Polistina Giorgio E, Di Somma Camilla, Flora Martina, Maraolo Alberto E, Carannante Novella, Langella Gerardo, Mirizzi Angela I, Annunziata Anna, Fiorentino Giuseppe
Sub-Intensive Care Unit and Respiratory Physiopathology Department, Cotugno-Monaldi Hospital, AORN Ospedali dei Colli, Naples.
First Division of Infectious Diseases, Cotugno-Monaldi Hospital, AORN Ospedali dei Colli, Naples.
Monaldi Arch Chest Dis. 2022 Sep 5;93(2). doi: 10.4081/monaldi.2022.2358.
The World Health Organization declared the Coronavirus Diseases 2019 (COVID-19) outbreak a global pandemic on March 11, 2020. COVID-19 had an impact on over 500 million people worldwide. According to the American Thoracic Society criteria, the respiratory spectrum of this disease ranges from mild illness to severe pneumonia, with the latter occurring in a not insignificant 15% of patients. A rapid increase in the incidence of COVID-19 pneumonia cases has been observed all over the world, resulting in a saturation of the Intensive Care Unit's capacity (ICUs). Because of this impressive outbreak, the ICU beds and invasive mechanical ventilators reached their capacity. Non-invasive supportive care has become an important option for keeping respiratory conditions under control. As a result, proper healthcare resource management was required to ensure adequate patient care. Respiratory Intensive Care Units (RICUs) have become a useful resource for managing complex patients due to a shortage of ICU capacity. This highlighted the importance of RICUs, where patients with moderate to severe respiratory failure can be treated with non-invasive respiratory support rather than being admitted to the ICU. The clinical outcomes and baseline characteristics of patients admitted to the RICU of Cotugno Hospital, a tertiary referral center in Naples (Italy), from January 2021 to October 2021 are described in this report.
2020年3月11日，世界卫生组织宣布2019冠状病毒病（COVID-19）疫情为全球大流行。COVID-19对全球超过5亿人产生了影响。根据美国胸科学会的标准，这种疾病的呼吸道症状范围从轻症到重症肺炎，后者在15%的患者中出现，这一比例不容小觑。世界各地都观察到COVID-19肺炎病例的发病率迅速上升，导致重症监护病房（ICU）不堪重负。由于这场令人印象深刻的疫情，ICU床位和有创机械通气设备已达到其承载能力。无创支持治疗已成为控制呼吸状况的重要选择。因此，需要进行适当的医疗资源管理，以确保为患者提供充分的护理。由于ICU容量不足，呼吸重症监护病房（RICUs）已成为管理复杂患者的有用资源。这凸显了RICUs的重要性，在这里，中重度呼吸衰竭患者可以接受无创呼吸支持治疗，而不必入住ICU。本报告描述了2021年1月至2021年10月期间，那不勒斯（意大利）一家三级转诊中心——科图尼奥医院RICU收治患者的临床结局和基线特征。
