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Characteristics and outcomes of 974 COVID-19 patients in intensive care units in Turkey
oleh: Hülya Sungurtekin, Cansu Ozgen, Ulku Arslan, Kemal Tolga Saracoglu, Volkan Yarar, Ahmet Sari, Ayse Turan Civraz, Ali Aydin Altunkan, Hilal Ayoglu, Nilgun Kavrut Ozturk, Nihal Bulut Yuksel, Birgul Yelken, Elif Bombaci, Gokhan Kilinc, Damla Akman, Pinar Demir, Ferruh Ayoglu, Fulya Ciyiltepe, Ahmet Caliskan, Simay Karaduman
Format: | Article |
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Diterbitkan: | King Faisal Specialist Hospital and Research Centre 2021-11-01 |
Deskripsi
BACKGROUND: In our previous report on Turkish COVID-19 patients requiring intensive care, the 24 patients in a single ICU were elderly and mortality was high. We extended our analysis to include patients admitted to ten ICUs. OBJECTIVES: Report the demographics, clinical features, imaging findings, comorbidities, and outcomes in COVID-19 patients. DESIGN: Retrospective. SETTING: Intensive care unit. PATIENTS AND METHODS: The study includes patients with clinical and radiological confirmed or laboratory-confirmed COVID-19 infection who were admitted to ten ICUs between 15 March and 30 June 2020. MAIN OUTCOME MEASURES: Clinical outcomes, therapies, and death during hospitalization SAMPLE SIZE: 974, including 571 males (58%). RESULTS: The median age (range) was 72 (21–101) years for patients who died (n=632, 64.9%) and 70 (16–99) years for patients who lived (n=342, 35.2%) (P<.001). APACHE scores, and SOFA scores were higher in patients who died than in those who survived (P<.001, both comparisons). Respiratory failure was the most common cause of hospitalization (82.5%), and respiratory failure on admission was associated with death (P=.013). Most (n=719, 73.8%) underwent invasive mechanical ventilation therapy. CONCLUSIONS: The majority of patients admitted to the ICU with a diagnosis of COVID-19 require respiratory support. LIMITATIONS: Although the Turkish Ministry of Health made recommendations for the treatment of COVID-19 patients, patient management may not have been identical in all ten units. CONFLICT OF INTEREST: None.