tetano
Editor, Senior Moderator
Turk J Med Sci
. 2020 Nov 13.
doi: 10.3906/sag-2005-57. Online ahead of print.
Characteristics and Outcomes of Critically Ill Patients with Covid-19 in Sakarya, Turkey: A Single Center Cohort Study
Havva KocayİĞİt, Kezban ?zmen S?ner, Yakup Tomak, G?rkan Demİr, İbrahİm KocayİĞİt, Sel?uk Yaylaci, Yusuf Aydemİr, Mehmet K?roĞlu, OĞuz Karabay, Mehmet Halİl ?zt?rk, Alİ Fuat Erdem
Abstract
Background/aim: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first reported in Turkey on March 10, 2020 and the number of the patients are increasing day by day. Coronavirus disease 2019 (Covid-19) has high mortality rates in the intensive care unit (ICU). We aimed to describe the demographic characteristics, co-morbidities, treatment protocols and clinical outcomes among the critically ill patients admitted to ICU of our hospital.
Materials and methods: This cohort study included 103 consecutive patients who was laboratory confirmed Covid-19 and admitted to ICU of XXXXX Hospital between March 19 and April 13, 2020. The final date of the follow-up was April 18.
Results: The mean age of the patients was 69.6?14.1 years. Most of the patients had increased CRP (99%), serum ferritin (73.8%), D-dimer (82.5%) and hs-troponin levels (38.8%). 34 patients (33%) had lymphocytopenia, 24 patients (23.3%) had thrombocytopenia. 63 patients (61.2%) developed ARDS, 31 patients (30.1%) had acute kidney injury and 52 patients (50.5%) had MODS during follow-up. 62 patients (60.2%) received mechanical ventilation. As of April 18, of the 103 patients, 52 (50.5%) had died, 30 (29.1%) had been discharged from the ICU, 21 (20.4%) were still in the ICU.
Conclusions: Covid-19 has high mortality rates in ICU. Patients with elevated procalcitonin, hs-troponin, d-dimer and CRP levels and lower platelet count at admission has higher mortality.
Keywords: Covid-19; SARS-CoV-2; intensive care unit.
. 2020 Nov 13.
doi: 10.3906/sag-2005-57. Online ahead of print.
Characteristics and Outcomes of Critically Ill Patients with Covid-19 in Sakarya, Turkey: A Single Center Cohort Study
Havva KocayİĞİt, Kezban ?zmen S?ner, Yakup Tomak, G?rkan Demİr, İbrahİm KocayİĞİt, Sel?uk Yaylaci, Yusuf Aydemİr, Mehmet K?roĞlu, OĞuz Karabay, Mehmet Halİl ?zt?rk, Alİ Fuat Erdem
- PMID: 33185365
- DOI: 10.3906/sag-2005-57
Abstract
Background/aim: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first reported in Turkey on March 10, 2020 and the number of the patients are increasing day by day. Coronavirus disease 2019 (Covid-19) has high mortality rates in the intensive care unit (ICU). We aimed to describe the demographic characteristics, co-morbidities, treatment protocols and clinical outcomes among the critically ill patients admitted to ICU of our hospital.
Materials and methods: This cohort study included 103 consecutive patients who was laboratory confirmed Covid-19 and admitted to ICU of XXXXX Hospital between March 19 and April 13, 2020. The final date of the follow-up was April 18.
Results: The mean age of the patients was 69.6?14.1 years. Most of the patients had increased CRP (99%), serum ferritin (73.8%), D-dimer (82.5%) and hs-troponin levels (38.8%). 34 patients (33%) had lymphocytopenia, 24 patients (23.3%) had thrombocytopenia. 63 patients (61.2%) developed ARDS, 31 patients (30.1%) had acute kidney injury and 52 patients (50.5%) had MODS during follow-up. 62 patients (60.2%) received mechanical ventilation. As of April 18, of the 103 patients, 52 (50.5%) had died, 30 (29.1%) had been discharged from the ICU, 21 (20.4%) were still in the ICU.
Conclusions: Covid-19 has high mortality rates in ICU. Patients with elevated procalcitonin, hs-troponin, d-dimer and CRP levels and lower platelet count at admission has higher mortality.
Keywords: Covid-19; SARS-CoV-2; intensive care unit.