Retrospective Analysis of Patients Admitted To The Emergency Pandemic Outpatient Clinic and Evaluated With Suspicion Of COVID-19

Abstract

Aim: The COVID-19 pandemic caused by the new type of corona virus called SARS-CoV-2 is still effective all over the world. Although the symptoms caused by the COVID-19 agent are similar to other respiratory tract agents, their social effects are quite severe and different; we aimed to analyze the patients who applied to the emergency pandemic outpatient clinic created at the entrance of the emergency department in our hospital and who were examined with the pre-diagnosis of COVID-19. Material and Methods: Patients aged 16 and over who applied to the emergency pandemic outpatient clinic with complaints of fever, cough, and shortness of breath and those who received a swab sample from the upper respiratory tract for the polymerase chain reaction (PCR) test and had thorax computed tomography (TBT) were included. Results: When the complaints of the patients with positive and negative PCR tests were compared, it was seen that both groups had similar complaints. PCR positive patients WBC count (5748.39 ± 1547.01), neutrophil count (3650.32 ± 1355.58), lymphocyte count (1467.74 ± 472.3) and platelet count (224.65 ± 76.01); PCR was found lower than patients who were negative. Conclusion: Lower WBC, neutrophil and lymphocyte counts were detected in patients with positive COVID-19 PCR test. In PCR positive cases with TBT findings, the platelet count was lower and the CRP value was higher. We think that these data may be a guide for suspicion of disease and early isolation for healthcare institutions where there are no advanced diagnostic tests or late results.

Keywords

• emergency department,
• polymerase chain reaction
• COVID-19

Acil Pandemi Polikliniğine Başvuran ve COVID-19 Şüphesiyle Değerlendirilen Hastaların Retrospektif Analizi

Abstract

Amaç: SARS-CoV-2 olarak adlandırılan yeni tip korona virüsün neden olduğu COVID-19 pandemisi halen tüm dünyada etkisini sürdürmektedir. COVID-19 etkeninin neden olduğu semptomlar diğer solunum yolu etkenlerine benzese de toplumsal etkileri oldukça şiddetli ve farklı seyretmektedir. Bu çalışma hastanemizin acil servis girişinde oluşturulan acil pandemi polikliniğine başvuran ve COVID-19 ön tanısıyla tetkik edilen hastaların analizinin yapılması amacıyla planlanmıştır. Gereç ve Yöntemler: Acil pandemi polikliniğine başvurmuş 16 yaş ve üzeri hastalardan, ateş, öksürük, nefes darlığı şikayetleri olup COVID-19 şüphesiyle polimeraz zincir reaksiyonu (PZR) testi için üst solunum yolundan sürüntü örneği alınmış ve Toraks bilgisayarlı tomografisi (TBT) yapılmış olanlar dahil edilmiştir. Bulgular: PZR testi pozitif ve negatif olan hastaların geliş şikayetleri karşılaştırıldığında, iki grubun da benzer şikayetlere sahip olduğu görülmüştür. PZR testi pozitif hastaların WBC sayıları (5748,39 ± 1547,01), nötrofil sayıları (3650,32 ± 1355,58), lenfosit sayıları (1467,74 ± 472,3) ve platelet sayıları (224,65 ± 76,01); PZR testi negatif olan hastalardan daha düşük bulunmuştur. Sonuç: COVID-19 PZR testi pozitif hastalarda daha düşük WBC, nötrofil ve lenfosit sayısı tespit edilmiştir. Toraks bilgisayarlı tomografi bulguları olan PZR pozitif vakalarda platelet sayısı daha düşük ve CRP değeri daha yüksek izlenmiştir. Bu verilerin özellikle ileri tanı testlerinin olmadığı veya geç sonuçlandığı sağlık kuruluşları için hastalıktan şüphelenme ve erken izolasyon için yol gösterici olabileceğini düşünmekteyiz.

Keywords

• Acil servis
• polimeraz zincir reaksiyonu
• COVID-19

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