Characteristics and outcomes of 974 COVID-19 patients in intensive care units in Turkey
BACKGROUND: In our previous report on Turkish COVID-19 patients requiring intensive care, the 24 patients in a single ICU were elderly and mortality was high. We extended our analysis to include patients admitted to ten ICUs. OBJECTIVES: Report the demographics, clinical features, imaging findings,...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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King Faisal Specialist Hospital and Research Centre
2021-11-01
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| Series: | Annals of Saudi Medicine |
| Online Access: | http://www.annsaudimed.net/doi/10.5144/0256-4947.2021.318 |
| _version_ | 1811215151503769600 |
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| author | Hülya Sungurtekin Cansu Ozgen Ulku Arslan Kemal Tolga Saracoglu Volkan Yarar Ahmet Sari Ayse Turan Civraz Ali Aydin Altunkan Hilal Ayoglu Nilgun Kavrut Ozturk Nihal Bulut Yuksel Birgul Yelken Elif Bombaci Gokhan Kilinc Damla Akman Pinar Demir Ferruh Ayoglu Fulya Ciyiltepe Ahmet Caliskan Simay Karaduman |
| author_facet | Hülya Sungurtekin Cansu Ozgen Ulku Arslan Kemal Tolga Saracoglu Volkan Yarar Ahmet Sari Ayse Turan Civraz Ali Aydin Altunkan Hilal Ayoglu Nilgun Kavrut Ozturk Nihal Bulut Yuksel Birgul Yelken Elif Bombaci Gokhan Kilinc Damla Akman Pinar Demir Ferruh Ayoglu Fulya Ciyiltepe Ahmet Caliskan Simay Karaduman |
| author_sort | Hülya Sungurtekin |
| collection | DOAJ |
| description | BACKGROUND: In our previous report on Turkish COVID-19 patients requiring intensive care, the 24 patients in a single ICU were elderly and mortality was high. We extended our analysis to include patients admitted to ten ICUs. OBJECTIVES: Report the demographics, clinical features, imaging findings, comorbidities, and outcomes in COVID-19 patients. DESIGN: Retrospective. SETTING: Intensive care unit. PATIENTS AND METHODS: The study includes patients with clinical and radiological confirmed or laboratory-confirmed COVID-19 infection who were admitted to ten ICUs between 15 March and 30 June 2020. MAIN OUTCOME MEASURES: Clinical outcomes, therapies, and death during hospitalization SAMPLE SIZE: 974, including 571 males (58%). RESULTS: The median age (range) was 72 (21–101) years for patients who died (n=632, 64.9%) and 70 (16–99) years for patients who lived (n=342, 35.2%) (P<.001). APACHE scores, and SOFA scores were higher in patients who died than in those who survived (P<.001, both comparisons). Respiratory failure was the most common cause of hospitalization (82.5%), and respiratory failure on admission was associated with death (P=.013). Most (n=719, 73.8%) underwent invasive mechanical ventilation therapy. CONCLUSIONS: The majority of patients admitted to the ICU with a diagnosis of COVID-19 require respiratory support. LIMITATIONS: Although the Turkish Ministry of Health made recommendations for the treatment of COVID-19 patients, patient management may not have been identical in all ten units. CONFLICT OF INTEREST: None. |
| first_indexed | 2024-04-12T06:16:39Z |
| format | Article |
| id | doaj.art-fb1d37e415c14eb29ac55815bf40fa47 |
| institution | Directory Open Access Journal |
| issn | 0256-4947 0975-4466 |
| language | English |
| last_indexed | 2024-04-12T06:16:39Z |
| publishDate | 2021-11-01 |
| publisher | King Faisal Specialist Hospital and Research Centre |
| record_format | Article |
| series | Annals of Saudi Medicine |
| spelling | doaj.art-fb1d37e415c14eb29ac55815bf40fa472022-12-22T03:44:28ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662021-11-0141631832610.5144/0256-4947.2021.318Characteristics and outcomes of 974 COVID-19 patients in intensive care units in TurkeyHülya Sungurtekin0Cansu Ozgen1Ulku Arslan2Kemal Tolga Saracoglu3Volkan Yarar4Ahmet Sari5Ayse Turan Civraz6Ali Aydin Altunkan7Hilal Ayoglu8Nilgun Kavrut Ozturk9Nihal Bulut Yuksel10Birgul Yelken11Elif Bombaci12Gokhan Kilinc13Damla Akman14Pinar Demir15Ferruh Ayoglu16Fulya Ciyiltepe17Ahmet Caliskan18Simay Karaduman19From the Department of Anesthesiology and Reanimation, Pamukkale University, Denizli, TurkeyFrom the Department of Anesthesiology and Reanimation, Pamukkale University, Denizli, TurkeyFrom the Department of Anesthesiology and Reanimation, Pamukkale University, Denizli, TurkeyFrom the Department of Anesthesiology and Reanimation, Kartal Dr. Lütfi Kürdar Şehir Hastanesi, Istanbul, TurkeyFrom the Department of Anesthesiology and Reanimation, Ataturk City Hospital, Balikesir, TurkeyFrom the Department of Anesthesiology and Reanimation, Istanbul Haydarpasa Numune Training and Research Hospital, Istanbul, TurkeyFrom the Department of Anesthesiology and Reanimation, Kocaeli Derince Training and Research Hospital, Kocaeli, TurkeyFrom the Department of Anesthesiology and Reanimation, Mersin University Hospital, Mersin, TurkeyFrom the Department of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University, Zonguldak, TurkeyFrom the Department of Anesthesiology and Reanimation, Antalya Training and Research Hospital, Antalya, TurkeyFrom the Department of Anesthesiology and Reanimation, Medical Faculty, Hacettepe University, Ankara, TurkeyFrom the Department of Anesthesiology and Reanimation, Eskişehir Osmangazi Üniversitesi Tıp Fakültesi, Eskişehir, TurkeyFrom the Department of Anesthesiology and Reanimation, Kartal Dr. Lütfi Kürdar Şehir Hastanesi, Istanbul, TurkeyFrom the Department of Anesthesiology and Reanimation, Ataturk City Hospital, Balikesir, TurkeyFrom the Department of Anesthesiology and Reanimation, Istanbul Haydarpasa Numune Training and Research Hospital, Istanbul, TurkeyFrom the Department of Anesthesiology and Reanimation, Mersin University Hospital, Mersin, TurkeyFrom the Department of Public Health, Zonguldak Bülent Ecevit University, Zonguldak, TurkeyFrom the Department of Anesthesiology and Reanimation, Istanbul Haydarpasa Numune Training and Research Hospital, Istanbul, TurkeyFrom the Department of Medical Microbiology, Pamukkale University, Denizli, TurkeyFrom the Department of Anesthesiology and Reanimation, Pamukkale University, Denizli, TurkeyBACKGROUND: In our previous report on Turkish COVID-19 patients requiring intensive care, the 24 patients in a single ICU were elderly and mortality was high. We extended our analysis to include patients admitted to ten ICUs. OBJECTIVES: Report the demographics, clinical features, imaging findings, comorbidities, and outcomes in COVID-19 patients. DESIGN: Retrospective. SETTING: Intensive care unit. PATIENTS AND METHODS: The study includes patients with clinical and radiological confirmed or laboratory-confirmed COVID-19 infection who were admitted to ten ICUs between 15 March and 30 June 2020. MAIN OUTCOME MEASURES: Clinical outcomes, therapies, and death during hospitalization SAMPLE SIZE: 974, including 571 males (58%). RESULTS: The median age (range) was 72 (21–101) years for patients who died (n=632, 64.9%) and 70 (16–99) years for patients who lived (n=342, 35.2%) (P<.001). APACHE scores, and SOFA scores were higher in patients who died than in those who survived (P<.001, both comparisons). Respiratory failure was the most common cause of hospitalization (82.5%), and respiratory failure on admission was associated with death (P=.013). Most (n=719, 73.8%) underwent invasive mechanical ventilation therapy. CONCLUSIONS: The majority of patients admitted to the ICU with a diagnosis of COVID-19 require respiratory support. LIMITATIONS: Although the Turkish Ministry of Health made recommendations for the treatment of COVID-19 patients, patient management may not have been identical in all ten units. CONFLICT OF INTEREST: None.http://www.annsaudimed.net/doi/10.5144/0256-4947.2021.318 |
| spellingShingle | Hülya Sungurtekin Cansu Ozgen Ulku Arslan Kemal Tolga Saracoglu Volkan Yarar Ahmet Sari Ayse Turan Civraz Ali Aydin Altunkan Hilal Ayoglu Nilgun Kavrut Ozturk Nihal Bulut Yuksel Birgul Yelken Elif Bombaci Gokhan Kilinc Damla Akman Pinar Demir Ferruh Ayoglu Fulya Ciyiltepe Ahmet Caliskan Simay Karaduman Characteristics and outcomes of 974 COVID-19 patients in intensive care units in Turkey Annals of Saudi Medicine |
| title | Characteristics and outcomes of 974 COVID-19 patients in intensive care units in Turkey |
| title_full | Characteristics and outcomes of 974 COVID-19 patients in intensive care units in Turkey |
| title_fullStr | Characteristics and outcomes of 974 COVID-19 patients in intensive care units in Turkey |
| title_full_unstemmed | Characteristics and outcomes of 974 COVID-19 patients in intensive care units in Turkey |
| title_short | Characteristics and outcomes of 974 COVID-19 patients in intensive care units in Turkey |
| title_sort | characteristics and outcomes of 974 covid 19 patients in intensive care units in turkey |
| url | http://www.annsaudimed.net/doi/10.5144/0256-4947.2021.318 |
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