Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence Study
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 center...
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| Format: | Article |
| Language: | English |
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Galenos
2024-07-01
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| Series: | Thoracic Research and Practice |
| Online Access: | https://thoracrespract.org/en/evaluation-of-long-coronavirus-disease-2019-cases-readmitted-to-intensive-care-units-due-to-acute-respiratory-failure-point-prevalence-study-132280 |
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| author | Eylem Tunçay Özlem Moçin Özlem Ediboğlu Nalan Adıgüzel Sinem Güngör İnşa İşcanlı Berrin Er Nilgün Alptekinoğlu Mendil Adnan Usalan Didem Yılmaz Hülya Keskin Gül Erdal Dönmez Barış Yılmaz Feyza Kargın Kemal Tolga Saraçoğlu Şahin Temel Hayriye Cankar Dal Sema Turan Leyla Talan Derya Hoşgün Semih Aydemir Hülya Sungurtekin |
| author_facet | Eylem Tunçay Özlem Moçin Özlem Ediboğlu Nalan Adıgüzel Sinem Güngör İnşa İşcanlı Berrin Er Nilgün Alptekinoğlu Mendil Adnan Usalan Didem Yılmaz Hülya Keskin Gül Erdal Dönmez Barış Yılmaz Feyza Kargın Kemal Tolga Saraçoğlu Şahin Temel Hayriye Cankar Dal Sema Turan Leyla Talan Derya Hoşgün Semih Aydemir Hülya Sungurtekin |
| author_sort | Eylem Tunçay |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-0abc9553e6a24a5b989a8dfcbab7d366 |
| institution | Kabale University |
| issn | 2979-9139 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Galenos |
| record_format | Article |
| series | Thoracic Research and Practice |
| spelling | doaj-art-0abc9553e6a24a5b989a8dfcbab7d3662025-08-20T03:55:27ZengGalenosThoracic Research and Practice2979-91392024-07-0125416216710.5152/ThoracResPract.2024.23117Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence StudyEylem Tunçay0Özlem Moçin1Özlem Ediboğlu2Nalan Adıgüzel3Sinem Güngör4İnşa İşcanlı5Berrin Er6Nilgün Alptekinoğlu Mendil7Adnan Usalan8 Didem Yılmaz9Hülya Keskin10Gül Erdal Dönmez11Barış Yılmaz12Feyza Kargın13Kemal Tolga Saraçoğlu14Şahin Temel15Hayriye Cankar Dal16Sema Turan17Leyla Talan18Derya Hoşgün19Semih Aydemir20Hülya Sungurtekin21Department of Intensive Care, University of Medical Sciences Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Health Sciences University Süreyyapaşa Pulmonary Disease and Pulmonary Surgery Training and Research Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Health Sciences University Dr. Suat Seren Pulmonary Disease and Pulmonary Surgery Training and Research Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Health Sciences University Süreyyapaşa Pulmonary Disease and Pulmonary Surgery Training and Research Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Health Sciences University Süreyyapaşa Pulmonary Disease and Pulmonary Surgery Training and Research Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Health Sciences University Sultan Abdülhamid Han Training and Research Hospital, İstanbul, TürkiyeDepartment of Intensive Care, TC Ministry of Health, Ankara City Hospital, Ankara, TürkiyeDepartment of Intensive Care, TC Ministry of Health, Mersin City Hospital, Mersin, TürkiyeDepartment of Intensive Care, Tarsus Medikalpark Hospital, Mersin, TürkiyeDepartment of Intensive Care, Tarsus Medikalpark Hospital, Mersin, TürkiyeDepartment of Intensive Care, Health Sciences University Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Health Sciences University Süreyyapaşa Pulmonary Disease and Pulmonary Surgery Training and Research Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Health Sciences University Süreyyapaşa Pulmonary Disease and Pulmonary Surgery Training and Research Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Health Sciences University Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Health Sciences University Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, TürkiyeDepartment of Intensive Care, Erciyes University Faculty of Medicine, Kayseri, TürkiyeDepartment of Intensive Care, TC Ministry of Health, Ankara City Hospital, Ankara, TürkiyeDepartment of Intensive Care, TC Ministry of Health, Ankara City Hospital, Ankara, TürkiyeDepartment of Intensive Care, Ankara University Faculty of Medicine, Ankara, TürkiyeDepartment of Intensive Care, Health Sciences University Ankara Atatürk Pulmonary Disease and Pulmonary Surgery Training and Research Hospital, Ankara, TürkiyeDepartment of Intensive Care, Health Sciences University Ankara Atatürk Pulmonary Disease and Pulmonary Surgery Training and Research Hospital, Ankara, TürkiyeDepartment of Intensive Care, Pamukkale University Faculty of Medicine, Denizli, TürkiyeOBJECTIVE: 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.https://thoracrespract.org/en/evaluation-of-long-coronavirus-disease-2019-cases-readmitted-to-intensive-care-units-due-to-acute-respiratory-failure-point-prevalence-study-132280 |
| spellingShingle | Eylem Tunçay Özlem Moçin Özlem Ediboğlu Nalan Adıgüzel Sinem Güngör İnşa İşcanlı Berrin Er Nilgün Alptekinoğlu Mendil Adnan Usalan Didem Yılmaz Hülya Keskin Gül Erdal Dönmez Barış Yılmaz Feyza Kargın Kemal Tolga Saraçoğlu Şahin Temel Hayriye Cankar Dal Sema Turan Leyla Talan Derya Hoşgün Semih Aydemir Hülya Sungurtekin Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence Study Thoracic Research and Practice |
| title | Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence Study |
| title_full | Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence Study |
| title_fullStr | Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence Study |
| title_full_unstemmed | Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence Study |
| title_short | Evaluation of Long-Coronavirus Disease 2019 Cases Readmitted to Intensive Care Units Due to Acute Respiratory Failure: Point Prevalence Study |
| title_sort | evaluation of long coronavirus disease 2019 cases readmitted to intensive care units due to acute respiratory failure point prevalence study |
| url | https://thoracrespract.org/en/evaluation-of-long-coronavirus-disease-2019-cases-readmitted-to-intensive-care-units-due-to-acute-respiratory-failure-point-prevalence-study-132280 |
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