The Critical Care Response to the COVID-19 Pandemic in Madrid (Tetrix)

San Carlos Clinical Hospital

Status: Unknown

Conditions: COVID-19; ARDS, Human

Study type: Observational

Funder types: Other

Identifiers

NCT04393324

Madrid COVID Tetrix

Details and patient eligibility

About

Description of the adaptation of ICUs in the region of Madrid to que surge in demand of critical care due to COVID-19

Full description

Background

The worldwide SARS-CoV-2 pandemic has put healthcare systems under the extreme pressure, with intensive care units being faced with a previously unseen number of patients with severe respiratory failure requiring admission for endotracheal intubation and mechanical ventilation.

Methods

The study describes how the critical care resources adapted to the sudden surge of severe Covid-19 in the province of Madrid, which developed at the beginning of March 2020. The response consisted of a swift increase in ICU capacity and the relocation of patients. ICU beds were mounted outside the usual intensive care areas. Transfer of critically ill intubated patients with COVID-19 was managed in an instant messenger service group composed of representatives of 53 intensive care units and performed by the Madrid Emergency Medical Systems (EMS). The investigators will compare transferred with non-transferred patients matched for risk factors for cardiovascular and respiratory complications.

Enrollment: 2,500 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Admitted to ICU in Madrid with COVID-19

Exclusion criteria

• Admitted to ICU without COVID-19

Trial design

2,500 participants in 2 patient groups

Transferred patients

Description:

A subgroup of Critically ill intubated patients with COVID-19 associated ARDS were transferred from overwhelmed ICUs to other with available free beds

Matched Non-transferred patients

Description:

A subgroup from the global cohort, matched for risk factors will be compared with transferred patients for outcome variables