Values of Intensive Care Scores in Predicting Morbidity and Mortality in Patients Treated for COVID-19 Pneumonia

Authors : Hale KEFELİ ÇELİK, Zahide DOĞANAY, Ramazan Burak FERLİ

Pages : 1175-1183

View : 40 | Download : 8

Publication Date : 2022-10-29

Article Type : Research Paper

Abstract :Some of the patients with COVID-19 pneumonia are followed up in intensive care units insert ignore into journalissuearticles values(ICU);.This study aims to determine the success of intensive care scores used in patients followed up in the ICU with the diagnosis of COVID-19 pneumonia in predicting morbidity and mortality. This retrospective study included patients who were treated with the diagnosis of COVID-19 pneumonia in the ICUs of … Training and Research Hospital. The demographic characteristics, vital signs, arterial blood gas values, radiological imaging, and laboratory data of the patients were used by using the hospital database and patient files. Group I patients were determined as alive patients and Group II as dead patients. A total of 75 patients were included in the study, of which 34 insert ignore into journalissuearticles values(45.3%); were female and 41 insert ignore into journalissuearticles values(54.7%); were male.The median length of intensive care stay was 8 insert ignore into journalissuearticles values(5-15); days in Group I patients and 5 insert ignore into journalissuearticles values(2-8); days in Group II patients, which was found to be higher in alive patients insert ignore into journalissuearticles values(p=0.004);.Radiological involvement was present in 93.3% insert ignore into journalissuearticles values(n=70); of the patients included in the study and involvement was seen in both lungs in 77.3% insert ignore into journalissuearticles values(n=58);. Complications were observed in 54.7% insert ignore into journalissuearticles values(n=41); of the patients included in the study whereas the incidence of complications was 20% in Group I and 72% in Group II, which was statistically significant insert ignore into journalissuearticles values(p<0.001);.APACHE II, PSI, SOFA, qSOFA, SMART-COP, CURB65, A-DROP and NEWS2 scores were statistically significantly higher in patients who died whereas APACHE II, SOFA, qSOFA, and SMART-COP scores were more successful in predicting morbidity. It is important to predict the mortality risk early in patients with COVID-19 pneumonia followed up in the intensive care unit.Among the scoring systems, APACHE II, PSI, SOFA, qSOFA, SMART-COP, CURB65, A-DROP, and NEWS2 can be used safely to predict mortality.
Keywords : COVID 19, intensive care unit, mortality, pneumonia, score

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