| COVID wave 1 (n = 316) | COVID wave 2 (n = 456) |
---|---|---|
 | Mean (SD)/median (IQR)  or N (%) | |
Age (years) | 54.6 (14.0) | 57.3 (13.2)*** |
Male sex | 222 (70%) | 297 (65%) |
Ethnicity | Â | Â |
 White | 120 (38%) | 179 (39%)*** |
 Black | 90 (29%) | 72 (16%) |
 Other | 106 (34%) | 205 (45%) |
Source of admission | Â | Â |
 ED | 94 (30%) | 148 (32%) |
 Ward | 105 (33%) | 116 (25%) |
 Transfer from another hospital | 114 (36%) | 188 (41%) |
 Other | 3 (1%) | 4 (1%) |
Infection setting | Â | Â |
 Community | 278 (88%) | 425 (93%)** |
 Hospital | 8 (2%) | 18 (4%) |
 Occupational | 24 (8%) | 10 (2%) |
 Other | 6 (2%) | 3 (1%) |
 BMI | 28.4 (24.8–33.6) | 29.4 (26.0–36.2)** |
 Current smoker | 13 (4%) | 17 (4%) |
 Days of symptoms pre-admission | 9 (7–13) | 9 (5–13) |
 Admission SOFA score | 5 (3–7) | 4 (3–6)*** |
 APACHE II score | 14.1 (4.8) | 13.2 (5.1) |
 Clinical frailty score | 2 (2–3) | 3 (2–3)* |
Pre-existing comorbidities | Â | Â |
 Diabetes | 96 (30%) | 137 (30%) |
 Asthma | 48 (15%) | 69 (15%) |
 Hypertension | 127 (40%) | 205 (45%) |
 CAD | 16 (5%) | 41 (9%)* |
 CHF | 14 (4%) | 17 (4%) |
 Atrial fibrillation/atrial flutter | 11 (3%) | 12 (3%) |
 COPD | 12 (4%) | 35 (8%) |
 Chronic kidney disease | 22 (7%) | 33 (7%) |
 Chronic liver disease | 12 (4%) | 17 (4%) |
 HIV infection | 7 (2%) | 9 (2%) |
 Malignancy | 14 (4%) | 23 (5%) |
Baseline laboratory parameters and organ support on admission to ICU | ||
 Type of ventilation on admission |  |  |
  Invasive ventilation | 254 (80%) | 278 (61%)*** |
  Non-invasive ventilation | 4 (1%) | 16 (4%) |
  High-flow nasal cannula | 24 (8%) | 151 (33%) |
  None | 34 (11%) | 11(2%) |
  Extracorporeal membrane oxygenation | 58 (18%) | 64 (14%) |
 Number of vasopressors |  |  |
  0 | 183 (58%) | 320 (70%)** |
  1 | 131 (38%) | 130 (29%) |
  2 | 11 (3%) | 6 (1%) |
  3 | 1 (1%) | – |
 Baseline creatinine (µmol/L) | 81.5 (68.0–96.1) | 78.0 (65.5–91.5)* |
 pH | 7.4 (7.3–7.4) | 7.4 (7.4–7.5)*** |
 PaO2 (kPa) | 10.1 (8.8–12.8) | 8.3 (7.2–9.6)*** |
 Ionised calcium (mmol/L) | 1.1 (1.1–1.2) | 1.1 (1.1–1.2) |
 Lactate (mmol/L) | 1.7 (1.3–2.3) | 1.8 (1.4–2.4) |
 Chloride (mEg/L) | 99.7 (5.5) | 102.2 (5.3)*** |
 White blood cells (109/L) | 8.7 (6.4 -12.4) | 9.7 (6.5–13.8) |
 Neutrophils (109/L) | 7.5 (4.8–10.4) | 8.4 (5.4–12.1)* |
 Lymphocytes (109/L) | 0.8 (0.5–1.1) | 0.7 (0.4–1.0)** |
 Haemoglobin (g/L) | 117 (21.3) | 118 (23.9) |
 Ferritin (µg/L) | 1121 (676–2182) | 1039 (527–1859)* |
 d-dimer (mg/L) | 1.7 (0.80–6.84) | 2.1 (0.92–7.31) |
 CRP (mg/L) | 170 (92–292) | 91 (42–174)*** |
 PaO2/FiO2 ratio | 17.8 (13.1–25.1) | 13 (10.0–17.7)*** |
On admission to ICU | Â | Â |
 AKI diagnosis | 121 (38%) | 110 (24%) |
 Kidney replacement therapy | 31 (13%) | 20 (9%)** |
During ICU admission | ||
 Max PEEP in first 24 h (cmH2O) | 7.5 (4.9) | 5.5 (5.1)*** |
 Max PEEP in first 48 h (cmH2O) | 8.42 (4.84) | 6.45 (5.26)*** |
 AKI diagnosis | 241 (76%) | 232 (51%)*** |
 Kidney replacement therapy | 100 (32%) | 60 (13%)*** |
 Delta fluid balance between day 1 and 2 (mL/kg)a | 3.64 (16.4) | 4.01 (16.1) |
 Diuretic use in first 48 h (%) | 111 (35%) | 96 (21%)*** |