Araştırma Makalesi

Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak

Cilt: 7 Sayı: 2 29 Mayıs 2021
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Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak

Öz

Objective: The COVID-19 pandemic has brought considerable loss to the world by means of pneumonia related mortality. In the current study, we aimed to discover the predictors of mortality and other worse outcomes in atypical pneumonia cases during the COVID-19 outbreak. Methods: A prospective cohort study was carried out in our emergency department (ED) between March and May, 2020. All adult patients presented to the ED with atypical pneumonia patterns related to COVID-19 based on a chest CT scan were included in the study, and patients with bacterial pneumonia patterns were excluded. The primary outcome measure was determined as the composite outcome, including mortality and intensive care unit admission or mechanical ventilation needs within a one-month period. A binary logistic regression model was constructed to predict the worse outcomes in those patients. Results: Of the 271 suspected pneumonia cases, 146 patients were included in the final analysis. The composite outcome occurred in 31 patients (21.2%), 17 of whom died within one month. The patients’ age, history of heart failure, history of stroke, body temperature, dyspnea, cough, altered mental status, serious bronchospasm, bilateral lung involvement, hemoglobin level, LDH, lactate level, and bicarbonate and creatinine levels were added to the final model. Finally, patients’ altered mental status (OR:15.7, 95%CI:1.7-141.6), serious bronchospasm (OR:12.4, 95%CI:1.6-97.9), and lactate levels (OR:1.1, 95%CI:1.0-1.2) were found to be independent predictors for worse outcomes. Conclusion: Among various clinical and laboratory variables, altered mental status, serious bronchospasm, and lactate levels can be used to predict worse outcomes.

Anahtar Kelimeler

Kaynakça

  1. World Health Organization. Coronavirus (COVID-19) outbreak situation. URL: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 (Accessed on: October 15, 2020).
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Ayrıntılar

Birincil Dil

İngilizce

Konular

Acil Tıp

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

29 Mayıs 2021

Gönderilme Tarihi

12 Kasım 2020

Kabul Tarihi

17 Mayıs 2021

Yayımlandığı Sayı

Yıl 2021 Cilt: 7 Sayı: 2

Kaynak Göster

APA
Doğan, N. Ö., Doğan, S., Pekdemir, M., Yılmaz, S., Ferek Emir, D., & Teke, K. B. (2021). Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 7(2), 130-137. https://doi.org/10.30934/kusbed.824886
AMA
1.Doğan NÖ, Doğan S, Pekdemir M, Yılmaz S, Ferek Emir D, Teke KB. Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak. KOU Sag Bil Derg. 2021;7(2):130-137. doi:10.30934/kusbed.824886
Chicago
Doğan, Nurettin Özgür, Sevtap Doğan, Murat Pekdemir, Serkan Yılmaz, Duygu Ferek Emir, ve Kutlu Barış Teke. 2021. “Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 7 (2): 130-37. https://doi.org/10.30934/kusbed.824886.
EndNote
Doğan NÖ, Doğan S, Pekdemir M, Yılmaz S, Ferek Emir D, Teke KB (01 Mayıs 2021) Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 7 2 130–137.
IEEE
[1]N. Ö. Doğan, S. Doğan, M. Pekdemir, S. Yılmaz, D. Ferek Emir, ve K. B. Teke, “Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak”, KOU Sag Bil Derg, c. 7, sy 2, ss. 130–137, May. 2021, doi: 10.30934/kusbed.824886.
ISNAD
Doğan, Nurettin Özgür - Doğan, Sevtap - Pekdemir, Murat - Yılmaz, Serkan - Ferek Emir, Duygu - Teke, Kutlu Barış. “Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 7/2 (01 Mayıs 2021): 130-137. https://doi.org/10.30934/kusbed.824886.
JAMA
1.Doğan NÖ, Doğan S, Pekdemir M, Yılmaz S, Ferek Emir D, Teke KB. Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak. KOU Sag Bil Derg. 2021;7:130–137.
MLA
Doğan, Nurettin Özgür, vd. “Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, c. 7, sy 2, Mayıs 2021, ss. 130-7, doi:10.30934/kusbed.824886.
Vancouver
1.Nurettin Özgür Doğan, Sevtap Doğan, Murat Pekdemir, Serkan Yılmaz, Duygu Ferek Emir, Kutlu Barış Teke. Prediction of Mortality, Hospitalization and Mechanical Ventilation Needs of Patients with Pneumonia in COVID-19 Outbreak. KOU Sag Bil Derg. 01 Mayıs 2021;7(2):130-7. doi:10.30934/kusbed.824886