Predicting intensive care unit admissions for COVID-19 patients in the emergency department

dc.authorid0000-0003-3635-6722
dc.contributor.authorBahadırlı, Suphi
dc.contributor.authorKurt, Erdem
dc.date.accessioned2023-02-23T12:53:46Z
dc.date.available2023-02-23T12:53:46Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Ana Bilim Dalı
dc.description.abstractObjective: Determining the parameters that can predict the requirement of intensive care unit (ICU) admissions among the coronavirus disease 2019 (COVID-19) patients presented to the emergency departments (EDs). Methods: In adult consecutive patients admitted (March 15 - April 15, 2020) to the ED of a state hospital for COVID-19, we retrospectively analyzed demographic data, symptoms, laboratory tests, and chest computed tomography (CT) on arrival. Results: We included 458 patients [213 (46.5%) females, median age 48 y]. Body temperature, respiration rate, C-reactive protein (CRP), D-dimer, ferritin values, and the number of comorbidities were significantly higher in patients admitted to the ICU than others. Also, diffuse infiltration in chest CT is more common in patients who need ICU follow-up. As a result of the binary regression analysis, a statistically significant correlation was found between the presence of dyspnea (odds ratio [OR]: 12.55), tachypnea (relative risk [RR] >= 18) (OR: 14.54), multiple comorbidities (>= 2) (OR: 23.39), diffuse infiltration in CT (OR: 14.52), and CRP (>= 45 mg/L) (OR: 4.71); and the need for ICU admission. Conclusion: It has been concluded that the presence of dyspnea and tachypnea, elevated CRP, presence of multiple comorbidities, and diffuse infiltration in CT may predict the need for ICU admissions of the patients, who presented to the EDs.
dc.identifier.citationBahadırlı, S. ve Kurt, E. (2022). Predicting intensive care unit admissions for COVID-19 patients in the emergency department. Disaster Medicine and Public Health Preparedness, 16(4), 1594-1598. https://doi.org/10.1017/dmp.2021.283
dc.identifier.doi10.1017/dmp.2021.283
dc.identifier.endpage1598
dc.identifier.issn1935-7893
dc.identifier.issn1938-744X
dc.identifier.issue4
dc.identifier.pmid34462044
dc.identifier.scopus2-s2.0-85114183483
dc.identifier.scopusqualityQ2
dc.identifier.startpage1594
dc.identifier.urihttps://doi.org/10.1017/dmp.2021.283
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10518
dc.identifier.volume16
dc.identifier.wos000757101900001en_US
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBahadırlı, Suphi
dc.language.isoen
dc.publisherCambridge University Press
dc.relation.ispartofDisaster Medicine and Public Health Preparednessen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectC-Reactive Protein
dc.subjectComorbidity
dc.subjectCovid-19
dc.subjectEmergency Departments
dc.subjectIntensive Care Units
dc.titlePredicting intensive care unit admissions for COVID-19 patients in the emergency department
dc.typeArticle

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