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Clinical Outcomes and Independent Risk Factors for 90-Day Mortality in Critically Ill Patients with Respiratory Failure Infected with SARS-CoV-2: A Multicenter Study in Turkish Intensive Care Units   
Yazarlar
Kürşat Gündoğan
Türkiye
İsmail Hakkı Akbudak
Türkiye
Pervin Hancı Yılmaztürk
Türkiye
Burçin Halaçlı
Türkiye
Şahin Temel
Türkiye
Zühal Güllü
Türkiye
Kamil İnci
Türkiye
Yeliz Bilir
Türkiye
Firdevs Tuğba Bozkurt
Türkiye
Fatma Yıldırım
Türkiye
Meltem Şimşek
Türkiye
Recep Civan Yüksel
Türkiye
Esma Eren
Neriman Defne Altıntaş
Türkiye
Leyla Talan
Gülseren Elay
Türkiye
Göksel Güven
Türkiye
İskender Kara
Türkiye
Emre Aydın
Türkiye
Seda Yılmaz
Türkiye
Tuğçe Mengi
Türkiye
Sema Sarı
Türkiye
Türkay Akbaş
Türkiye
Burcu Acar Çinleti
Türkiye
Nazire Ateş Ayhan
Türkiye
Deniz Aral Özbek
Türkiye
Taha Koray Şahin
Türkiye
Aslı Açıkgöz
Türkiye
Ali Ümit Eşbah
Türkiye
Ahmet Fırat
Türkiye
Ferhan Aydemir
Mehmet Çağatay Gürkök
Türkiye
Dr. Öğr. Üyesi Avşar ZERMAN
Türkiye
Ayça Gümüş
Melda Türkoğlu
Türkiye
Müge Aydoğdu
Türkiye
Ramazan Ulu
Türkiye
Jale Bengi Çelik
Türkiye
Canan Balcı
Türkiye
Sami Cenk Kıraklı
Türkiye
Emre Karakoç
Türkiye
Ezgi Özyılmaz
Türkiye
Nazmiye Ebru Ortaç Ersoy
Türkiye
Serpil Öcal
Türkiye
İrem Akın Şen
Türkiye
İbrahim Hakkı Tör
Türkiye
Bilgin Cömert
Türkiye
Begüm Ergan
Türkiye
Kemal Tolga Saraçoğlu
Türkiye
Jülide Ergil
Türkiye
Ümmü Gülsüm Yüksel
Nuri Tutar
Türkiye
Murat Sungur
Türkiye
Arzu Topeli İskit
Türkiye
Özet
Background: There are limited data on the long-term outcomes of COVID-19 from different parts of the world. Aims: To determine risk factors of 90-day mortality in critically ill patients in Turkish intensive care units (ICUs), with respiratory failure. Study design: Retrospective, observational cohort. Methods: Patients with laboratory-confirmed COVID-19 and who had been followed up in the ICUs with respiratory failure for more than 24 hours were included in the study. Their demographics, clinical characteristics, laboratory variables, treatment protocols, and survival data were recorded. Results: A total of 421 patients were included. The median age was 67 (IQR: 57-76) years, and 251 patients (59.6%) were men. The 90-day mortality rate was 55.1%. The factors independently associated with 90-day mortality were invasive mechanical ventilation (IMV) (HR 4.09 [95% CI: [2.20-7.63], P < .001), lactate level >2 mmol/L (2.78 [1.93-4.01], P < .001), age ≥60 years (2.45 [1.48-4.06)], P < .001), cardiac arrhythmia during ICU stay (2.01 [1.27-3.20], P = .003), vasopressor treatment (1.94 [1.32-2.84], P = .001), positive fluid balance of ≥600 mL/day (1.68 [1.21-2.34], P = .002), PaO2/FiO2 ratio of ≤150 mmHg (1.66 [1.18-2.32], P = .003), and ECOG score ≥1 (1.42 [1.00-2.02], P = .050). Conclusion: Long-term mortality was high in critically ill patients with COVID-19 hospitalized in intensive care units in Turkey. Invasive mechanical ventilation, lactate level, age, cardiac arrhythmia, vasopressor therapy, positive fluid balance, severe hypoxemia and ECOG score were the independent risk factors for 90-day mortality
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Balkan Med J.
Dergi ISSN 2146-3123
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 11-2021
Cilt No 38
Sayı 5
Sayfalar 296 / 303
Doi Numarası 10.5152/balkanmedj.2021.21188