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- Title
Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence Study.
- Authors
Tunçay, Eylem; Moçin, Özlem; Ediboğlu, Özlem; Adıgüzel, Nalan; Güngör, Sinem; İşcanlı, İnşa; Er, Berrin; Mendil, Nilgün Alptekinoğlu; Usalan, Adnan; Yılmaz, Didem; Keskin, Hülya; Dönmez, Gül Erdal; Yılmaz, Barış; Kargın, Feyza; Saraçoğlu, Kemal Tolga; Temel, Şahin; Dal, Hayriye Cankar; Turan, Sema; Talan, Leyla; Hoşgün, Derya
- Abstract
OBJECTIVE: Coronavirus disease 2019 (COVID-19) caused morbidity and mortality worldwide. Besides the acute effects, subacute and long-term effects are defined as long-COVID causing morbidity. The intensive care unit (ICU) data of long-COVID-19 cases were evaluated with the participation of 11 centers. MATERIAL AND METHODS: Study was designed by Turkish Thoracic Society Respiratory Failure and Intensive Care Working Group to evaluate long COVID-19 patients. All patients followed up in the ICU with long-COVID diagnosis were included in point prevelance study. RESULTS: A total of 41 long COVID-19 patients from 11 centers were included in the study. Half of the patients were male, mean age was 66 ± 14, body mass index was 27 ± 5. Hypertension, diabetes mellitus, lung cancer, malignancy, and heart failure rates were 27%, 51%, 34%, 34%, and 27%, respectively. Eighty percent had received COVID vaccine. Patients had moderate hypoxemic respiratory failure. APACHE II, SOFA score was 18 (14-26), 6 (3-8), respectively. Forty-six percent received invasive mechanical ventilator support, 42% were sepsis, 17% were septic shock. Bilateral (67%), interstitial involvement (37%) were most common in chest x-ray. Fibrosis (27%) was detected in thorax tomography. Seventy-one percent of patients received antibiotherapy (42% carbapenem, 22% linezolid). Sixty-one percent of the patients received corticosteroid treatment. CONCLUSION: More than half of the patients had pneumonia and the majority of them used broad-spectrum antibiotics. Presence of comorbidities and malignancies, intensive care severity scores, intubation, and sepsis rates were high. Receiving corticosteroid treatment and extensive bilateral radiologic involvement due to COVID-19 might be the reasons for the high re-admission rate for the ICUs.
- Subjects
CROSS-sectional method; PNEUMONIA; ADULT respiratory distress syndrome; POST-acute COVID-19 syndrome; PATIENT readmissions; RESPIRATORY insufficiency; DESCRIPTIVE statistics; DISEASES; SEPTIC shock; FIBROSIS; INTENSIVE care units; RESEARCH; ARTIFICIAL respiration; NOSOCOMIAL infections; DATA analysis software; HYPOXEMIA
- Publication
Thoracic Research & Practice, 2024, Vol 25, Issue 4, p162
- ISSN
2979-9139
- Publication type
Article
- DOI
10.5152/ThoracResPract.2024.23117