Retrospective evaluation of critical geriatric and adult COVID-19 patients

Authors

  • Öztürk Taşkın
  • Veysel Garani Soylu
  • Ufuk Demir
  • Ayşe Yılmaz
  • Esma Özçelik
  • Zahide Doğanay
  • Funda Çatan İnan

DOI:

https://doi.org/10.51271/KMJ-0019

Keywords:

COVID-19 intensive care unit, geriatrics and COVID-19, mortalilty, COVID-19, COVID-19 mortality

Abstract

Background: 5% of cases in COVID 19 disease require hospitalization in an intensive care unit. COVID -19 has a high mortality rate in the intensive care unit (ICU). There are many factors that affect this. There is no study on whether aging is one of these factors for intensive care patients.

Objective: With this study, the data of critical geriatric and adult COVID-19 patients we followed up in the covid intensive care unit were evaluated and it was aimed to recognize the characteristics of critically ill patients.

Material and Method: The files of 70 geriatric and 67 adult patients followed in the COVID-19 ICU were scanned and evaluated.

Results: When evaluated in terms of developing organ dysfunction, cardiac arrhythmia was found to be statistically significant in adult patients (P=.01). 53 (75%) of 70 geriatric patients and 45 (67.1%) of 67 adult patients required invasive mechanical ventilation support. Intensive care mortality was 74.2% (52) in geriatric patients and 67.1% (45) in adult patients. There was no significant difference between the two groups in terms of mortality.

Conclusion: It turned out that old age and being an adult are not important in terms of mortality in COVID-19 patients who need to be followed up in the intensive care unit.

References

Chan JF, Yuan S, Kok KH, et al. A familial cluster of pneumonia

associated with the 2019 novel coronavirus indicating person-to-person

transmission: a study of a family cluster. Lancet 2020; 395: 514-23.

World Health Organization. Access from https://www.who.int/docs/

default-source/coronaviruse/situation-reports/20200422-sitrep-93-

covid-19.pdf?sfvrsn=35cf80d7_4, Access date: 22.04.2020.

Shang Y, Pan C, Yang X, Zhong M, Shang X. Management of critically ill

patients with COVID-19 in ICU: statement from front-line intensive care

experts in Wuhan, China. Ann Intensive Care 2020; 10: 73.

Wu Z, McGoogan JM. Characteristics of and important lessons from the

coronavirus disease 2019 (COVID-19) outbreak in China: summary of

a report of 72 314 cases from the chinese center for disease control and

prevention. JAMA 2020; 323: 1239-42.

Berlin DA, Gulick RM, Martinez FJ. Severe COVID-19. N Engl J Med

; 383: 2451-60.

Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill

patients with SARS-CoV-2 pneumonia in Wuhan, China: a singlecentered,

retrospective, observational study. Lancet Respir Med 2020; 8:

-81.

Bhatraju PK, Ghassemieh BJ, Nichols M, et al. COVID-19 in Critically

Ill Patients in the Seattle Region - Case Series. N Engl J Med 2020; 382:

-22.

Republic Of Turkey Ministry Of Health. Access from https://covid19.

saglik.gov.tr/Eklenti/39061/0/covid-19rehberieriskinhastatedavisipdf.

pdf, Access date:09.10.2020 (in Turkey)

Haase N, Plovsing R, Christensen S, et al. Characteristics, interventions,

and longer term outcomes of COVID-19 ICU patients in Denmark-A

nationwide, observational study. Acta Anaesthesiol Scand 2021; 65: 68-75.

Guan WJ, Ni ZY, Hu Y, et al, China Medical Treatment Expert Group

for COVID-19. Clinical Characteristics of Coronavirus Disease 2019 in

China. N Engl J Med 2020; 382: 1708-20.

Chen R, Liang W, Jiang M, et al, Medical Treatment Expert Group for

COVID-19. Risk Factors of Fatal Outcome in Hospitalized Subjects With

Coronavirus Disease 2019 From a Nationwide Analysis in China. Chest

; 158: 97-105.

Behzad S, Aghaghazvini L, Radmard AR, Gholamrezanezhad A.

Extrapulmonary manifestations of COVID-19: radiologic and clinical

overview. Clin Imaging 2020; 66: 35–41.

Henry BM, Lippi G. Chronic kidney disease is associated with severe

coronavirus disease 2019 (COVID-19) infection. Int Urol Nephrol 2020;

: 1193.

Mao R, Qiu Y, He JS,et al. Manifestations and prognosis of gastrointestinal

and liver involvement in patients with COVID-19: a systematic review

and meta-analysis. Lancet Gastroenterol Hepatol 2020; 5: 667-78.

Valderrama EV, Humbert K, Lord A, Frontera J, Yaghi S. Severe Acute

Respiratory Syndrome Coronavirus 2 Infection and Ischemic Stroke.

Stroke 2020; 51: e124-27.

Arentz M, Yim E, Klaff L, et al. Characteristics and Outcomes of 21

Critically Ill Patients With COVID19 in Washington State. JAMA 2020;

;1612-14.

Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill

patients with SARS-CoV-2 pneumonia in Wuhan, China: a singlecentered,

retrospective, observational study. Lancet 2020; published

online Feb 24. https://doi.org/10.1016/S2213- 2600(20)30079-5.

Liu Y, Mao B, Liang S, et al; Shanghai Clinical Treatment Experts Group

for COVID-19. Association between age and clinical characteristics and

outcomes of COVID-19. Eur Respir J 2020; 55: 2001112.

Meng Y, Wu P, Lu W, et al. Sex-specific clinical characteristics and prognosis

of coronavirus disease-19 infection in Wuhan, China: A retrospective

study of 168 severe patients. PLoS Pathog 2020; 16: e1008520.

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Published

2021-09-30

How to Cite

Taşkın, Öztürk, Soylu, V. G., Demir, U., Yılmaz, A., Özçelik, E., Doğanay, Z., & İnan, F. Çatan. (2021). Retrospective evaluation of critical geriatric and adult COVID-19 patients. Kastamonu Medical Journal, 1(3), 79–82. https://doi.org/10.51271/KMJ-0019

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