Critical Care Medicine

COVID Pandemic

The COVID-19 pandemic led to a unified and dedicated system response. Cleveland Clinic’s intensive care units across the enterprise worked as a team to ensure we could serve all. The Medical Intensive Care Unit (MICU) was the epicenter for care for the sickest patients with COVID and to achieve this we adapted, collaborated, innovated, and thrived. We are deeply grateful to our team and their families for their sacrifices and for bringing all their energy to help our patients and families. During 2020, the MICU cared for 629 critically ill COVID patients. Our outcomes in several metrics were affected by the pandemic, we present our COVID data and our overall metrics.

MICU COVID-19 Outcomes
March 2020 — January 2021
Average APACHE® III score60.48
ICU survival82%
Hospital survival73%
Age-stratified hospital survival
  • ≥ 65 years old
65%
  • < 65 years old
87%
ICU survival of patients on invasive MV
  • ≥ 65 years old
64%
  • < 65 years old
81%
Average ICU LOS6.17 days
Average hospital LOS11.93 days
Average duration on MV9.20 days

APACHE = Acute Physiology And Chronic Health Evaluation, a severity-of-disease classification system, MICU = Medical Intensive Care Unit, MV = mechanical ventilation, LOS = length of stay