Research Article


DOI :10.26650/IUITFD.2021.812574   IUP :10.26650/IUITFD.2021.812574    Full Text (PDF)

EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE

Aysun BenliEmir Resuloğluİlke KaradağlıAyşe Nur CeylanMustafa Taner YelerGürkan DanışanCihan BüyüksütçüMehmet BalcıŞinasi KorkmazBilal AkdemirAdil Akın YıldıranCemal Yaşar

Objective: In this study, we aimed to determine the characteristics of COVID-19 pneumonia patients, and also predict factors affecting the severity of the disease. Methods: This is a retrospective, single-center study. Hospitalized COVID-19 pneumonia patients aged over 18 years between March 19th 2020, and May 19th 2020 were included in the study. The demographic, and clinical characteristics of patients, and factors associated with severe COVID-19 were analyzed. Multivariate logistic regression analysis was performed to evaluate the factors predicting the severity of COVID-19. Results: A total of 228 patients with COVID-19 pneumonia were recorded. The mean age of the patients was 51±19 years, and 136 (59.6%) were men. Of the patients, 47.4% had at least one comorbidity. Intensive care unit (ICU) admission, and mortality were detected in 29 (12.7%), and in 17 (7.5%) patients respectively. No mortality was detected in non-severe disease. Our results revealed that dyspnea (OR:7.449 95% CI 2.444-22.708, p<0.001), fatigue (OR:5.968 96% CI 2.155-16.526, p:0.001), elevation of LDH (OR: 4.288 95% CI 1.109-16.584, p:0.035) and elevation of D-dimer (OR:3.242 95% CI 1.106-9.501, p:0.032) levels at admission were major independent predicting factors for severe COVID-19 disease. Conclusion: Dyspnea, fatigue, elevation of LDH and D-dimer levels are closely related to severe disease in COVID-19. In addition to typical pneumonia signs, fatigue, LDH, and D-dimer can be used as valuable indicators at admission for distinguishing severe COVID-19 pneumonia patients in the early stage. Therefore, this may lead to improved outcomes in patients hospitalized with COVID-19.

DOI :10.26650/IUITFD.2021.812574   IUP :10.26650/IUITFD.2021.812574    Full Text (PDF)

TÜRKİYE’NİN MUŞ İLİNDEKİ COVID-19 PNÖMONİSİ NEDENİYLE HASTANEYE YATIRILAN HASTALARIN ÖZELLİKLERİ VE KLİNİK SONUÇLARININ DEĞERLENDİRİLMESİ: İKİNCİ BASAMAK HASTANE DENEYİMİ

Aysun BenliEmir Resuloğluİlke KaradağlıAyşe Nur CeylanMustafa Taner YelerGürkan DanışanCihan BüyüksütçüMehmet BalcıŞinasi KorkmazBilal AkdemirAdil Akın YıldıranCemal Yaşar

Amaç: Bu çalışmada COVID-19 pnömonili hastalarının özelliklerini ve aynı zamanda hastalığın şiddetini etkileyen faktörleri belirlemeyi amaçladık. Gereç ve Yöntem: Çalışmamız tek merkezli, retrospektif bir çalışmadır. Çalışmaya 19 Mart - 19 Mayıs 2020 tarihlerinde hastanede yatan, 18 yaş ve üstü, COVID-19 pnömonili hasta dahil edildi. Hastaların demografik, klinik özellikleri ve şiddetli COVID-19 ile ilişkili faktörler analiz edildi. Şiddetli COVID-19’u öngören faktörleri değerlendirmek için çok değişkenli lojistik regresyon analizi yapıldı. Bulgular: COVID-19 pnömonisi olan toplam 228 hasta kaydedildi. Hastaların ortalama yaşı 51±19 yıldı, 136'sı (%59,6) erkekti. Hastaların %47,4'ünde en az bir komorbidite vardı. Yoğun bakım ünitesine (YBÜ) yatış ve ölüm sırasıyla 29 (%12,7) ve 17 (%7,5) hastada tespit edildi. Ağır olmayan hastalıkta ölüm tespit edilmedi. Başvuru anındaki dispne (OR:7,449 %95 CI 2,444-22,708, p<0,001), halsizlik (OR:5,968 %95 CI 2,155- 16,526, p:0,001), LDH yüksekliği (OR:4,288 %95 CI 1,109- 16,584, p:0,035) ve D-dimer yüksekliği (OR:3,242 %95 CI 1,106-9,501, p:0,032) şiddetli COVID-19 hastalığı için başlıca bağımsız öngörücü faktörlerdi. Sonuç: Dispne, halsizlik, LDH ve D-dimer seviyelerinin yükselmesi şiddetli COVID-19 ile yakından ilişkilidir. Tipik pnömoni belirtilerine ek olarak, ağır COVID-19 pnömonili hastaları erken evrede ayırt etmek için başvuru sırasındaki halsizlik, LDH ve D-dimer değerli göstergeler olarak kullanılabilir Başvuruda bu göstergeleri değerlendirmek COVID-19 ile hastaneye yatırılan hastalarda daha iyi sonuçlara yol açabilir. 


PDF View

References

  • 1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497-506. [CrossRef] google scholar
  • 2. World Health Organization (2020). WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020 (cited 2020 September 3). [CrossRef] google scholar
  • 3. Fahrettin Koca. Turkey remains firm, calm as first coronavirus case confirmed. Daily Sabah (cited 2020 September 3). [CrossRef] google scholar
  • 4. World Health Organization (2020). WHO Coronavirus Disease (COVID-19) Dashboard (cited 2020 October 12). [CrossRef] google scholar
  • 5. T.C. Sağlık Bakanlığı (2020). Türkiye COVID-19 Hasta Tablosu (cited 2020 October 12). [CrossRef] google scholar
  • 6. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72314 Cases From the Chinese Center for Disease Control and Prevention. JAMA 2020;323(13):1239-42. [CrossRef] google scholar
  • 7. Richardson S, Hirsch JS, Narasimhan M. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA 2020;323(20):2052-9. google scholar
  • 8. T.C. Sağlık Bakanlığı, Halk Sağlığı Genel Müdürlüğü, COVID-19 (SARS-CoV-2 ENFEKSİYONU) GENEL BİLGİLER, EPİDEMİOLOJİ VE TANI, 29 June 2020 (cited 2020 July 3). Available from: URL: https://covid19.saglik. gov.tr/Eklenti/39060/0/covid19rehberigenelbilgiler epidemiyolojivetanipdf.pdf google scholar
  • 9. World Health Organization (2020). Clinical management of COVID-19: Interim guidance (cited 2020 July 3). [CrossRef] google scholar
  • 10. Simpson S, Kay FU, Abbara S, Bhalla S, Chung JH, Chung M, et al. Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA - Secondary Publication. J Thorac Imaging 2020;35(4):219-27. [CrossRef] google scholar
  • 11. Zhang G, Hu C, Luo L, Fang F, Chen Y, Li J, et al. Clinical features and short-term outcomes of 221 patients with COVID-19 in Wuhan, China. J Clin Virol 2020 Apr 9. [CrossRef] google scholar
  • 12. Güner R, Hasanoğlu İ, Kayaaslan B, Aypak A, Kaya Kalem A, Eser F, et al. COVID-19 experience of the major pandemic response center in the capital: Results of the pandemic’s first month in Turkey. Turk J Med Sci 2020;50(8):1801-9. [CrossRef] google scholar
  • 13. Başaran NÇ, Uyaroğlu OA, Dizman GT, Özişik L, Şahin TK, Taş Z, et al. Outcome of Non-Critical COVID-19 Patients with Early Hospitalization and Early Antiviral Treatment Outside the ICU. Turk J Med Sci 2020 Jul 28. [CrossRef] google scholar
  • 14. Guan W, Ni Z, Hu Y, Liang W, Ou C, He J, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020 Feb 28. [CrossRef] google scholar
  • 15. Zhang J, Wang X, Jia X, Li J, Hu K, Chen G, et al. Risk factors for disease severity, unimprovement, and mortality in COVID-19 patients in Wuhan, China. Clin Microbiol Infect 2020;26(6):767-72. [CrossRef] google scholar
  • 16. Zhou F,Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395:1054-62. [CrossRef] google scholar
  • 17. Pollitt KJG, Peccia J, Ko AI, Kaminski N, Cruz CSD, Nebert DW, et al. COVID-19 vulnerability: the potential impact of genetic susceptibility and airborne transmission. Human Genomics 2020 May 12 [CrossRef] google scholar
  • 18. Guan W, Liang W, Zhao Y, Liang H, Chen Z, Li Y, et al. Comorbidity and its impact on 1590 patients with COVID-19 in China: a nationwide analysis. Eur Respir J 2020 May 14 [CrossRef] google scholar
  • 19. Xu PP, Tian RH, Luo S, Zu ZY, Fan B, Wang XM, et al. Risk factors for adverse clinical outcomes with COVID-19 in China: a multicenter, retrospective, observational study. Theranostics 2020;10(14): 6372-83. [CrossRef] google scholar
  • 20. Cummings MJ, Baldwin MR, Abrams D, Jacobson SD, Meyer BJ, Balough EM, et al. Epidemiology, clinical course, and outcomes of critically ill adults with COVID-19 in New York City: a prospective cohort study. Lancet 2020;395:1763-70. [CrossRef] google scholar
  • 21. Karakoç ZÇ, Pınarbaşı-Şimşek B, Asil R, Dodurgalı R, Calışkaner F, Özsarı A, et al. First wave in COVID-19 pandemic: A single center experience. Klimik Dergisi 2020;33(3):223-9. [CrossRef] google scholar
  • 22. Sümer Ş, Ural O, Aktuğ-Demir N, Çifci Ş, Türkseven B, Kılınçer A, et al. Clinical and laboratory characteristics of COVID-19 cases followed in Selçuk University Faculty of Medicine. Klimik Dergisi 2020;33(2):122-7. [CrossRef] google scholar
  • 23. Gold JAW, Wong KK, Szablewski CM, Patel PR, Rossow J, Silva J, et al. Characteristics and Clinical Outcomes of Adult Patients Hospitalized with COVID-19 — Georgia, March 2020. MMWR Morb Mortal Wkly Rep 2020 May 8 [CrossRef] google scholar
  • 24. Grasselli G, Zangrillo A, Zanella A, Antonelli M, Cabrini L, Castelli A, et al. Baseline Characteristics and Outcomes of 1591 Patients Infected With SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy. JAMA 2020;323(16):1574-81. [CrossRef] google scholar
  • 25. Özger HS, Yıldız PA, Gaygısız Ü, Dikmen AU, Gülmez ZD, Yıldız M, et al. The factors predicting pneumonia in COVID-19 patients: preliminary results of a university hospital in Turkey. Turk J Med Sci 2020;50(8):1810-6. [CrossRef] google scholar
  • 26. Tomlins J, Hamilton F, Gunning S, Sheehy C, Moran E et al. Clinical features of 95 sequential hospitalised patients] with novel coronavirus 2019 disease (COVID-19), the first UK cohort. J Infect 2020 Aug 8 [CrossRef] google scholar
  • 27. Nguyen Y, Corre F, Honsel V, Curac S, Zarrouk V, Fantin B, et al. Applicability of the CURB-65 pneumonia severity score for outpatient treatment of COVID-19. J Infect 2020 Sep [CrossRef] google scholar
  • 28. Characteristics of SARS-CoV-2 patients dying in Italy Report based on available data on October 4th, 2020 (cited 2020 October 6). [CrossRef] google scholar
  • 29. Henry BM, Oliveira MHS, Benoit S, Plebani M, Lippi G. Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirus disease 2019 (COVID-19): a meta-analysis. Clin Chem Lab Med 2020;58(7):1021-8. [CrossRef] google scholar
  • 30. Han Y, Zhang H, Mu S, Wei W, Jin C, Tong C, et al. Lactate dehydrogenase, an independent risk factor of severe COVID-19 patients: a retrospective and observational study. Aging 2020;12(12):11245-58. [CrossRef] google scholar
  • 31. Henry BM, Aggarwal G, Wong J, Benoit S, Vikse J, Plebani M, et al. Lactate dehydrogenase levels predict coronavirus disease 2019 (COVID-19) severity and mortality: A pooled analysis. Am J Emerg Med 2020;38(9):1722-6. [CrossRef] google scholar
  • 32. Wu M, Yao L, Wang Y, Zhu X, Wang X, Tang P, et al. Clinical evaluation of potential usefulness of serum lactate dehydrogenase (LDH) in 2019 novel coronavirus (COVID-19) pneumonia. Respir Res 2020 Jul 6 [CrossRef] google scholar
  • 33. Li J, Chen Z, Nie Y, Ma Y, Guo Q, Dai X, et al. Identification of Symptoms Prognostic of COVID-19 Severity: Multivariate Data Analysis of a Case Series in Henan Province. J Med Internet Res 2020 Jun 30 [CrossRef] google scholar
  • 34. Jain V, Yuan J. Predictive symptoms and comorbidities for severe COVID-19 and intensive care unit admission: a systematic review and meta-analysis. Int J Public Health 2020 May 25 [CrossRef] google scholar
  • 35. Hu C, Su F, Dai J, Lu S, Wu L, Chen D, et al. Prediction Model of Severe Coronavirus Disease 2019 (COVID-19) Cases Shows the Leading Risk Factor of Hypocalcemia. Research Square 2020 Jul 14 [CrossRef] google scholar
  • 36. Rod JE, Trespalacios OO, Ramirez JC. A brief-review of the risk factors for covid-19 severity. Rev Saude Publica. 2020;54:60. [CrossRef] google scholar
  • 37. Yao Y, Cao J, Wang Q, Shi Q, Liu K, Luo Z, et al. D-dimer as a biomarker for disease severity and mortality in COVID-19 patients: A case control study. J Intensive Care 2020 Jul 10 [CrossRef] google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Benli, A., Resuloğlu, E., Karadağlı, İ., Ceylan, A.N., Yeler, M.T., Danışan, G., Büyüksütçü, C., Balcı, M., Korkmaz, Ş., Akdemir, B., Yıldıran, A.A., & Yaşar, C. (2021). EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE. Journal of Istanbul Faculty of Medicine, 84(2), 149-157. https://doi.org/10.26650/IUITFD.2021.812574


AMA

Benli A, Resuloğlu E, Karadağlı İ, Ceylan A N, Yeler M T, Danışan G, Büyüksütçü C, Balcı M, Korkmaz Ş, Akdemir B, Yıldıran A A, Yaşar C. EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE. Journal of Istanbul Faculty of Medicine. 2021;84(2):149-157. https://doi.org/10.26650/IUITFD.2021.812574


ABNT

Benli, A.; Resuloğlu, E.; Karadağlı, İ.; Ceylan, A.N.; Yeler, M.T.; Danışan, G.; Büyüksütçü, C.; Balcı, M.; Korkmaz, Ş.; Akdemir, B.; Yıldıran, A.A.; Yaşar, C. EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 84, n. 2, p. 149-157, 2021.


Chicago: Author-Date Style

Benli, Aysun, and Emir Resuloğlu and İlke Karadağlı and Ayşe Nur Ceylan and Mustafa Taner Yeler and Gürkan Danışan and Cihan Büyüksütçü and Mehmet Balcı and Şinasi Korkmaz and Bilal Akdemir and Adil Akın Yıldıran and Cemal Yaşar. 2021. “EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE.” Journal of Istanbul Faculty of Medicine 84, no. 2: 149-157. https://doi.org/10.26650/IUITFD.2021.812574


Chicago: Humanities Style

Benli, Aysun, and Emir Resuloğlu and İlke Karadağlı and Ayşe Nur Ceylan and Mustafa Taner Yeler and Gürkan Danışan and Cihan Büyüksütçü and Mehmet Balcı and Şinasi Korkmaz and Bilal Akdemir and Adil Akın Yıldıran and Cemal Yaşar. EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE.” Journal of Istanbul Faculty of Medicine 84, no. 2 (May. 2024): 149-157. https://doi.org/10.26650/IUITFD.2021.812574


Harvard: Australian Style

Benli, A & Resuloğlu, E & Karadağlı, İ & Ceylan, AN & Yeler, MT & Danışan, G & Büyüksütçü, C & Balcı, M & Korkmaz, Ş & Akdemir, B & Yıldıran, AA & Yaşar, C 2021, 'EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE', Journal of Istanbul Faculty of Medicine, vol. 84, no. 2, pp. 149-157, viewed 17 May. 2024, https://doi.org/10.26650/IUITFD.2021.812574


Harvard: Author-Date Style

Benli, A. and Resuloğlu, E. and Karadağlı, İ. and Ceylan, A.N. and Yeler, M.T. and Danışan, G. and Büyüksütçü, C. and Balcı, M. and Korkmaz, Ş. and Akdemir, B. and Yıldıran, A.A. and Yaşar, C. (2021) ‘EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE’, Journal of Istanbul Faculty of Medicine, 84(2), pp. 149-157. https://doi.org/10.26650/IUITFD.2021.812574 (17 May. 2024).


MLA

Benli, Aysun, and Emir Resuloğlu and İlke Karadağlı and Ayşe Nur Ceylan and Mustafa Taner Yeler and Gürkan Danışan and Cihan Büyüksütçü and Mehmet Balcı and Şinasi Korkmaz and Bilal Akdemir and Adil Akın Yıldıran and Cemal Yaşar. EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE.” Journal of Istanbul Faculty of Medicine, vol. 84, no. 2, 2021, pp. 149-157. [Database Container], https://doi.org/10.26650/IUITFD.2021.812574


Vancouver

Benli A, Resuloğlu E, Karadağlı İ, Ceylan AN, Yeler MT, Danışan G, Büyüksütçü C, Balcı M, Korkmaz Ş, Akdemir B, Yıldıran AA, Yaşar C. EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE. Journal of Istanbul Faculty of Medicine [Internet]. 17 May. 2024 [cited 17 May. 2024];84(2):149-157. Available from: https://doi.org/10.26650/IUITFD.2021.812574 doi: 10.26650/IUITFD.2021.812574


ISNAD

Benli, Aysun - Resuloğlu, Emir - Karadağlı, İlke - Ceylan, AyşeNur - Yeler, MustafaTaner - Danışan, Gürkan - Büyüksütçü, Cihan - Balcı, Mehmet - Korkmaz, Şinasi - Akdemir, Bilal - Yıldıran, AdilAkın - Yaşar, Cemal. EVALUATION OF THE CHARACTERISTICS AND CLINICAL RESULTS OF THE PATIENTS HOSPITALIZED WITH COVID-19 PNEUMONIA IN THE PROVINCE OF MUS: A STATE HOSPITAL EXPERIENCE”. Journal of Istanbul Faculty of Medicine 84/2 (May. 2024): 149-157. https://doi.org/10.26650/IUITFD.2021.812574



TIMELINE


Submitted20.10.2020
Accepted28.12.2020
Published Online09.03.2021

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.