Evaluation of Covid-19 cases that applied to the hospital at the first peak of the pandemic

Authors : Özlem AKDOĞAN, Derya YAPAR, Kazım ÇEBİ, Sertaç ARSLAN, Hilal BOYACI, Yasemin ARI YILMAZ, Pınar TUNÇEL ÖZTÜRK, Ünsal SAVCI, Hüseyin KAYADİBİ, Ayşe YILMAZ, Meral GÜLHAN, Aysel KOCAGÜL ÇELİKBAŞ, Nurcan BAYKAM

Pages : 7-11

View : 55 | Download : 10

Publication Date : 2022-01-01

Article Type : Research Paper

Abstract :Early diagnosis in COVID-19 is essential in terms of treatment and prevention of contagiousness. In this study, we aimed to find an alternative diagnosis method by using fewer laboratory parameters in the early diagnosis of COVID-19 disease by creating a fast, easily accessible, cost-effective index and has a diagnostic accuracy rate of over 90%. All patients over the age of 18 who applied to Hitit University Erol Olçok Training and Research Hospital Emergency COVID Outpatient Clinic with a pre-diagnosis of COVID-19 between March and April 2020 were evaluated retrospectively. Patients were divided into two groups as COVID-19 positive and COVID-19 negative. It was aimed to create a HITIT-19 index by evaluating the cases according to the clinical and laboratory results. Between March and April 2020 insert ignore into journalissuearticles values(in the first peak of the pandemic);, 1586 patients were applied to the Emergency COVID-19 outpatient clinic with a pre-diagnosis of COVID-19. According to COVID-19 RT-PCR, card test, and CT involvement, 285 insert ignore into journalissuearticles values(13%); patients were diagnosed with COVID-19. PCR was positive in 285 insert ignore into journalissuearticles values(18%); of 1586 patients, and PCR was negative in 1301 insert ignore into journalissuearticles values(82%);. While 153 insert ignore into journalissuearticles values(53.7%); of the patients diagnosed with COVID-19 were male and the median age was 45 insert ignore into journalissuearticles values(28-62.75);, 883 insert ignore into journalissuearticles values(55.7%); of the patients not diagnosed with COVID-19 were male, and the median age was 43 insert ignore into journalissuearticles values(31-65);. Hypertension insert ignore into journalissuearticles values(HT); was the most common underlying disease in 10.5% of patients applied to the emergency room with a diagnosis of COVID-19, while 38.9% dyspnea and 35.1% fever were the most common symptoms. While 76% of Plaquenil and 58% azithromycin were the most frequently started treatments, 31.4% insert ignore into journalissuearticles values(28.4% of them were hospitalized in the service, 3% in the intensive care unit); of them hospitalized. It was to create a HITIT-19 index that is fast, easily accessible, cost-effective, and has a diagnostic accuracy rate of over 90% by using laboratory tests. However, we could not achieve this goal due to the low accuracy of the diagnostic tests and the lack of significant change in the laboratory levels of the patients at admission. Considering that the pandemic is continuing rapidly, there is still a need to develop practical diagnostic methods that are easier and cheaper in diagnosis. In this sense, we believe that our study will be a guiding study for other studies that will be designed for diagnostic index studies.
Keywords : Covid 19, early diagnosis, Covid 19, early diagnosis, RT PCR, HITIT 19 index

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