TY - JOUR T1 - The clinical characteristics of influenza and other viral respiratory infections in the intensive care unit: A one-year single-center retrospective study TT - Yoğun bakım ünitesinde influenza ve diğer solunum yolu viral enfeksiyonlarının klinik özellikleri: Bir yıllık tek merkezli retrospektif çalışma AU - Alparslan, Volkan AU - Güler, Özlem AU - Kutlu, Samet AU - İzgin Avcı, İpek AU - Karadenizli, Aynur AU - Baykara, Nur AU - Kuş, Alparslan PY - 2025 DA - June Y2 - 2025 DO - 10.53446/actamednicomedia.1712079 JF - Acta Medica Nicomedia JO - Acta Med Nicomedia PB - Kocaeli University WT - DergiPark SN - 2717-8994 SP - 212 EP - 216 VL - 8 IS - 2 LA - en AB - Objective: The aim of this study was to evaluate the clinical features and prognostic factors associated with mortality in respiratory viral infections in intensive care unit patients.Methods: This retrospective, single-centre study included adult patients aged ≥18 years who were admitted to the intensive care unit of Kocaeli University Faculty of Medicine between March 2024 and March 2025 and whose respiratory viral agent was detected by BioFire® Respiratory 2.1 Plus Panel test. Demographic data, clinical and pneumonia scoring systems (APACHE II, SOFA, PSI, CURB-65), laboratory parameters and patient prognosis (survived/non survived) were analysed.Results: A total of 547 out of 2719 intensive care unit patients underwent respiratory panel, and at least one viral agent was detected in 95 (17.4%) of them. The most frequently detected viruses were rhinovirus/enterovirus (n=22), SARS-CoV-2 (n=15) and influenza A-H3 (n=23). The intensive care unit mortality rate was 54.3% in viral positive patients. APACHE II, SOFA, PSI and CURB-65 scores as well as urea and procalcitonin levels were found to be significantly higher in patients with non-survived (p KW - Respiratory viruses KW - intensive care unit KW - influenza KW - COVID-19 KW - APACHE II KW - SOFA N2 - Amaç: Bu çalışmanın amacı, yoğun bakım hastalarında saptanan solunum yolu viral enfeksiyonlarının klinik özelliklerini ve mortalite ile ilişkili prognostik faktörleri değerlendirmektir.Yöntem: Bu retrospektif, tek merkezli çalışmaya, Mart 2024 – Mart 2025 tarihleri arasında Kocaeli Üniversitesi Tıp Fakültesi yoğun bakım ünitesine kabul edilen ve BioFire® Respiratory 2.1 Plus Panel testi ile solunum yolu viral etkeni saptanan ≥18 yaş erişkin hastalar dahil edildi. Demografik veriler, klinik ve pnömoni skorlama sistemleri (APACHE II, SOFA, PSI, CURB-65), laboratuvar parametreleri ve hasta prognozu (yaşam/exitus) analiz edildi.Bulgular: Toplam 2719 yoğun bakım hastasından 547’sine solunum paneli uygulanmış, bunların 95’inde (%17,4) en az bir viral etken saptanmıştır. En sık tespit edilen virüsler rhinovirüs/enterovirüs (n=22), SARS-CoV-2 (n=15) ve influenza A-H3 (n=23) olmuştur. Viral pozitif hastalarda yoğun bakım mortalite oranı %54,3 bulunmuştur. Ölen hastalarda APACHE II, SOFA, PSI ve CURB-65 skorlarının yanı sıra üre ve prokalsitonin düzeylerinin anlamlı derecede yüksek olduğu görülmüştür (p CR - Fragkou PC, Moschopoulos CD, Karofylakis E, Kelesidis T, Tsiodras S. Update in viral infections in the intensive care unit. Front Med (Lausanne). 2021;8:575580. doi:10.3389/fmed.2021.575580 CR - Xu JQ, Zhang WY, Fu JJ, et al. Viral sepsis: diagnosis, clinical features, pathogenesis, and clinical considerations. 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