Evaluation of general characteristics of patients diagnosed with COVID-19 who were admitted to the ward and intensive care unit from the emergency department: a retrospective clinical study

Yıl 2024, Cilt: 7 Sayı: 4, 444 - 450, 30.07.2024

Nihal Ertürk Habibe Selmin Özensoy Neslihan Yarkın Edip Varan

https://doi.org/10.32322/jhsm.1500135

Öz

Aims: COVID-19 has caused many negative biological and psychological effects all over the world for a long time. Our aim is to present the general characteristics of patients who were diagnosed with COVID-19 by applying to the emergency department and who were admitted to the intensive care unit or service.
Methods: 1210 patients who were hospitalized in the emergency department, treated between 1 June 2020 and 1 January 2021, who had a positive COVID-19 Polymerase Chain Reaction test result and were examined retrospectively, were included in the study. p<0.05 was considered statistically significant.
Results: While the median age of patients admitted to the intensive care unit was 76, the median age of patients admitted to the service was 65 (p<0.001). The frequency of comorbidity rate in patients in intensive care was significantly higher than in the service. The most common symptoms were shortness of breath and cough. While lymphocyte and albumin levels were significantly lower in patients hospitalized in intensive care, white blood cell, C-reactive protein, procalcitonin, troponin I, D-dimer, urea, creatinine, and fibrinogen levels were significantly higher. When evaluated radiologically, the rate of lung CT retention was more common in patients hospitalized in intensive care.
Conclusion: This study determined that advanced age, the presence of comorbidities, high white blood cell, C-reactive protein, D-dimer, procalcitonin, urea, creatinine, and fibrinogen levels, low lymphocyte, albumin levels, and radiological involvement were also higher in patients admitted to intensive care.

Anahtar Kelimeler

COVID-19, demographic features, intensive care, emergency department

Etik Beyan

Ankara Bilkent City Hospital Ethics Committee with approval number E1-21-2241.

Destekleyen Kurum

None

Teşekkür

None

Acil servisten COVİD-19 servis ve yoğun bakım ünitesine başvuran, COVİD-19 tanısı alan hastaların genel özelliklerinin değerlendirilmesi: retrospektif bir klinik çalışma

Öz

Amaç: COVİD-19 uzun süre bir süre boyunca tüm dünyada birçok olumsuz biyolojik ve psikolojik etkiye neden olmuştur.Amacımız acil servise başvurarak COVİD-19 tanısı alıp yoğun bakım ünitesine veya servise yatışı yapılan hastaların genel özelliklerini sunmaktır.
Yöntem : Çalışmaya 1 Haziran 2020 ile 1 Ocak 2021 tarihleri arasında acil serviden hastaneye yatırılarak tedavi edilen, COVİD-19 Polimeraz Zincir Reaksiyonu testi pozitif olan ve retrospektif olarak incelenen 1210 hasta dahil edildi. p<0,05 istatistiksel olarak anlamlı kabul edildi.
Bulgular: Yoğun bakım ünitesine kabul edilen hastaların ortanca yaşı 76 iken, servise kabul edilen hastaların ortanca yaşı 65 idi (p<0,001). Yoğun bakımda takip edilen hastalarda komorbidite sıklığı serviste takip edilen hastalara göre anlamlı derecede yüksekti. En sık görülen semptomlar nefes darlığı ve öksürüktü. Yoğun bakımda yatan hastalarda lenfosit ve albümin düzeyleri anlamlı olarak düşük bulunurken; beyaz kan hücresi, C-reaktif protein, prokalsitonin, troponin I, D-dimer, üre, kreatinin ve fibrinojen düzeyleri anlamlı derecede yüksekti. Radyolojik olarak değerlendirildiğinde, yoğun bakımda yatan hastalarda akciğer BT retansiyonu oranı daha fazlaydı.
Sonuç: Bu çalışmada yoğun bakıma kabul edilen hastalarda ileri yaş, kronik hastalıkların varlığı, yüksek beyaz kan hücresi, C-reaktif protein, D-dimer, prokalsitonin, üre, kreatinin ve fibrinojen düzeyleri ile düşük lenfosit, albümin düzeyleri ve radyolojik tutulum fazlalığı anlamlı olarak belirlendi.

Anahtar Kelimeler

COVİD-19, demografik özellikler, yoğun bakım, acil servis

Kaynakça

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