Alsuwat Khalid J, Sonbul Yasseer Y, Alharbi Khalid, Alfaraj Fatimah Baqer, Aljohani Ammar M, Alosaimi Hadeel, Alshehri Abdulmohsen A, Aljarid Manar Y, Alalweni Bara, Alghamdi Kheder, Alqahtani Mansour S, Almadani Noura, Kharaba Ayman M
Department of Surgery, College of Medicine, King Hamad University Hospital, Taif, SAU.
Department of Internal Medicine, College of Medicine, King Abdulaziz University, Jeddah, SAU.
Cureus. 2024 Jan 29;16(1):e53169. doi: 10.7759/cureus.53169. eCollection 2024 Jan.
Background In the face of the ongoing global health crisis posed by COVID-19, it becomes imperative to understand the disease's dynamics, particularly in specific regions. This study provides a detailed examination of the factors influencing mechanical ventilation (MV) duration among COVID-19 patients in an intensive care setting, focusing on a diverse patient cohort from the Al Hassa region of Saudi Arabia. The primary aim of this study was to identify key demographic factors, clinical outcomes, and comorbidities that affect the duration of MV among ICU patients with COVID-19. This understanding is crucial for enhancing patient care and informing healthcare strategies in the context of the pandemic. Methods A retrospective cohort study was conducted involving patients diagnosed with COVID-19 and admitted to the ICU in the Al Hassa region. The total number of participants was 1,259. Using a systematic sampling method, these participants were chosen to create a representative sample that reflects the prevailing treatment protocols in ICUs across these hospitals. Data encompassed patient demographics, comorbidities, clinical outcomes, and MV duration. Statistical analyses were employed to explore the associations between these variables. Results Our findings reveal a total of 1,259 participants significant associations between MV duration and various factors, including nationality, legal status, travel history, and comorbidities like heart failure and immunocompromised status. These insights are instrumental in understanding the nuances of COVID-19 management in critical care. Conclusion The study provides valuable insights into the determinants of MV duration in severe COVID-19 cases, emphasizing the need for individualized patient care approaches. It highlights the complexity of managing COVID-19 in ICU settings and underscores the importance of tailored healthcare responses to this global health challenge, particularly in the Al Hassa region.
背景 面对由新冠病毒 19 型（COVID-19）引发的持续全球健康危机，了解该疾病的动态变化变得至关重要，尤其是在特定地区。本研究详细考察了重症监护环境下影响 COVID-19 患者机械通气（MV）持续时间的因素，重点关注沙特阿拉伯哈萨地区的不同患者群体。本研究的主要目的是确定影响 COVID-19 重症监护病房（ICU）患者 MV 持续时间的关键人口统计学因素、临床结局和合并症。这种理解对于加强患者护理以及在大流行背景下为医疗保健策略提供信息至关重要。方法 进行了一项回顾性队列研究，纳入哈萨地区被诊断为 COVID-19 并入住 ICU 的患者。参与者总数为 1259 人。采用系统抽样方法选择这些参与者，以创建一个反映这些医院 ICU 现行治疗方案的代表性样本。数据包括患者人口统计学、合并症、临床结局和 MV 持续时间。采用统计分析方法探讨这些变量之间的关联。结果 我们的研究结果显示，在 1259 名参与者中，MV 持续时间与多种因素之间存在显著关联，包括国籍、法律身份、旅行史以及心力衰竭和免疫功能低下状态等合并症。这些见解有助于理解重症监护中 COVID-19 管理的细微差别。结论 该研究为重症 COVID-19 病例中 MV 持续时间的决定因素提供了有价值的见解，强调了个性化患者护理方法的必要性。它突出了 ICU 环境中管理 COVID-19 的复杂性，并强调了针对这一全球健康挑战制定量身定制的医疗保健应对措施的重要性，特别是在哈萨地区。
