal intubation and mechanical ventilation.

Methods

The study describes how the critical care resources adapted to the sudden surge of severe Covid-19 in the province of Madrid, which developed at the beginning of March 2020. The response consisted of a swift increase in ICU capacity and the relocation of patients. ICU beds were mounted outside the usual intensive care areas. Transfer of critically ill intubated patients with COVID-19 was managed in an instant messenger service group composed of representatives of 53 intensive care units and performed by the Madrid Emergency Medical Systems (EMS). The investigators will compare transferred with non-transferred patients matched for risk factors for cardiovascular and respiratory complications.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
2500
Inclusion Criteria
  • Admitted to ICU in Madrid with COVID-19
Exclusion Criteria
  • Admitted to ICU without COVID-19

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Mortality9 weeks

ICU mortality

Secondary Outcome Measures
NameTimeMethod
Length of ICU stay9 weeks

From admission to discharge or death

Trial Locations

Locations (1)

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

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