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Characteristics and clinical outcomes of COVID-19 patients with pulmonary disorders: A single-center, retrospective observational study.
Jamal, Wasim; Khatib, Mohamad Y; Al Wraidat, Mohammad; Ahmed, Amna; Ananthegowda, Dore C; Mohamed, Ahmed S; Aroos, Asra; Chandra, Prem; Hameed, Mansoor; Yousaf, Muhammad; Al-Mohammed, Ahmed; Nashwan, Abdulqadir J.
  • Jamal W; Department of Critical Care Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC) Doha Qatar.
  • Khatib MY; College of Medicine Weill Cornell Medicine-Qatar Ar-Rayyan Qatar.
  • Al Wraidat M; Department of Critical Care Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC) Doha Qatar.
  • Ahmed A; Department of Critical Care Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC) Doha Qatar.
  • Ananthegowda DC; Department of Critical Care Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC) Doha Qatar.
  • Mohamed AS; Department of Critical Care Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC) Doha Qatar.
  • Aroos A; Department of Critical Care Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC) Doha Qatar.
  • Chandra P; Department of Critical Care Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC) Doha Qatar.
  • Hameed M; Academic Health System, Hamad Medical Corporation (HMC) Doha Qatar.
  • Yousaf M; College of Medicine Weill Cornell Medicine-Qatar Ar-Rayyan Qatar.
  • Al-Mohammed A; Department of Medicine Hamad General Hospital (HGH), Hamad Medical Corporation (HMC) Doha Qatar.
  • Nashwan AJ; Department of Critical Care Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC) Doha Qatar.
Health Sci Rep ; 5(2): e525, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1705401
ABSTRACT

INTRODUCTION:

Mortality rates and clinical characteristics of patients with coronavirus disease 2019 (COVID-19) admitted to the intensive care unit (ICU) vary significantly.

OBJECTIVES:

To describe the data of patients with pulmonary comorbidities who were admitted to the ICU with COVID-19 in Qatar in terms of demographic characteristics, coexisting conditions, imaging findings, and outcomes.

METHODS:

We conducted a retrospective study of the outcomes with regard to mortality and requirement of invasive ventilation, demographic characteristics, coexisting conditions, secondary infections, and imaging findings for critical care patients with COVID-19 in Qatar who had pulmonary comorbidities between March and June 2020.

RESULTS:

A total of 923 patients were included, 29 (3.14%) were found to have pulmonary disease. All these 29 patients' respiratory disease was noted to be asthma. Among these, three patients (10.3%) died in the ICU within 28 days of ICU admission. They were all above 50 years old. Nineteen (66%) patients required intubation and mechanical ventilation. Twenty-one (72.4%) patients were males. The most common comorbidities included diabetes mellitus (55.1%) and hypertension (62%). Eighteen (62%) patients developed secondary infections in the ICU. Five (17.24%) patients developed renal impairment. Twenty (69%) patients received tocilizumab as part of their COVID-19 management, and out of these 16 (80%) patients developed a coinfection.

CONCLUSION:

Patients with pulmonary disorders had higher mortality rates than other patients admitted to ICU during the same time frame with similar comorbidities; these patients require extra consideration and care to avoid disease progression and death.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study Language: English Journal: Health Sci Rep Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study Language: English Journal: Health Sci Rep Year: 2022 Document Type: Article