A Comparative Analysis of Nursing Care Needs Scores at Discharge and Transfer Among Survivors of Critical COVID-19 and Septic Shock: A Retrospective Observational Study Using Modified Poisson Regression From Japan
2024

Nursing Care Needs for COVID-19 and Septic Shock Survivors

Sample size: 438 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Kawabata Jun, Kuwaki Kotaro

Primary Institution: Kurume University Hospital

Hypothesis

COVID-19 patients requiring mechanical ventilation may require higher nursing care needs compared to septic shock patients.

Conclusion

Both COVID-19 and septic shock survivors exhibited high nursing care needs levels upon discharge, with COVID-19 patients potentially requiring more care.

Supporting Evidence

  • COVID-19 patients had a higher risk ratio for nursing care needs scores of 7 or more.
  • Older age and prolonged ventilation were associated with higher nursing care needs.
  • Use of sleeping medications was linked to lower nursing care needs scores.

Takeaway

This study looked at how much help patients who survived serious COVID-19 or septic shock need when they leave the hospital. It found that both groups need a lot of help.

Methodology

Retrospective analysis of data from the Diagnosis Procedure Combination database on patients requiring mechanical ventilation in the ICU.

Potential Biases

Potential selection and information bias due to the single-center design and reliance on medical claim data.

Limitations

The study was limited to a single facility, which may restrict generalizability, and lacked detailed clinical data.

Participant Demographics

The study included 438 patients, with 33 having COVID-19 and 37 having septic shock; median age for COVID-19 patients was 61 years and for septic shock patients was 75 years.

Statistical Information

P-Value

0.018

Confidence Interval

1.06-1.89

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.7759/cureus.74032

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