Yeni Tip Koronavirus (SARS-CoV-2) Enfeksiyonu Hastalığı (COVID-19) Pandemisi: Tek Merkez Deneyimi

Year 2022, Volume: 5 Issue: 2, 50 - 55, 30.06.2022

Tanzer Korkmaz , Selin Özdemir , Elife Özkan , Emine Sevcan Ata Çağlar Alptekin

https://doi.org/10.54996/anatolianjem.1018328

Abstract

Amaç: COVID-19 hızla yayılan bir viral hastalık olarak Dünya Sağlık Örgütü tarafından pandemik bir hastalık olarak ilan edildi. Özellikle pnömoni, nekrotizan ensefalopati, sistemik ve pulmoner tromboembolizm, akut solunum sıkıntısı sendromu, sistemik inflamatuar yanıt ve sepsis gibi ciddi sağlık sorunlarına neden olabilmektedir. Çalışmanın amacı, kısa sürede küresel olarak hızla genişleyen koronavirüs hastalığı salgınına bir ilçe hastanesi çerçevesinde genel bir bakış sunmaktadır.

Gereç ve Yöntemler: Mart/2020-Mayıs/2020 tarihleri arasında XX Devlet Hastanesinde, COVID-19 polikliniğine ve acil servise başvuran olası veya kesin COVID-19 erişkin vakalarının, klinik-laboratuvar-görüntüleme verileri, komorbid durumları, hastalık seyri ve medikal tedavileri retrospektif olarak toplandı.

Bulgular: Başvuran 650 hastadan olası/kesin COVİD-19 tanısı olan 471 hasta çalışmaya alındı. Yetmiş üç hasta yatırılarak takip edildi ve yatırılan hastaların sekizi (%1,7) mortal seyretti. Hastalarımızın çoğunluğunun erkek (n=260, %55,2) ve yaş ortancasının da 42 (95%CI: 42.7-45.8) (aralık 18-99 yaş) olarak tespit edildi. Hipertansiyon, diyabet ve kronik obstrüktif akciğer hastalığı en sık üç komorbidite olduğu ve mortal seyreden hastaların en az bir ek hastalığı olduğu görüldü. Tomografide en sık akciğerin <%5'inin ve %5-25'inin tutulumu olduğu görülmektedir.

Sonuç: Küçük bir bölgede ve kısa bir süreçte yapılan çalışmamızın verileri o günün literatür verileriyle benzerlikler içermektedir. Çalışmamızın sonucu olarak hastalığın yaş verileri dahilinde, pandeminin ilk günlerindeki bilgilerden farklı olarak, hastaların çoğunun 65 yaş altı olduğu görülmüştür.

Keywords

SARS-CoV-2, COVID-19, pnömoni, tomografi

Supporting Institution

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Project Number

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Özel bir teşekkür bulunmuyor

Novel Coronavirus (SARS-CoV-2) Infection Disease (COVID-19) Pandemic: A Single-Center Experience

Abstract

Aim: COVID-19 was declared a pandemic disease by the World Health Organization as a rapidly spreading viral disease. It can cause serious health problems such as pneumonia, necrotizing encephalopathy, systemic and pulmonary thromboembolism, acute respiratory distress syndrome, systemic inflammatory response, and sepsis. The study aims to provide an overview of the rapidly expanding global coronavirus disease epidemic within the framework of a district hospital.

Material and Methods: The clinical-laboratory-imaging data, comorbid conditions, disease course, and the medical treatments of probable or definite COVID-19 adult cases admitted to the COVID-19 outpatient clinic and emergency service between March/2020-May/2020 were collected retrospectively.

Results: Of the 650 admitted patients, 471 patients with a probable/definite diagnosis of COVID-19 were included in the study. Seventy-three patients were hospitalized, and eight of the hospitalized patients (1.7%) died. The majority of our patients were male (n = 260, 55.2%) and the median age was 42±17.2 years (IQR:24, range 18-99 years). It was determined that hypertension, diabetes, and chronic obstructive pulmonary disease were the three most common comorbidities. Patients with mortality had at least one additional disease. On tomography, the most common lung involvement is <5% and 5-25% of the lung.

Conclusion: The data of our study, which was conducted in a small area and a short period of time, contains similarities with the literature data of that day. As a result of our study, within the age data of the disease, unlike the information in the first days of the pandemic, it was seen that most of the patients were under 65 years old.

Keywords

SARS-CoV-2, COVID-19, pneumonia, tomography

Project Number

proje değil

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