Respiratory Institute Outcomes
Critical Care Medicine
COVID Pandemic
The COVID-19 pandemic led to a unified and dedicated system response. Cleveland Clinic’s intensive care units worked as a team of teams to ensure all patients could be served according to evidence-based practices. The Medical Intensive Care Unit (MICU) was the epicenter for care for the sickest patients with COVID; during 2021, the MICU cared for 834 critically ill COVID patients. Outcomes in several metrics were affected by the pandemic as shown in COVID data below and overall metrics.
MICU COVID-19 Outcomes
March 2020 – December 2021
| March 2020 — January 2021 | Total | March – December 2020 | January – December 2021 |
|---|---|---|---|
| Average APACHE® III score | 65.46 | 66.52 | 64.74 |
| ICU survival | 81% | 82.6% | 80.5% |
| Hospital survival | 79% | 80.7% | 78.4% |
| Age-stratified hospital survival | |||
| 64% | 64% | 64% |
| 78% | 82% | 76% |
| ICU survival of patients on invasive MV | |||
| 54% | 58% | 50% |
| 72% | 76% | 71% |
| Average ICU LOS (days) | 7.2 | 6.8 | 7.5 |
| Average hospital LOS (days) | 15.6 | 15.6 | 15.7 |
| Average duration on MV (days) | 9.1 | 9.1 | 9.2 |
APACHE = Acute Physiology And Chronic Health Evaluation, a severity-of-disease classification system, LOS = length of stay, MICU = Medical Intensive Care Unit, MV = mechanical ventilation
The outcomes of critically ill patients admitted with COVID-19 infection to the MICU remained overall similar. COVID-19 patients had prolonged intensive care and hospital length of stay. Older patients had worse outcomes when critically ill or on mechanical ventilation.
MICU COVID Admissions
2020 – 2021ᵃ
MICU = Medical Intensive Care Unit
ᵃData from March 2020 to December 2021
