NYMC Faculty Publications
Outcomes of Acute Respiratory Distress Syndrome in COVID-19 Patients Compared to the General Population: a Systematic Review and Meta-analysis
Author Type(s)
Faculty
DOI
10.1080/17476348.2021.1920927
Journal Title
Expert Review of Respiratory Medicine
First Page
1347
Last Page
1354
Document Type
Article
Publication Date
10-2021
Department
Epidemiology and Community Health
Abstract
INTRODUCTION: Acute respiratory distress syndrome (ARDS) due to coronavirus disease 2019 (COVID-19) often leads to mortality. Outcomes of patients with COVID-19-related ARDS compared to ARDS unrelated to COVID-19 is not well characterized.
AREAS COVERED: We performed a systematic review of PubMed, Scopus, and MedRxiv 11/1/2019 to 3/1/2021, including studies comparing outcomes in COVID-19-related ARDS (COVID-19 group) and ARDS unrelated to COVID-19 (ARDS group). Outcomes investigated were duration of mechanical ventilation-free days, intensive care unit (ICU) length-of-stay (LOS), hospital LOS, and mortality. Random effects models were fit for each outcome measure. Effect sizes were reported as pooled median differences of medians (MDMs), mean differences (MDs), or odds ratios (ORs).
EXPERT OPINION: Ten studies with 2,281 patients met inclusion criteria (COVID-19: 861 [37.7%], ARDS: 1420 [62.3%]). There were no significant differences between the COVID-19 and ARDS groups for median number of mechanical ventilator-free days (MDM: -7.0 [95% CI: -14.8; 0.7], p = 0.075), ICU LOS (MD: 3.1 [95% CI: -5.9; 12.1], p = 0.501), hospital LOS (MD: 2.5 [95% CI: -5.6; 10.7], p = 0.542), or all-cause mortality (OR: 1.25 [95% CI: 0.78; 1.99], p = 0.361). Compared to the general ARDS population, results did not suggest worse outcomes in COVID-19-related ARDS.
Recommended Citation
Dmytriw, A. A., Bruno, F. P., & Keesari, P. (2021). Outcomes of Acute Respiratory Distress Syndrome in COVID-19 Patients Compared to the General Population: a Systematic Review and Meta-analysis. Expert Review of Respiratory Medicine, 15 (10), 1347-1354. https://doi.org/10.1080/17476348.2021.1920927
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