Background: In our previous report on Turkish COVID-19 patients requiring intensive care, the 24 patients in a single ICU were elderly and mortality was high. We extended our analysis to include patients admitted to ten ICUs.
Objectives: Report the demographics, clinical features, imaging findings, comorbidities, and outcomes in COVID-19 patients.
Design: Retrospective.
Setting: Intensive care unit.
Patients And Methods: The study includes patients with clinical and radiological confirmed or laboratory-confirmed COVID-19 infection who were admitted to ten ICUs between 15 March and 30 June 2020.
Main Outcome Measures: Clinical outcomes, therapies, and death during hospitalization SAMPLE SIZE: 974, including 571 males (58%).
Results: The median age (range) was 72 (21-101) years for patients who died (n=632, 64.9%) and 70 (16-99) years for patients who lived (n=432, 35.2%) (<.001). APACHE scores, and SOFA scores were higher in patients who died than in those who survived (<.001, both comparisons). Respiratory failure was the most common cause of hospitalization (82.5%), and respiratory failure on admission was associated with death (=.013). Most (n=719, 73.8%) underwent invasive mechanical ventilation therapy.
Conclusions: The majority of patients admitted to the ICU with a diagnosis of COVID-19 require respiratory support.
Limitations: Although the Turkish Ministry of Health made recommendations for the treatment of COVID-19 patients, patient management may not have been identical in all ten units.
Conflict Of Interest: None.
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| http://dx.doi.org/10.5144/0256-4947.2021.318 | DOI Listing |
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