Investigation of Clinical and Sociodemographic Characteristics of Critically Patients with COVID-19 Admitted to Intensive Care Unit

Abstract

Aim: It is known that there is an increased risk of mortality due to COVID-19 in people with comorbid diseases. In this study, it was aimed to examine the comorbid diseases of patients treated in the intensive care unit due to COVID-19 and the effects of these diseases on mortality.
Material and Methods: In this study, the clinical and sociodemographic characteristics of 220 patients who were treated in the intensive care unit due to Covid-19 in a district state hospital between 01/06/2020-01/01/2021 were retrospectively analyzed.
Results: The mean age, urea, creatine, CRP, WBC, and neutrophil count were found to be significantly higher in the non-survivor group compared to the survivor group. Lymphocyte count, eosinophil count, HGB, and HCT were significantly higher in the survivor group. It was found that mortality was significantly increased in COVID-19 patients with DM, HT, CRF, COPD comorbid diseases.
Conclusion: According to the results we found, it is necessary to be more careful in the intensive care follow-up of COVID-19 patients with comorbid diseases such as DM, HT, COPD, CKD.

Keywords

• COVID-19
• intensive care
• hypertension
• chronic kidney disease
• diabetes mellitus

Yoğun Bakım Ünitesine Kabul Edilen COVID-19’lu Kritik Hastaların Klinik ve Sosyodemografik Özelliklerinin İncelenmesi

Öz

Amaç: Komorbid hastalıkları olan kişilerde COVID-19 nedeniyle mortalite riskinde artış olduğu bilinmektedir. Bu çalışmada COVID-19 nedeniyle yoğun bakım ünitesinde tedavi gören hastaların komorbid hastalıkları ve bu hastalıkların mortalite üzerindeki etkisinin incelenmesi amaçlanmıştır.
Materyal ve Metot: Bu çalışmada 01/06/2020-01/01/2021 tarihleri arasında bir ilçe devlet hastanesi’nde COVID-19 nedeniyle yoğun bakım ünitesinde tedavi gören 220 hastanın klinik ve sosyodemografik özellikleri retrospektif olarak incelenmiştir.
Bulgular: Yaş ortalaması, üre, kreatin, CRP, WBC ve nötrofil sayısı, yaşamını yitiren grupta, hayatta kalan gruba kıyasla anlamlı derecede yüksek bulundu. Hayatta kalan grupta lenfosit sayısı, eozinofil sayısı, HGB ve HCT anlamlı olarak daha yüksekti. DM, HT, KBY, KOAH komorbid hastalıkları olan COVID-19 hastalarında mortalitenin önemli ölçüde arttığı bulundu.
Sonuç: Bulduğumuz sonuçlara göre DM, HT, KOAH, KBY gibi komorbid hastalıkları olan COVID-19 hastalarının yoğun bakım takibinde daha dikkatli olunması gerekmektedir.

Anahtar Kelimeler

• COVID-19
• yoğun bakım
• hipertansiyon
• kronik böbrek hastalığı
• diabetes mellitus

Kaynakça

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