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. 2023 Nov 22;25(1):11 - 16.
doi: 10.5152/ThoracResPract.2023.23024.

Evaluation of Patients with COVID-19 Followed Up in Intensive Care Units in the Second Year of the Pandemic: A Multicenter Point Prevalence Study

Sinem Güngör  1 , Özlem Ediboğlu  2 , Özlem Yazıcıoğlu Moçin  1 , Nalan Adıgüzel  1 , Eylem Tuncay  3 , İnşa Gül Ekiz İşcanlı  1 , Berrin Er  4 , Zuhal Karakurt  1 , Sema Turan  4 , Behiye Deniz Kosovalı  5 , Nevzat Mehmet Mutlu  6 , Duygu Kayar  4 , Şerife Gökbulut Bektaş  7 , Elmas Uysal  4 , Fatih Seğmen  4 , Gürayalp Alp  8 , Deniz Erdem  8 , Nazan Has Selmi  4 , Pınar Güven  9 , Zerrin Özçelik  9 , Merve Ocakcıoğlu  3 , Canan Yazıcı Özgür  10 , Rabia Yılmaz  11 , Deniz Bilgi Özel  12 , Halil Cebeci  12 , Bahar Güler  11 , Canan Cansever  13 , Mehmet Çakırca  14 , Hansa İnceöz  15 , İlker Solmaz  15 , Fatma Özkan Sipahioğlu  16 , Eda Macit Aydın  16 , Hakan Dayanır  17 , Sait Fatih Öner  18 , Umut Karatepe  18 , Serkan Özen  18 , Maruf Boran  19 , Dursun Fırat Ergül  19 , Umut Sabri Kasapoğlu  20 , Leman Acun Delen  21 , Erol Toy  22 , Koray Altun  23 , Tuna Albayrak  24 , Hülya Yanal  25 , Gizem Zaim  26 , Volkan Yarar  27 , Gökhan Kılınç  27 , Mustafa Deniz  28 , Esra Özdemir  29 , Veysel Garani Soylu  30 , Ayşe Yılmaz  31 , Saba Mukaddes Saygılı  2 , Ejder Kamil Öztürk  32 , Begüm Ergan  32 , Selin Eyüpoğlu  33 , Yiğit Şahin  34 , Beyza Yüksel  33 , Azime Bulut  33 , Aykut Sarıtaş  35 , Hicret Yeniay  35 , Mürşide Genç  36 , Feyza Kargın  37 , Osman Özcan  38 , Ebru Karakoç  38 , Ümran Karaca  39 , Didem Sözütek  40 , Sema Sarı  41 , Nimet Şenoğlu  42 , Hakan Aygün  42 , Arzu Ceren Yiğit  43 , Nilgün Kavruk  44 , Çağdaş Alp Uzan  45 , Murat Bıçakcıoğlu  46 , Serkan Solak  47 , Hatice Kutbay Özçelik  48 , Kamuran Uluç  49 , İlker Yıldırım  50 , Makbule Cavidan Arar  50 , İsmail Demirel  51 , Soner Umut Küver  52 , Eylem Sercan Özgür  53 , Kutlay Aydın  54 , Gül Erdal Dönmez  55 , Gülbin Aygencel  56 , Aliye Esmaoğlu  57 , Berrak Sebil Aydın  58 , Murat Emre Tokur  59 , Pervin Korkmaz Ekren  60 , Yusuf Aydemir  61 , Başak Çakır Güney  62 , Ömer Yavuz Erdil  63 , Abdurrahman Tünay  64 , Türkan Bahadır  65 , Serkan Uçkun  66 , Nazan Kocaoğlu  66 , Hüseyin Ulaş Pınar  67 , Nurcan Kutluer Karaca  68 , Hamza Gültekin  69 , Pınar Ayvat  70 , Ayşe Belin Özer  71 , Ahmet Eroğlu  72 , Ufuk Kuyrukluyıldız  73 , Çağdaş Baytar  74 , Hilal Ayoğlu  74 , Serpil Mızrakçı  75 , Hatice Metin  76 , Özgecan Pırıl Zanbak Mutlu  77 , Hakan Yılmaz  78 , Filiz Tüzüner  78
Affiliations

Evaluation of Patients with COVID-19 Followed Up in Intensive Care Units in the Second Year of the Pandemic: A Multicenter Point Prevalence Study

Sinem Güngör et al. Thorac Res Pract. .

Abstract

Objective: A 1-day point prevalence study was planned to obtain country data by determining the clinical characteristics, follow-up and treatment methods of coronavirus disease 2019 (COVID-19) cases that required intensive care unit (ICU) treatment in the second year of the pandemic.

Material and methods: All patients who were hospitalized in the ICUs due to COVID-19 between March 11, 2022, 08.00 am, and March 12, 2022, 08.00 am, were included in the study. Demographic characteristics, intensive care and laboratory data, radiological characteristics, and follow-up results of the patients were recorded.

Results: A total of 811 patients from 59 centers were included in the study, 59% of the cases were male, and the mean age was 74 ± 14 years. At least one comorbid disease was present in 94% of the cases, and hypertension was the most common. When ICU weight scores were examined, Acute Physiology and Chronic Health Evaluation-II: 19 (15-27) and Sequential Organ Failure Assessment: 7 (4-10) were seen. Sepsis was present in 37% (n = 298) of cases. PaO2/FiO2 ratios of the patients were 190 the highest and 150 the lowest and 51% of the cases were followed via invasive mechanical ventilation. On the study day, 73% bilateral involvement was seen on chest x-ray, and ground-glass opacities (52%) were the most common on chest tomography. There was growth in culture in 40% (n = 318) of the cases, and the most common growth was in the tracheal aspirate (42%).

Conclusion: The clinical course of COVID-19 is variable, and ICU follow-up was required due to advanced age, comorbidity, presence of respiratory symptoms, and widespread radiological involvement. The need for respiratory support and the presence of secondary infection are important issues to be considered in the follow-up. Despite the end of the second year of the pandemic and vaccination, the high severity of the disease as well as the need for follow-up in ICUs has shown that COVID-19 is an important health problem.COVID-19, intensive care, intensive care unit, pandemic, follow-up

Keywords: COVID-19; intensive care; intensive care unit; pandemic; follow-up.

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Conflict of interest statement

Declaration of Interests: The authors have no conflict of interest to declare.

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