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: This study aimed to investigate the clinical and computed tomography (CT) features associated with severe and critical coronavirus disease-2019 (COVID-19) pneumonia. Methods: A total of 50 patients with critical COVID-19 pneumonia, receiving mechanical ventilation support in the intensive care unit (ICU) due to moderate-severe acute respiratory distress syndrome (ARDS), were included in this retrospective study. Chest CT, laboratory results, and clinical conditions of patients were concurrently identified. Only the first chest CT findings of patients were reviewed by 50 physicians and they were asked about their opinions on the laboratory results and clinical conditions of patients. Data were then compared with the real-time data. The efficacy of the first chest CT findings in diagnosis and treatment guidance was analyzed. Results: The simultaneous laboratory analyses of patients receiving mechanical ventilation support due to moderate-severe ARDS found a C-reactive protein of >40 mg/L in 72%, D-dimer was >1000 ng/mL and ferritin was >500 ng/mL in 57%, and lymphocyte count <800 μL in 50% of patients. While 53% of participants proposed that patients would be treated in the ICU, 28.2% suggested the patients be treated in inpatient care. A total of 60.2% of participants stated that the patients suffered from moderate-severe ARDS based on CT findings. Conclusion: A correlation was found between the clinical symptoms, laboratory analyses, and CT findings of patients presenting with severe COVID-19. The first chest CT alone may help a physician to determine the disease severity;however, additional laboratory data and clinical follow-up are needed to evaluate the prognosis and plan the treatment, as many factors are involved in determining the disease severity. [ 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 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 . (Copyright applies to all s.)