In:
Journal of Hospital Medicine, Wiley, Vol. 15, No. 12 ( 2020-12), p. 734-738
Abstract:
As evidence emerged supporting noninvasive strategies for coronavirus disease 2019 (COVID‐19)–related respiratory distress, we implemented a noninvasive COVID‐19 respiratory protocol (NCRP) that encouraged high‐flow nasal cannula (HFNC) and self‐proning across our healthcare system. To assess safety, we conducted a retrospective chart review evaluating mortality and other patient safety outcomes after implementation of the NCRP protocol (April 3, 2020, to April 15, 2020) for adult patients hospitalized with COVID‐19, compared with preimplementation outcomes (March 15, 2020, to April 2, 2020). During the study, there were 469 COVID‐19 admissions. Fewer patients underwent intubation after implementation (10.7% [23 of 215]), compared with before implementation (25.2% [64 of 254] ) ( P 〈 .01). Overall, 26.2% of patients died (24% before implementation vs 28.8% after implementation; P = .14). In patients without a do not resuscitate/do not intubate order prior to admission, mortality was 21.8% before implementation vs 21.9% after implementation. Overall, we found no significant increase in mortality following implementation of a noninvasive respiratory protocol that decreased intubations in patients with COVID‐19.
Type of Medium:
Online Resource
ISSN:
1553-5592
,
1553-5606
Language:
English
Publisher:
Wiley
Publication Date:
2020
detail.hit.zdb_id:
2221544-X
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