TY - JOUR T1 - Investigation of the Relationship between Serum Ferritin Levels, Lung Involvement and Treatment Methods in COVID 19 Patients: A Retrospective Study TT - COVID19 Hastalarında Serum Ferritin Düzeyleri, Akciğer Tutulumu ve Tedavi Yöntemleri Arasındaki İlişkinin Araştırılması: Retrospektif Bir Çalışma AU - Savrun, Atakan AU - Savrun, Şeyda Tuba PY - 2022 DA - September Y2 - 2022 DO - 10.37990/medr.1115815 JF - Medical Records JO - Med Records PB - Tıbbi Kayıtlar Derneği WT - DergiPark SN - 2687-4555 SP - 418 EP - 421 VL - 4 IS - 3 LA - en AB - Aim: COVID-19 disease was identified as cases of pneumonia of unknown origin in China in 2019. It has been reported that after the Covid 19 virus entered the body, the immune system cell was over-activated and there was an intense release of cytokines and the clinical picture worsened accordingly. In addition there is a relationship between ferritin level and cytokine release. In the present study, it was aimed to examine the relationship between the presence of lung involvement and treatment and ferritin levels in cases diagnosed with Covid 19 in the emergency department.Material and Methods: Cases aged 18 years and older who applied to the emergency department with positive SARS-CoV-2 PCR analysis were included in the study. Demographic characteristics, serum ferritin levels, lung tomography reports (according to the Co-Rads Classification) and treatment modalities (outpatient treatment, inpatient treatment in the service and treatment in the intensive care unit) of the cases were examined.Results: It was determined that patients with pulmonary involvement had an increased treated in intensive care (p KW - Covid-19 KW - Lung Tomography KW - Ferritin KW - Covid 19 Treatment KW - Covid-19 KW - Lung Tomography KW - Ferritin KW - Covid 19 Treatment N2 - Amaç: COVID-19 hastalığı, 2019 yılında Çin’de menşei bilinmeyen pnömoni vakaları olarak tanımlanmıştır.Covid 19 virüsü vücuda girdikten sonra ,bağışıklık sistemi hücreleri aşırı aktif hale gelir, yoğun sitokin salınımına sebep olur ve buna bağlı klinik tablo kötüleştiği bildirilmiştir. Ayrıca ferritin düzeyi ile sitokin salınımı arasında da bir ilişki vardır. Sunulan çalışmada acil serviste Covid 19 teşhisi konulan olguların akciğer tutulumu varlığı, tedavi şekilleri ile ferritin düzeyleri arasındaki ilişkinin incelenmesi amaçlanmıştır.Materyal ve Metot: Acil serviste SARS-CoV-2 PCR pozitifliği saptanan, 18 yaş ve üzeri olgular çalışmaya dahil edilmiştir. Olguların demografik özellikleri, serum ferritin seviyeleri, akciğer tomografi raporları (Co-Rads Sınıflandırması) ve tedavi yöntemleri (ayakta tedavi, serviste yatarak tedavi ve yoğun bakımda tedavi) bakım ünitesi incelenmiştir.Bulgular: Akciğer tutulumu olan hastaların yoğun bakımda tedavi edilme oranlarının arttığı belirlendi (p CR - 1.Zhou P, Yang X, Wang X, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. nature 2020; 579.7798: 270-273. CR - 2.Saribas MS, Tomakin M, Ozkay I. Retrospective analysis of lactate levels, lung i̇nvolvement and treatment methods of patients with COVID-19 who applied to the emergency department. 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