{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:39:25Z","timestamp":1787841565522,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>This descriptive study reviews clinical outcomes of individuals admitted to a northern Canadian, rural intensive care unit (ICU) with severe COVID-19. It reports our site-specific data that is part of an ongoing global effort to gather data and guide therapy; the aims of this study were to describe participants admitted to our ICU with COVID-19 and illuminate challenges faced by rural and remote centres.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This retrospective study examined data from participants admitted to the ICU with COVID-19 pneumonia between 24\n                      <jats:sup>th<\/jats:sup>\n                      November 2020 and 28\n                      <jats:sup>th<\/jats:sup>\n                      February 2022. Using data from electronic and hardcopy health records, data were obtained according to standardised forms developed for the Short Period Incidence Study of Severe Acute Respiratory Infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighty-five adult participants were admitted to our ICU with COVID-19. The median age of participants was 57 years old (range: 23\u201383 years); 49.4% were males and 50.6% were females. Of our cohort, 58.9% required mechanical ventilation at some point during their stay and the median duration of stay in our ICU was 5 days (range: 1\u201336 days). Amongst individuals included, 25.9% were discharged alive from our hospital on their index admission, 57.6% were transferred to another facility and 16.5% died in our facility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>COVID-19 significantly strained our local ICU resources, necessitating high numbers of patient transfers. However, despite limited resources, patients at our site received contemporary guideline-based care for COVID-19 pneumonia. Future pandemic and surge capacity planning must ensure that rural and remote communities receive adequate additional resources to meet the anticipated needs of their local populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Cette \u00e9tude descriptive examine les r\u00e9sultats cliniques des personnes admises dans une unit\u00e9 de soins intensifs rurale du nord du Canada avec une COVID-19 s\u00e9v\u00e8re. Elle rapporte des donn\u00e9es sp\u00e9cifiques \u00e0 notre site qui font partie d\u2019un effort global en cours pour rassembler des donn\u00e9es et guider la th\u00e9rapie. Les objectifs de cette \u00e9tude \u00e9taient de d\u00e9crire les participants admis dans notre unit\u00e9 de soins intensifs avec la COVID-19 et d\u2019\u00e9clairer les d\u00e9fis auxquels sont confront\u00e9s les centres ruraux et \u00e9loign\u00e9s.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9thodes:<\/jats:title>\n                    <jats:p>Cette \u00e9tude r\u00e9trospective a examin\u00e9 les donn\u00e9es des participants admis \u00e0 l\u2019unit\u00e9 de soins intensifs pour une pneumonie due \u00e0 la COIVD-19 entre le 24 novembre 2020 et le 28 f\u00e9vrier 2022. Les donn\u00e9es ont \u00e9t\u00e9 obtenues \u00e0 partir de dossiers m\u00e9dicaux \u00e9lectroniques et papier, selon des formulaires standardis\u00e9s d\u00e9velopp\u00e9s pour l\u2019\u00e9tude d\u2019incidence \u00e0 court terme des infections respiratoires aigu\u00ebs s\u00e9v\u00e8res (SPRINT-SARI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>R\u00e9sultats:<\/jats:title>\n                    <jats:p>85 participants adultes ont \u00e9t\u00e9 admis dans notre unit\u00e9 de soins intensifs avec la COVID-19. L\u2019\u00e2ge m\u00e9dian des participants \u00e9tait de 57 ans (intervalle: 23-83 ans); 49,4% \u00e9taient des hommes et 50,6% des femmes. Dans notre cohorte, 58,9% ont eu besoin d\u2019une ventilation m\u00e9canique \u00e0 un moment ou \u00e0 un autre de leur s\u00e9jour et la dur\u00e9e m\u00e9diane du s\u00e9jour dans notre unit\u00e9 de soins intensifs \u00e9tait de 5 jours (intervalle: 1-36 jours). Parmi les personnes incluses, 25,9% sont sorties vivantes de notre h\u00f4pital lors de leur admission initiale, 57,6% ont \u00e9t\u00e9 transf\u00e9r\u00e9es dans un autre \u00e9tablissement et 16,5% sont d\u00e9c\u00e9d\u00e9es dans notre \u00e9tablissement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>La COVID-19 a mis \u00e0 rude \u00e9preuve les ressources de notre unit\u00e9 locale de soins intensifs, n\u00e9cessitant un grand nombre de transferts de patients. Cependant, malgr\u00e9 des ressources limit\u00e9es, les patients de notre site ont re\u00e7u des soins fond\u00e9s sur des lignes directrices contemporaines pour la pneumonie due \u00e0 la COVID-19. \u00c0 l\u2019avenir, la planification de la pand\u00e9mie et de la capacit\u00e9 de pointe doit garantir que les communaut\u00e9s rurales et \u00e9loign\u00e9es re\u00e7oivent des ressources suppl\u00e9mentaires ad\u00e9quates pour r\u00e9pondre aux besoins anticip\u00e9s de leurs populations locales.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/cjrm.cjrm_42_23","type":"journal-article","created":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T03:00:34Z","timestamp":1724036434000},"page":"109-116","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["COVID-19 in a rural intensive care unit in Northern British Columbia: Descriptive analysis of outcomes and demands on rural 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