Van Tıp Dergisi (Apr 2021)
Comparıson of general characterıstıcs of patıents dıagnosed of pcr posıtıve covıd 19 followed ın ıntensıve care and servıce
Abstract
INTRODUCTION: On December 8, 2019, pneumonia cases of unknown cause were reported in Wuhan, China's Hubei province, and the World Health Organization (WHO) revealed on January 7, 2020 that the cause of pneumonia is a new coronavirus that causes infection in humans. Our aim is to present the general characteristics of covid 19 patients with definite diagnosis in intensive care and service and to share our treatment experiences of these patients. METHODS: 103 patients with positive PCR Covid 19 test results who were hospitalized between 17 March 2020 - 1 May 2020 were retrospectively analyzed. RESULTS: The median age of the patients was 42 (28-58) and 58.3% of them were male. The frequency of HT and DM and the typical radiological appearance rate were significantly higher in patients followed up in the intensive care unit compared to the patients followed in the service. The most common symptoms were cough, fever, shortness of breath and sore throat. While lymphocyte and albumin levels were significantly lower in intensive care patients; CRP, D-dimer, Ferritin, LDH, NLO, PLO and CAR levels were significantly higher. The rate of Tocilizumab treatment in intensive care patients was significantly higher than in patients hospitalized in the service. DISCUSSION AND CONCLUSION: In this study, we determined that patients in need of intensive care were older, typical radiological appearance on CT was more frequent, comorbid conditions were higher, inflammatory parameters were higher, and combined treatment requirements were found.
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