| Title: |
Mass medical evacuations to decrease the intensive care burden: results from the TRANSCOV cohort study. |
| Authors: |
Grimaud, Olivier; Leray, Emmanuelle; Bayat, Sahar; Fermanian, Christophe; Martin, Sylvie; Maumy, Myriam; Philippe, Jean-Marc; Maury, Eric; Ricard-Hibon, Agnès; Tattevin, Pierre; Noizet, Marc; Braun, François; Dolz, Manuel; Sanchez, Marc-Antoine; Coignard-Biehler, Hélène; Prieto, Nathalie; Delamare, Hugues; Cayré, Virginie; Carli, Pierre; Vuagnat, Albert; Pottecher, Julien; Berger, Asaël; Vuillaume, Laure Abensur; Louis, Guillaume; Beringuer, Hélène; Gette, Sebastien; Caps, Thierry; Kuteifan, Khaldoun; Fuchs, Christian; Nace, Lionel; Mourvillier, Bruno; Gennai, Stéphane; Foalem, Sonia; Ciurel, Claudia; Brigante, Cosimo; Popoff, Lionel; Arezki, Farid; Weiss, Anne; Meziani, Ferhat; Schneider, Francis; Mertes, Paul-Michel; Lexa, Pascal; Fleury, Betty; Gaertner, Elisabeth; Plantefeve, Gaëtan; Faure, Henri; Decaudin, Guillaume Gelé; Cohen, Yves; Adnet, Fréderic; Zogheib, Elie; Damoisel, Charles; Boutonnet, Mathieu; Weiss, Emmanuel; Ricard, Jean-Damien; Capitani, Georges-Antoine; Baron, Marie; Schortgen, Frédérique; Dessap, Armand Mekontso; Lecarpentier, Eric; Ochin, Evelina; Severin, Armelle; Loeb, Thomas; Heming, Nicholas; Moine, Pierre; Annane, Djillali; Bertrand, Fabrice; Durand, Philippe; Wildenberg, Lucille; Harrois, Anatole; Teboul, Jean-Louis; Thyrault, Martial; Nakaa, Sabrine; Guilmin-Crepon, Sophie; Dauger, Stéphane; Borel, Marie; Langlois, Matthieu; Gianinazzi, Anne-Charlotte; Verdonk, Franck; Megarbane, Bruno; Fartoukh, Muriel; Lamhaut, Lionel; Bruel, Cédric; Guérot, Emmanuel; Dinh, Alexy Tran; Zappella, Nathalie; Girard, Tiphaine; Montravers, Philippe; Dubost, Jean-Louis; Grangeon, Marie; Piton, Gaël; Pili-Floury, Sébastien; Desmettre, Thibault; El Cadi, Toufiq; Vivet, Bérengère; Clavier, Marie; Corege, David; Cicala, Jean-François; Pugliesi, Paul-Simon; Denis, Jean-Paul; Timsit, Eléonore; Mirek, Sébastien; Dyani, Mohamed; Patrigeon, René-Gilles; Lecomte, Bernard; Federici, Laura; Serpin, Laurent; Callige, Pierre; Dubost, Clément; Richard, Olivier; Laurent, Virginie; Ichai, Philippe; Badie, Julio; Sano, Morlaye; Plaud, Benoît; Darmon, Michael; Azoulay, Elie; da Silva, Daniel; Lakhdari, Mourad; Boyer, Alexandre; Van, David Tran; Foucault, Camille; Mayet, Thierry; Levrat, Quentin; Darreau, Cédric; Cordier, Pierre-Yves; Paris, Raphaël; Soury, Marie; Garnier, Maxime; Lafforgue, Patrick; Grenot, Romaric; Thille, Arnaud; Kergoat, Pierre; Goutorbe, Philippe; Bounes-Vardon, Fanny; Galy, Antoine; de Soyres, Olivier; Saghi, Tahar; Grand, Hubert; Muller, Laurent; Charbonneau, Hélène; Quesnel, Kevin; Pillot, Jérôme; Beloncle, François-Michel; Asfar, Pierre; Lasocki, Sigismond; Schnell, David; Renault, Anne; Huet, Olivier; Cohen, Claude; Costecalde, Marion; Brunel, Elodie; Petua, Philippe; Destizons, Audrey; Pouplet, Caroline; Roquilly, Antoine; Reignier, Jean; Souweine, Bertrand; Bazin, Jean-Etienne; Brunet, Jennifer; Michot, Jean-Baptiste; Seemann, Aurélien; Tamion, Fabienne; Remerand, Francis; Dequin, Pierre-François; Maamar, Adel; Launey, Yoann; Piechaud, Pierre-Thierry; Frerou, Aurélien; Schnell, Guillaume; Fillatre, Pierre; Thill, Chloé; Grillet, Guillaume; Egreteau, Pierre-Yves; Auchabie, Johann; Declercq, Pierre-Louis; Roze, Benoît; Fischer, Marc-Olivier; Dopeux, Loïc; Ravan, Ramin; Jarrige, Luc; Faisy, Christophe; Sauneuf, Bertrand; Pichon, Nicolas; Prevost, Fabrice; Delbove, Agathe; Jonas, Maud; Carte, Sandrine Bedon; Pradel, Gaël; Vieillard-Baron, Antoine; Boussen, Salah; Gainnier, Marc; Lehingue, Samuel; Herault, Marie-Christine; Durand, Michel; Deswardt, Philippe; Camarasa, Philippe; Ichai, Carole; Alphonsine, Jean-Emmanuel; Marquer, Bruno; Willems, Vincent; Robert, Alexandre; Bertrand, Pierre-Marie; Antier, Nadiejda; Finge, Toufic; Mouton, Lucie; Rastegar, Touraj; Graf, Tobias; Reuter, Jean; Braun, Claude; Watremez, Stephan; Spetzger, Uwe; Michel, André; Bodenstein, Marc |
| Contributors: |
Recherche en Pharmaco-épidémiologie et Recours aux Soins (REPERES); Université de Rennes (UR)-École des Hautes Études en Santé Publique (EHESP); Département Méthodes quantitatives en santé publique (METIS); École des Hautes Études en Santé Publique (EHESP); Arènes: politique, santé publique, environnement, médias (ARENES); Université de Rennes (UR)-Institut d'Études Politiques IEP - Rennes-École des Hautes Études en Santé Publique (EHESP)-Université de Rennes 2 (UR2)-Centre National de la Recherche Scientifique (CNRS); Recherche sur les services et le management en santé (RSMS); Université de Rennes (UR)-École des Hautes Études en Santé Publique (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS); Centre d'Investigation Clinique Rennes (CIC); Université de Rennes (UR)-Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Pontchaillou -Institut National de la Santé et de la Recherche Médicale (INSERM); Ministère des Affaires sociales et de la Santé; Direction Générale de la Santé (DGS); Université Pierre et Marie Curie - Paris 6 - UFR de Médecine Pierre et Marie Curie (UPMC); Université Pierre et Marie Curie - Paris 6 (UPMC); Département Urgences SAMU-SMUR 95, CHG Pontoise-Beaumont/Oise, Pontoise, France; Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Pontchaillou; ARN bactériens et médecine (BRM); Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes (Biosit : Biologie - Santé - Innovation Technologique); Groupe hospitalier de la région de Mulhouse et Sud-Alsace; Centre hospitalier régional de Metz-Thionville (CHR Metz-Thionville); Direction centrale du service de santé des armées; Direction des Systèmes d’Information et du Numérique (DSIN), Service de Santé des Armées Françaises, Saint-Mandé-, France; Service de Santé des Armées; Service médical d’urgence, CHU de Lyon; Hôpital Edouard Herriot CHU - HCL; Hospices Civils de Lyon (HCL); Santé publique France Antilles; Santé publique France - French National Public Health Agency Saint-Maurice, France; Agence Régionale de Santé Grand-Est (ARS Grand-Est); SAMU 75 Paris; Hôpital Necker - Enfants Malades AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP); Drees, Ministère des affaires sociales et de la santé; Centre de Recherche du DREES (DREES); Ministère de l'Emploi et de la Solidarité-Ministère de l'Emploi et de la Solidarité; Hôpitaux Universitaires de Strasbourg (HUS); TRANSCOV-study group; The study was funded by the Directorate General of Health (DGS) of the French Ministry of Health and received supplementary funding from the French agency for AIDS and viral hepatitis research, emerging infectious diseases (ANRS MIE).The TRANSCOV cohort has been labeled as a National Research Priority by the National Orientation Committee for Therapeutic Trials and other researches on COVID-19 (CAPNET). |
| Source: |
ISSN: 0012-3692. |
| Publisher Information: |
CCSD; American College of Chest Physicians |
| Publication Year: |
2026 |
| Collection: |
Archive Ouverte de l'Université Rennes (HAL) |
| Subject Terms: |
ARDS; COVID-19; Emergency Medical Service; Hospital transfer; Intensive care unit; Mortality; out of hospital emergency care; [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie; [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases |
| Description: |
International audience ; Background: In a context of overwhelming demand, mass transfers between intensive care units (ICU) were organized in France during the first COVID-19 epidemic wave (spring 2020). According to early reports, transferred patients experienced a 3-to-4-fold lower ICU case fatality. It is not known whether this difference stems only from the selection of healthier patients for transfer.Research question: Is the 28-day ICU case fatality of transferred patients different from that of matched control (not transferred) patients?Study design and methods: Multicenter retrospective cohort study that included 285 transferred patients, and 667 control (not transferred) patients admitted simultaneously (± 2 days) to the same "origin" ICU and alive five days after the transfer date. The 28-day ICU case fatality and clinical events during ICU stay were compared in transferred and control patients.Results: At ICU admission, age, COVID-19 severity, comorbidities and Simplified Acute Physiology Score II (SAPS II) were similar, but transferred patients were lighter (81 versus 89 kg, p |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/40939929; PUBMED: 40939929 |
| DOI: |
10.1016/j.chest.2025.08.023 |
| Availability: |
https://ehesp.hal.science/hal-05274056; https://ehesp.hal.science/hal-05274056v1/document; https://ehesp.hal.science/hal-05274056v1/file/Grimaud%20-%202025%20-%20Mass%20medical%20evacuations%20to%20decrease%20the%20intensive%20care%20burden%20_Article_Transcov_CHEST2025.pdf; https://doi.org/10.1016/j.chest.2025.08.023 |
| Rights: |
https://creativecommons.org/licenses/by-nc/4.0/ |
| Accession Number: |
edsbas.91EB28FA |
| Database: |
BASE |