ABSTRACT
Objective: Pressure ulcer (PU) in Coronavirus disease-2019 (COVID-19) patients will be an important health and cost factor for all countries. Risk factors for the development of PU in patients admitted to intensive care unit (ICU) during the COVID-19 pandemic were evaluated in terms of treatment and outcomes. Methods: Patients were divided into two groups (group I= developing PU, group II= did not develop PU). Results: A total of 105 patients were included in the study. PU developed in 20 patients (19%). The mean age was 58.45±13.35, days of PU development was 6. The duration of uninterrupted prone positioning was 23.55±4.38 hours among the study patients. The duration of ICU stay and mechanical ventilation duration of group I cases were longer than the durations of group II cases. There was no significant difference between the groups in terms of gender percentages, age, albumin, hemoglobin and C-reactive protein values (p>0.05). Conclusion: Prolonged prone position are independent risk factors for the development of PU in COVID-19 patients. [ABSTRACT FROM AUTHOR] Copyright of European Archives of Medical Research is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
ABSTRACT
OBJECTIVE: The aim of this study was to determine the associations of the neutrophil-lymphocyte ratio (NLR) and C-reactive protein (CRP)-albumin ratio (CAR) with the duration of hospital stay and fatality rate in geriatric patients with coronavirus disease 2019 (COVID-19). METHODS: Patients older than 65 years with polymerase chain reaction-positive COVID-19 were included. Neutrophil, lymphocyte, CRP, albumin, and demographic data and the duration of hospitalization were recorded. RESULTS: The mean length of stay was 15 days. NLR and CAR were significantly higher in patients who died than in those who survived. The cutoffs predictive of mortality were 4.02 (area under the curve [AUC] = 0.717) for NLR and 23 for CAR (AUC = 0.781). The fatality rate among patients who required inpatient treatment was 33%. CONCLUSION: NLR and CAR, which can be calculated inexpensively and quickly at the first admission to the hospital, are extremely useful for estimating the duration of hospitalization and risk of mortality in geriatric patients with COVID-19. Using these data, treatment can quickly be intensified when needed.