Higher frequency of comorbidities in fully vaccinated patients admitted to the ICU due to severe COVID-19: a prospective, multicentre, observational study

Motos, Anna; López-Gavín, Alexandre; Riera, Jordi; Ceccato, Adrián; Fernández-Barat, Laia; Bermejo-Martín, Jesús F.; Ferrer, Ricard; Gonzalo‐Calvo, David de; Menéndez, Rosário; Pérez-Arnal, Raquel; Garcia-Gasulla, Darío; Rodríguez, Alejandro; Peñuelas, Óscar; Lorente, José A.; Almansa, Raquel; Gabarrús, Albert; Marín‐Corral, Judith; Ricart, Pilar; Roche-Campo, Ferrán; Chinesta, Susana Sancho; Socías, Lorenzo; Barbé, Ferrán; Torres, Antoni

doi:10.1183/13993003.02275-2021

Cited by 30 publications

(33 citation statements)

References 17 publications

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“…The data are consistent with recent work showing that among 1585 ICU patients, only 7% were vaccinated and hospital mortality was higher among vaccinated individuals than among nonvaccinated individuals. 4 …”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccination Status Among Adults Admitted to Intensive Care Units in Veneto, Italy

Lorenzoni

Rosi²,

Rosa

et al. 2022

JAMA Netw Open

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Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccination Status Among Adults Admitted to Intensive Care Units in Veneto, Italy

Lorenzoni

Rosi²,

Rosa

et al. 2022

JAMA Netw Open

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“…In the initial surges of COVID‐19, approximately 10%–17% of patients with COVID‐19 required admission to intensive care (Wang et al, 2021 ). To this day unvaccinated adults and those with comorbidities remain at high risk of developing severe diseases requiring admission to intensive care (Motos et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

‘Doing the best we can’: Registered Nurses' experiences and perceptions of patient safety in intensive care during COVID‐19

Stayt

Merriman

Bench

et al. 2022

Journal of Advanced Nursing

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Aims To explore registered nurses' experiences of patient safety in intensive care during COVID‐19. Design A qualitative interview study informed by constructivism. Method Semi‐structured interviews were conducted and audio‐recorded with 19 registered nurses who worked in intensive care during COVID‐19 between May and July 2021. Interviews were transcribed verbatim and thematically analysed utilizing framework. Results Two key themes were identified. ‘On a war footing’—an unprecedented situation which describes the situation nurses faced, and the actions are taken to prepare for the safe delivery of care. ‘Doing the best we can’—Safe Delivery of Care which describes the ramifications of the actions taken on short‐ and long‐term patient safety including organization of care, missed and suboptimal care and communication. Both themes were embedded in the landscape of Staff Well‐being and Peer Support. Conclusion Nurses reported an increase in patient safety risks which they attributed to the dilution of skill mix and fragmentation of care. Nurses demonstrated an understanding of the holistic and long‐term impacts on patient safety and recovery from critical illness. Impact This study explored the perceived impact of COVID‐19 on patient safety in intensive care from a nursing perspective. Dilution of skill mix, where specialist critical care registered nurses were diluted with registered nurses with no critical care experience, and the fragmentation of care was perceived to lead to reduced quality of care and increased adverse events and risk of harm which were not consistently formally reported. Furthermore, nurses demonstrated a holistic and long‐term appreciation of patient safety. These findings should be considered as part of future nursing workforce modelling and patient safety strategies by intensive care leaders and managers. No public or patient contribution to this study. The study aims and objectives were developed in collaboration with health care professionals.

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“…Several studies have been conducted to identify the risk factors for developing a severe form of COVID-19 among vaccinated populations. 14 , 15 , 27 , 28 , 29 From a US database of 465 facilities, 14 among 1.2 million people vaccinated between December 2020 and October 2021, 2,246 developed COVID-19, of whom 327 were hospitalised and 31 died. The authors found an increased risk of a severe form of COVID-19 among immunocompromised vaccinated individuals, those aged 65 and over, and those presenting certain comorbidities, such as lung and liver diseases, chronic renal failure, diabetes, cardiovascular diseases, or neurological diseases.…”

Section: Discussionmentioning

confidence: 99%

Characteristics associated with the residual risk of severe COVID-19 after a complete vaccination schedule: A cohort study of 28 million people in France

Semenzato

Botton

Drouin

et al. 2022

The Lancet Regional Health - Europe

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Higher frequency of comorbidities in fully vaccinated patients admitted to the ICU due to severe COVID-19: a prospective, multicentre, observational study

Cited by 30 publications

References 17 publications

COVID-19 Vaccination Status Among Adults Admitted to Intensive Care Units in Veneto, Italy

COVID-19 Vaccination Status Among Adults Admitted to Intensive Care Units in Veneto, Italy

‘Doing the best we can’: Registered Nurses' experiences and perceptions of patient safety in intensive care during COVID‐19

Characteristics associated with the residual risk of severe COVID-19 after a complete vaccination schedule: A cohort study of 28 million people in France

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