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60-day mortality rate was 32%; 37% for ventilated patients, and 42% for those requiring both ventilation and renal replacement therapy. Early deterioration might be seen as a warning signal for unfavourable outcome. Lung-protective ventilation including prone positioning remain the mainstay of the treatment. Early deterioration might be seen as a warning signal for unfavourable outcome. Lung-protective ventilation including prone positioning remain the mainstay of the treatment. Covid-19 is a severe emerging infection with high rate of