Abstract

The coronavirus disease 2019 (COVID-19)-associated critical illness poses an unprecedented challenge to ICU capacity and resources1,2 with an estimated mortality rate of 41.6% and a long ICU stay.3 Initial data have linked multiple patient-level risk factors with worse clinical outcomes4,5 and include older age, preexisting conditions (diabetes mellitus, hypertension, and obesity), initial illness severity, acute inflammation markers, and coagulation.4,5 However, few studies reported the impact of hospital-level factors on ICU outcome.

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