Factors Associated with COVID-19 Mortality in Elderly Patients in Intensive Care Unit

Hüseyin Özkarakaş; İsmail Demir

doi:10.56016/dahudermj.1356852

EN

Factors Associated with COVID-19 Mortality in Elderly Patients in Intensive Care Unit

Abstract

Objectives: Mortality rates in patients with COVID-19 infection admitted to the intensive care unit are influenced by various factors. In this study, we aimed to investigate the mortality rate and factors affecting mortality in patients admitted to the intensive care unit due to COVID-19 infection who had not been vaccinated. Methods: Our study was conducted retrospectively by scanning patients admitted to the intensive care unit of Izmir Bozyaka Education and Research Hospital of Health Sciences University from the beginning of 2020 to the end of 2022. Patients who were admitted to the intensive care unit were 65 years of age and older with COVID-19 infection. The patients' presenting complaints, degree of lung involvement, laboratory findings, and comorbidities were compared between patients who survived and those who passed away. Results: A total of 166 patients were evaluated in our study. Of these, 48 patients were discharged, while 118 patients experienced an excitus. The median age (IQR) for discharged patients was 71.5 (8), and for patients who experienced an excitus, it was 78 (15), which was found to be statistically significant (p <0.001). The most common presenting complaint in all patients was high fever. Patients with two or more comorbidities were more common in the excitus group (p <0.001). Severe involvement on initial computed tomography was observed in 28 patients in the excitus group, while no severe involvement was seen in the discharged group (p <0.001). Conclusion: Our study found that advanced age, extensive lung involvement at admission, the presence of two or more comorbidities, and the presence of dyspnea at admission were associated with increased mortality in elderly patients.

Keywords

Covid-19, Elderly patients, Mortality

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Details

Primary Language

English

Subjects

Clinical Sciences (Other)

Journal Section

Research Article

Authors

Hüseyin Özkarakaş ^*
0000-0002-3897-9985
Türkiye

İsmail Demir
0000-0001-7787-1443
Türkiye

Publication Date

October 29, 2023

Submission Date

September 7, 2023

Acceptance Date

October 10, 2023

Published in Issue

Year 2023 Volume: 3 Number: 4

DOI

https://doi.org/10.56016/dahudermj.1356852

IZ

https://izlik.org/JA24NL23JL

APA

Özkarakaş, H., & Demir, İ. (2023). Factors Associated with COVID-19 Mortality in Elderly Patients in Intensive Care Unit. DAHUDER Medical Journal, 3(4), 117-122. https://doi.org/10.56016/dahudermj.1356852

AMA

1.Özkarakaş H, Demir İ. Factors Associated with COVID-19 Mortality in Elderly Patients in Intensive Care Unit. DAHUDER MJ. 2023;3(4):117-122. doi:10.56016/dahudermj.1356852

Chicago

Özkarakaş, Hüseyin, and İsmail Demir. 2023. “Factors Associated With COVID-19 Mortality in Elderly Patients in Intensive Care Unit”. DAHUDER Medical Journal 3 (4): 117-22. https://doi.org/10.56016/dahudermj.1356852.

EndNote

Özkarakaş H, Demir İ (October 1, 2023) Factors Associated with COVID-19 Mortality in Elderly Patients in Intensive Care Unit. DAHUDER Medical Journal 3 4 117–122.

IEEE

[1]H. Özkarakaş and İ. Demir, “Factors Associated with COVID-19 Mortality in Elderly Patients in Intensive Care Unit”, DAHUDER MJ, vol. 3, no. 4, pp. 117–122, Oct. 2023, doi: 10.56016/dahudermj.1356852.

ISNAD

Özkarakaş, Hüseyin - Demir, İsmail. “Factors Associated With COVID-19 Mortality in Elderly Patients in Intensive Care Unit”. DAHUDER Medical Journal 3/4 (October 1, 2023): 117-122. https://doi.org/10.56016/dahudermj.1356852.

JAMA

1.Özkarakaş H, Demir İ. Factors Associated with COVID-19 Mortality in Elderly Patients in Intensive Care Unit. DAHUDER MJ. 2023;3:117–122.

MLA

Özkarakaş, Hüseyin, and İsmail Demir. “Factors Associated With COVID-19 Mortality in Elderly Patients in Intensive Care Unit”. DAHUDER Medical Journal, vol. 3, no. 4, Oct. 2023, pp. 117-22, doi:10.56016/dahudermj.1356852.

Vancouver

1.Hüseyin Özkarakaş, İsmail Demir. Factors Associated with COVID-19 Mortality in Elderly Patients in Intensive Care Unit. DAHUDER MJ. 2023 Oct. 1;3(4):117-22. doi:10.56016/dahudermj.1356852