Journal of Infectious Diseases & Therapy
Open Access

Abstract

Due to the coronavirus disease 2019 ( COVID - 19 ) outbreak, there are several causes that COVID -19 infected patients need to be transferred to intensive care unit (ICU). This retrospective study was examined factors that relate for transfer the COVID-19 patient to ICU. Among 439 COVID - 19 infected patients who admitted to the intermediate ICU ( 5 A) ward in Ramathibodi Chakri Naruebodindra Hospital during the phase 3 pandemic were included in this study. The inclusion criteria were the patients admitted and diagnosed COVID- 19 infection and 15 patients were excluded because they died before transferring to ICU. The data was collected between May 1 and September 30, 2021. The descriptive statistics were analyzed using frequency, percentage, standard deviation. The chi-square was used to analyze the related factors. The result from this study found that the patients were classified as 207 males (48.82%) and 117 females (51.18%) with a mean age between 59.86 �±16.05 years old. Only 75 patients (17.69%) were evaluated and transferred to ICU. The mean length of stay at the 5 A ward was 5 . 41 days (SD �± 5.22). The factors associated with transferring criteria to ICU were age â�¥ 60 years old ( p= 0 . 0 2 1 ) , Charlessonâ��s disease index (score) â�¥ 4 points (p=0.005), awake prone position (p<0.001) and oxygen concentration (FiO2) >0.6 (p=0.001). In summary, the factors related to transferring the COVID- 19 infection patients into the ICU ward compose several causes. One of the most important factors including age and past medical condition which found to be the most common factor of transferring rate to ICU. This result suggested that this study could be useful to determine and early detect high risk factor patient for improving the quality and efficiency of nursing care.

Biography

I am a head of nurse in Critical Care unit in Chakri Naruebodindra Hospital, Mahidol University