Evaluation of patients with negative PCR tests after COVID-19 pneumonia in intermediate-level intensive care unit

Authors : Filiz ATA, Canan YILMAZ, Ümran KARACA, Buket ÖZYAPRAK, Ayşe Neslihan BALKAYA, Cihan Sedat AYTÜNÜR, Tuğba ONUR

Pages : 237-243

Doi:10.18621/eurj.1181609

View : 84 | Download : 12

Publication Date : 2023-03-04

Article Type : Research Paper

Abstract :Objectives: The need for an intensive care unit has increased during the pandemic of coronavirus disease insert ignore into journalissuearticles values(COVID-19);. For this reason, intermediate-level intensive care units insert ignore into journalissuearticles values(IICUs); were established in hospitals worldwide. This study aims to evaluate the data of patients that hospitalized in IICU. Methods: Patients under treatment for COVID-19 were followed up in IICU after the negative polymerized chain reaction test. A total of 52 patients were evaluated retrospectively between August 24, 2020 and March 1, 2021. The patients were divided into two groups according to discharge status from IICU insert ignore into journalissuearticles values(Group 1: exitus, Group 2: transferred to clinic, or discharged home);. Demographic data, comorbidities, Acute Physiology and Chronic Health Evaluation II insert ignore into journalissuearticles values(APACHE II);, Glasgow Coma Scale insert ignore into journalissuearticles values(GCS);, treatments and procedures, and complications were recorded. Results: Seventeen insert ignore into journalissuearticles values(32.7%); of 52 patients who were followed up in IICU died. Thirty-five patients insert ignore into journalissuearticles values(67.3%); were transferred to the clinic or discharged home. The APACHE II scores at admission to IICU were higher in Group 1 insert ignore into journalissuearticles values(26.11 ± 5.86); than in Group 2 insert ignore into journalissuearticles values(23.43 ± 6.32); but not statistically significant. GCS was statistically significantly lower in Group 1 than in Group 2 insert ignore into journalissuearticles values(7.82 ± 2.42 and 10.25 ± 2.58, respectively, p = 0.002);. Mechanical ventilation rate insert ignore into journalissuearticles values(82.3%); and the need for inotropic agents insert ignore into journalissuearticles values(76.5%); were higher in Group 1 insert ignore into journalissuearticles values(p = 0,034 and p < 0.001, respectively);. Tracheostomy was applied to 5 of all patients, and percutaneous endoscopic gastrostomy was performed 4 of them. Conclusions: We think that IICU created during the pandemic provides effective treatment for patients needing intensive care. We think IICU is beneficial in providing quick patient discharge in tertiary intensive care units.
Keywords : COVID 19, pneumonia, intensive care unit, intermediate, physiotherapy, mortality

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