SepsEast Registry indicates high mortality associated with COVID-19 caused acute respiratory failure in Central-Eastern European intensive care units

https://m2.mtmt.hu/ eng 2026-09-21 05:14 JournalArticle 33077137 VALIDATED true * Megosztott szerzőség 0 false 2026-09-05T14:03:54.769+0000 2023-09-19T11:08:04.334+0000 2022-09-02T09:07:36.335+0000 true 10053412 Ruszkai Zoltán /api/author/10053412 Author Zoltán Ruszkai (Aneszteziológia-intenzív terápia) true 10053412 2023-09-19T19:35:52.429+0000 2023-09-19T19:35:52.429+0000 2023-09-02T14:01:29.053+0000 true 10039043 Milánkovics Róbert /api/admin/10039043 Admin Róbert Milánkovics (PTE ÁOK admin 4) true 10039043 true false true 24 24 /api/publicationtype/24 PublicationType Journal Article 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType Journal Article 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType Article (Journal Article) 101 true 10000059 true 1 /api/category/1 Category Scientific true 1 Benes, Jan SepsEast Registry indicates high mortality associated with COVID-19 caused acute respiratory failure in Central-Eastern European intensive care units true true /api/journal/10019966 REVIEWED SCIENTIFIC REPORTS 2045-2322 true false 10019966 false 10019966 true 2045-2322 Journal FOREIGN 12 1 14906 14906 12 2022 The coronavirus disease (COVID-19) pandemic caused unprecedented research activity all around the world but publications from Central-Eastern European countries remain scarce. Therefore, our aim was to characterise the features of the pandemic in the intensive care units (ICUs) among members of the SepsEast (Central-Eastern European Sepsis Forum) initiative. We conducted a retrospective, international, multicentre study between March 2020 and February 2021. All adult patients admitted to the ICU with pneumonia caused by COVID-19 were enrolled. Data on baseline and treatment characteristics, organ support and mortality were collected. Eleven centres from six countries provided data from 2139 patients. Patient characteristics were: median 68, [IQR 60–75] years of age; males: 67%; body mass index: 30.1 [27.0–34.7]; and 88% comorbidities. Overall mortality was 55%, which increased from 2020 to 2021 (p = 0.004). The major causes of death were respiratory (37%), cardiovascular (26%) and sepsis with multiorgan failure (21%). 1061 patients received invasive mechanical ventilation (mortality: 66%) without extracorporeal membrane oxygenation (n = 54). The rest of the patients received non-invasive ventilation (n = 129), high flow nasal oxygen (n = 317), conventional oxygen therapy (n = 122), as the highest level of ventilatory support, with mortality of 50%, 39% and 22%, respectively. This is the largest COVID-19 dataset from Central-Eastern European ICUs to date. The high mortality observed especially in those receiving invasive mechanical ventilation renders the need of establishing national–international ICU registries and audits in the region that could provide high quality, transparent data, not only during the pandemic, but also on a regular basis. 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Aneszteziológiai és Intenzív Terápiás Klinika (SE / AOK / K); Transzlációs Medicina Intézet (PTE / ÁOK); Transzlációs Medicina Központ (SE / KSZE); Transzlációs medicina kutatócsoport (PTE / SZKK); Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K) 4 39 6 23 0 true Language 10002 /api/language/10002 English Angol English true 2 true PersonAuthorship 103312424 /api/authorship/103312424 Benes, Jan 1 0.04347826 true false false Benes Jan true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312425 /api/authorship/103312425 Jankowski, Miłosz* 2 0.043 true false false Jankowski Miłosz true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312426 /api/authorship/103312426 Szułdrzynski, Konstanty 3 0.04347826 false false false Szułdrzynski Konstanty true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312427 /api/authorship/103312427 Zahorec, Roman 4 0.04347826 false false false Zahorec Roman true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312428 /api/authorship/103312428 Lainscak, Mitja 5 0.04347826 false false false Lainscak Mitja true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312429 /api/authorship/103312429 Ruszkai, Zoltán [Ruszkai, Zoltán (Aneszteziológia-i...), author] 6 0.04347826 false false false Author 10053412 /api/author/10053412 Zoltán Ruszkai (Aneszteziológia-intenzív terápia) Ruszkai Zoltán true 10053412 true Ruszkai Zoltán true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312430 /api/authorship/103312430 Podbregar, Matej 7 0.04347826 false false false Podbregar Matej true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312431 /api/authorship/103312431 Zatloukal, Jan 8 0.04347826 false false false Zatloukal Jan true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312432 /api/authorship/103312432 Kletecka, Jakub 9 0.04347826 false false false Kletecka Jakub true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312433 /api/authorship/103312433 Kusza, Krzysztof 10 0.04347826 false false false Kusza Krzysztof true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312434 /api/authorship/103312434 Szrama, Jakub 11 0.04347826 false false false Szrama Jakub true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312435 /api/authorship/103312435 Ramic, Estera 12 0.04347826 false false false Ramic Estera true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312436 /api/authorship/103312436 Galkova, Katarina 13 0.04347826 false false false Galkova Katarina true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312437 /api/authorship/103312437 Krbila, Stefan 14 0.04347826 false false false Krbila Stefan true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312438 /api/authorship/103312438 Valky, Josef 15 0.04347826 false false false Valky Josef true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312439 /api/authorship/103312439 Ivanic, Jaka 16 0.04347826 false false false Ivanic Jaka true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312440 /api/authorship/103312440 Kurnik, Marko 17 0.04347826 false false false Kurnik Marko true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312441 /api/authorship/103312441 Mikó, Angéla 18 0.04347826 false false false Mikó Angéla true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312442 /api/authorship/103312442 Kiss, Tamás [Kiss, Tamás (Aneszteziológia é...), author] Department of Anaesthesia and Intensive Therapy (UP / UPMS) 19 0.04347826 false false false Author 10035619 /api/author/10035619 Tamás Kiss (Aneszteziológia és intenzív terápia) Kiss Tamás true 10035619 true Kiss Tamás true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312443 /api/authorship/103312443 Hetényi, Barbara 20 0.04347826 false false false Hetényi Barbara true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312444 /api/authorship/103312444 Hegyi, Peter [Hegyi, Péter (Gasztroenterológia), author] Cardiovascular Center (SU / FM / C); Institute for Translational Medicine (UP / UPMS); Translational Medicine Research Group (UP / SZRC); Centre for Translational Medicine (SU / KSZE) 21 0.043 false false false Author 10002629 /api/author/10002629 Péter Hegyi (Gasztroenterológia) Hegyi Péter true 10002629 true Hegyi Peter true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312445 /api/authorship/103312445 Sustic, Alan ✉ 22 0.043 false false true Sustic Alan true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PersonAuthorship 103312446 /api/authorship/103312446 Molnar, Zsolt ✉ [Molnár, Zsolt (Klinikai orvostud...), author] Department of Anesthesoiology and Intensiv Therapy (SU / FM / C); Centre for Translational Medicine (SU / KSZE) 23 0.043 false true true Author 10001298 /api/author/10001298 Zsolt Molnár (Klinikai orvostudományok - aneszteziológia és intenzív terápia) Molnár Zsolt true 10001298 true Molnar Zsolt true false false AuthorshipType 1 /api/authorshiptype/1 Author 0 true 0 true false true PublicationIdentifier 21642076 /api/publicationidentifier/21642076 DOI: 10.1038/s41598-022-18991-2 PlainSource 6 /api/publicationsource/6 DOI PublicationSourceType 10001 /api/publicationsourcetype/10001 DOI true true true DOI DOI https://doi.org/@@@ true true 6 true GOLD true IDENTICAL 10.1038/s41598-022-18991-2 https://doi.org/10.1038/s41598-022-18991-2 false true PublicationIdentifier 21740134 /api/publicationidentifier/21740134 WoS: 000848760800071 PlainSource 1 /api/publicationsource/1 WoS PublicationSourceType 10003 /api/publicationsourcetype/10003 Indexelő adatbázis false true true WoS WoS https://www.webofscience.com/wos/woscc/full-record/@@@ true true 1 true IDENTICAL 000848760800071 https://www.webofscience.com/wos/woscc/full-record/000848760800071 true true PublicationIdentifier 21668140 /api/publicationidentifier/21668140 Scopus: 85137107990 PlainSource 3 /api/publicationsource/3 Scopus PublicationSourceType 10003 /api/publicationsourcetype/10003 Indexelő adatbázis false true true Scopus Scopus http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-@@@ true true 3 true IDENTICAL 85137107990 http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85137107990 false true PublicationIdentifier 21644594 /api/publicationidentifier/21644594 PubMed: 36050403 PlainSource 17 /api/publicationsource/17 PubMed PublicationSourceType 10003 /api/publicationsourcetype/10003 Indexelő adatbázis false true true PubMed PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=@@@&dopt=Abstract true true 17 true IDENTICAL 36050403 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=36050403&dopt=Abstract false true MtaRating 519359 /api/mtarating/519359 IX. 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(2022) SCIENTIFIC REPORTS 2045-2322 12 1<div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" >Benes Jan </span> ;    <span class="author-name" >Jankowski Miłosz<sup>*</sup> </span> ;    <span class="author-name" >Szułdrzynski Konstanty </span> ;    <span class="author-name" >Zahorec Roman </span> ;    <span class="author-name" >Lainscak Mitja </span> ;    <span class="author-name" mtid="10053412"><a href="/gui2/?type=authors&mode=browse&sel=10053412" target="_blank">Ruszkai Zoltán (<span class="authorship-author-name">Ruszkai Zoltán</span> <span class="authorAux-mtmt"> Aneszteziológia-intenzív terápia</span>) </a> </span> ;    <span class="author-name" >Podbregar Matej </span> ;    <span class="author-name" >Zatloukal Jan </span> ;    <span class="author-name" >Kletecka Jakub </span> ;    <span class="author-name" >Kusza Krzysztof </span> ;    <span class="author-name" >Szrama Jakub </span> ;    <span class="author-name" >Ramic Estera </span> ;    <span class="author-name" >Galkova Katarina </span> ;    <span class="author-name" >Krbila Stefan </span> ;    <span class="author-name" >Valky Josef </span> ;    <span class="author-name" >Ivanic Jaka </span> ;    <span class="author-name" >Kurnik Marko </span> ;    <span class="author-name" >Mikó Angéla </span> ;    <span class="author-name" mtid="10035619"><a href="/gui2/?type=authors&mode=browse&sel=10035619" target="_blank">Kiss Tamás (<span class="authorship-author-name">Kiss Tamás</span> <span class="authorAux-mtmt"> Aneszteziológia és intenzív terápia</span>) </a> </span> <span class="author-affil"><span title="University of Pécs">UP</span>/<span title="Medical School">UPMS</span>/Department of Anaesthesia and Intensive Therapy</span> ;    <span class="author-name" >Hetényi Barbara </span> ;    <span class="author-name" mtid="10002629"><a href="/gui2/?type=authors&mode=browse&sel=10002629" target="_blank">Hegyi Peter (<span class="authorship-author-name">Hegyi Péter</span> <span class="authorAux-mtmt"> Gasztroenterológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis University">SU</span>/<span title="Faculty of Medicine">FM</span>/<span title="Clinical">C</span>/Cardiovascular Center; <span title="University of Pécs">UP</span>/<span title="Medical School">UPMS</span>/Institute for Translational Medicine; <span title="University of Pécs">UP</span>/<span title="Szentágothai Research Centre">SZRC</span>/Translational Medicine Research Group; <span title="Semmelweis University">SU</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Centre for Translational Medicine</span> ;    <span class="author-name" >Sustic Alan ✉ </span> ;    <span class="author-name" mtid="10001298"><a href="/gui2/?type=authors&mode=browse&sel=10001298" target="_blank">Molnar Zsolt ✉ (<span class="authorship-author-name">Molnár Zsolt</span> <span class="authorAux-mtmt"> Klinikai orvostudományok - aneszteziológia és i...</span>) </a> </span> <span class="author-affil"><span title="Semmelweis University">SU</span>/<span title="Faculty of Medicine">FM</span>/<span title="Clinical">C</span>/Department of Anesthesoiology and Intensiv Therapy; <span title="Semmelweis University">SU</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Centre for Translational Medicine</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;33077137" target="_blank">SepsEast Registry indicates high mortality associated with COVID-19 caused acute respiratory failure in Central-Eastern European intensive care units</a></div> <div> <span class="journal-title">SCIENTIFIC REPORTS</span> <span class="journal-issn">( <a target="_blank" href="https://portal.issn.org/resource/ISSN/2045-2322">2045-2322</a>)</span>: <span class="journal-volume">12</span> <span class="journal-issue">1</span> <span class="page"> Paper 14906. 12 p. </span> <span class="year">(2022)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Language: English | </span> <span class="identifiers"> <span class="id identifier oa_GOLD" title=" Gold "> <a style="color:blue" title="10.1038/s41598-022-18991-2" target="_blank" href="https://doi.org/10.1038/s41598-022-18991-2"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000848760800071" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000848760800071"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85137107990" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85137107990"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="36050403" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=36050403&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Journal subject: Scopus - Multidisciplinary   Rank: D1</div> <div class="journal-subject">Committee on Sociology HASSELIX SZTB [1901-]   A nemzetközi</div> <div class="journal-subject">Committee on Regional Studies HASSELIX RTB [1901-]   B nemzetközi</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="" class="citingPub-count">Citing papers: 11</span> | Independent citation: 7 | Self citation: 4 | Unknown citation: 0 | Number of citations in WoS: 11 | Number of citations in Scopus: 11 | WoS/Scopus assigned: 11 | Number of citations with DOI: 11 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;33077137&sort=publishedYear,desc&sort=title"> Number of cited publications: 1 </a> </div> <div class="mtid"><span class="long-pub-mtid">Publication: 33077137</span> | <span class="status-data status-VALIDATED"> Validated </span> Core Citing | <span class="type-subtype">Journal Article ( Article ) </span> | <span class="pub-category">Scientific</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="funder"> (Open access funding provided by Semmelweis University), (K138816) Funder: NRDIO, GINOP 2.3.2-15- 2016-00048 </div> <div class="lastModified">Last Modified: 2023.09.19. 13:08 Róbert Milánkovics (PTE ÁOK admin 4) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Comments</u>: * Megosztott szerzőség</pre> </div></div>