Impact of Air Transport on SpO<sub>2</sub>/FiO<sub>2</sub> among Critical COVID-19 Patients during the First Pandemic Wave in France
During the first wave of the COVID-19 pandemic, some French regions were more affected than others. To relieve those areas most affected, the French government organized transfers of critical patients, notably by plane or helicopter. Our objective was to investigate the impact of such transfers on t...
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2021
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oai:doaj.org-article:a4013932fc994e38bbc92e1d85f8a50e2021-11-25T18:00:37ZImpact of Air Transport on SpO<sub>2</sub>/FiO<sub>2</sub> among Critical COVID-19 Patients during the First Pandemic Wave in France10.3390/jcm102252232077-0383https://doaj.org/article/a4013932fc994e38bbc92e1d85f8a50e2021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5223https://doaj.org/toc/2077-0383During the first wave of the COVID-19 pandemic, some French regions were more affected than others. To relieve those areas most affected, the French government organized transfers of critical patients, notably by plane or helicopter. Our objective was to investigate the impact of such transfers on the pulse oximetric saturation (SpO<sub>2</sub>)-to-inspired fraction of oxygen (FiO<sub>2</sub>) ratio among transferred critical patients with COVID-19. We conducted a retrospective study on medical and paramedical records. The primary endpoint was the change in SpO<sub>2</sub>/FiO<sub>2</sub> during transfers. Thirty-eight patients were transferred between 28 March and 5 April 2020, with a mean age of 62.4 years and a mean body mass index of 29.8 kg/m<sup>2</sup>. The population was 69.7% male, and the leading medical history was hypertension (42.1%), diabetes (34.2%), and dyslipidemia (18.4%). Of 28 patients with full data, we found a decrease of 28.9 points in SpO<sub>2</sub>/FiO<sub>2</sub> (95% confidence interval, 5.8 to 52.1, <i>p</i> = 0.01) between the starting and the arrival intensive care units (SpO<sub>2</sub>/FiO<sub>2</sub>, 187.3 ± 61.3 and 158.4 ± 62.8 mmHg, respectively). Air medical transfers organized to relieve intensive care unit teams under surging conditions during the first COVID wave were associated with significant decreases in arterial oxygenation.Jean-Baptiste Bouillon-MinoisVincent RouxMatthieu JabaudonMara FlanneryJonathan DuchenneMaxime DumesnilMorgane Paillard-TurennePaul-Henri GendreKévin GrapinBenjamin RieuFrédéric DutheilCarolyne CroizierJeannot SchmidtBruno PereiraMDPI AGarticleCOVIDemergency medicinepublic healthair transportARDSMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5223, p 5223 (2021) |
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| collection |
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COVID emergency medicine public health air transport ARDS Medicine R |
| spellingShingle |
COVID emergency medicine public health air transport ARDS Medicine R Jean-Baptiste Bouillon-Minois Vincent Roux Matthieu Jabaudon Mara Flannery Jonathan Duchenne Maxime Dumesnil Morgane Paillard-Turenne Paul-Henri Gendre Kévin Grapin Benjamin Rieu Frédéric Dutheil Carolyne Croizier Jeannot Schmidt Bruno Pereira Impact of Air Transport on SpO<sub>2</sub>/FiO<sub>2</sub> among Critical COVID-19 Patients during the First Pandemic Wave in France |
| description |
During the first wave of the COVID-19 pandemic, some French regions were more affected than others. To relieve those areas most affected, the French government organized transfers of critical patients, notably by plane or helicopter. Our objective was to investigate the impact of such transfers on the pulse oximetric saturation (SpO<sub>2</sub>)-to-inspired fraction of oxygen (FiO<sub>2</sub>) ratio among transferred critical patients with COVID-19. We conducted a retrospective study on medical and paramedical records. The primary endpoint was the change in SpO<sub>2</sub>/FiO<sub>2</sub> during transfers. Thirty-eight patients were transferred between 28 March and 5 April 2020, with a mean age of 62.4 years and a mean body mass index of 29.8 kg/m<sup>2</sup>. The population was 69.7% male, and the leading medical history was hypertension (42.1%), diabetes (34.2%), and dyslipidemia (18.4%). Of 28 patients with full data, we found a decrease of 28.9 points in SpO<sub>2</sub>/FiO<sub>2</sub> (95% confidence interval, 5.8 to 52.1, <i>p</i> = 0.01) between the starting and the arrival intensive care units (SpO<sub>2</sub>/FiO<sub>2</sub>, 187.3 ± 61.3 and 158.4 ± 62.8 mmHg, respectively). Air medical transfers organized to relieve intensive care unit teams under surging conditions during the first COVID wave were associated with significant decreases in arterial oxygenation. |
| format |
article |
| author |
Jean-Baptiste Bouillon-Minois Vincent Roux Matthieu Jabaudon Mara Flannery Jonathan Duchenne Maxime Dumesnil Morgane Paillard-Turenne Paul-Henri Gendre Kévin Grapin Benjamin Rieu Frédéric Dutheil Carolyne Croizier Jeannot Schmidt Bruno Pereira |
| author_facet |
Jean-Baptiste Bouillon-Minois Vincent Roux Matthieu Jabaudon Mara Flannery Jonathan Duchenne Maxime Dumesnil Morgane Paillard-Turenne Paul-Henri Gendre Kévin Grapin Benjamin Rieu Frédéric Dutheil Carolyne Croizier Jeannot Schmidt Bruno Pereira |
| author_sort |
Jean-Baptiste Bouillon-Minois |
| title |
Impact of Air Transport on SpO<sub>2</sub>/FiO<sub>2</sub> among Critical COVID-19 Patients during the First Pandemic Wave in France |
| title_short |
Impact of Air Transport on SpO<sub>2</sub>/FiO<sub>2</sub> among Critical COVID-19 Patients during the First Pandemic Wave in France |
| title_full |
Impact of Air Transport on SpO<sub>2</sub>/FiO<sub>2</sub> among Critical COVID-19 Patients during the First Pandemic Wave in France |
| title_fullStr |
Impact of Air Transport on SpO<sub>2</sub>/FiO<sub>2</sub> among Critical COVID-19 Patients during the First Pandemic Wave in France |
| title_full_unstemmed |
Impact of Air Transport on SpO<sub>2</sub>/FiO<sub>2</sub> among Critical COVID-19 Patients during the First Pandemic Wave in France |
| title_sort |
impact of air transport on spo<sub>2</sub>/fio<sub>2</sub> among critical covid-19 patients during the first pandemic wave in france |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/a4013932fc994e38bbc92e1d85f8a50e |
| work_keys_str_mv |
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| _version_ |
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