Research Article
Evaluation of patients with negative PCR tests after COVID-19 pneumonia in intermediate-level intensive care unit
Abstract
Objectives: The need for an intensive care unit has increased during the pandemic of coronavirus disease (COVID-19). For this reason, intermediate-level intensive care units (IICUs) were established in hospitals worldwide. This study aims to evaluate the data of patients that hospitalized in IICU.
Methods: Patients under treatment for COVID-19 were followed up in IICU after the negative polymerized chain reaction test. A total of 52 patients were evaluated retrospectively between August 24, 2020 and March 1, 2021. The patients were divided into two groups according to discharge status from IICU (Group 1: exitus, Group 2: transferred to clinic, or discharged home). Demographic data, comorbidities, Acute Physiology and Chronic Health Evaluation II (APACHE II), Glasgow Coma Scale (GCS), treatments and procedures, and complications were recorded.
Results: Seventeen (32.7%) of 52 patients who were followed up in IICU died. Thirty-five patients (67.3%) were transferred to the clinic or discharged home. The APACHE II scores at admission to IICU were higher in Group 1 (26.11 ± 5.86) than in Group 2 (23.43 ± 6.32) but not statistically significant. GCS was statistically significantly lower in Group 1 than in Group 2 (7.82 ± 2.42 and 10.25 ± 2.58, respectively, p = 0.002). Mechanical ventilation rate (82.3%) and the need for inotropic agents (76.5%) were higher in Group 1 (p = 0,034 and p < 0.001, respectively). Tracheostomy was applied to 5 of all patients, and percutaneous endoscopic gastrostomy was performed 4 of them.
Conclusions: We think that IICU created during the pandemic provides effective treatment for patients needing intensive care. We think IICU is beneficial in providing quick patient discharge in tertiary intensive care units.
Supporting Institution
Bursa Yüksek İhtisas Training and Research Hospital
Thanks
Thanks to intermediate level intensive care unit's multidiciplinary team for studying together and telling our hardwork with this trial during the pandemic.
References
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Year 2023,
Volume: 9 Issue: 2, 237 - 243, 04.03.2023
Abstract
References
- 1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020;382:727‐33.
- 2. Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed 2020;19;91:157-60.
- 3. Masa JF, Patout M, Scala R, Winck JC. Reorganizing the respiratory high dependency unit for pandemics. Expert Rev Respir Med 2021;15:1505-15.
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- 14. McWilliams D, Weblin J, Hodson J, Veenith T, Whitehouse T, Snelson C. Rehabilitation levels in patients with COVID-19 admitted to intensive care requiring invasive ventilation. An observational study. Ann Am Thorac Soc 2021;18:122-9.
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- 17. Rizvi MAR, Hanif H, Rasheed N, Simon NH. Effects of respiratory therapy and physical rehabilitation in a reduction of length of ICU stay among Covid-19 Patients – A narrative review; Int J Med Sci Health Res 2021;5:106-21.
- 18. Turgut N, Ak A, Ak E, Yakar N, Yakar N, Yılmaz B, et al. [Incidence, prevention and treatment of pressure ulcers in intensive care patients]. J Turk Soc Intens Care 2017;15:72-6. [Article in Turkish]
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- 21. Amini M, Mansouri F, Vafaee K, Janbakhsh A, Mahdavikian S, Moradi Y, et al. Factors affecting the incidence and prevalence of pressure ulcers in COVID-19 patients admitted with a Braden scale below 14 in the intensive care unit: retrospective cohort study. Int Wound J. 2022;19:2039-54.
- 22. Kıraner E, Kaya H. [Pressure injuries in patients hospitalized in intensive care with the diagnosis of COVID-19 and retrospective analysis of risk factors]. Yoğun Bakım Hemşireliği Dergisi 2021;25:139-51. [Article in Turkish]
- 23. Demirel Kaya HS, Mammadov O, Dogan L, Sarıkaya ZT, Kısa Özdemir İ, Rasimoğlu S, et al. [Patients with COVID-19 pneumonia treated with the standard protocol: observational results of five intensive care units]. J Turk Soc Intens Care 2020;18:1-13. [Article in Turkish]
There are 23 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Intensive Care |
| Journal Section | Original Articles |
| Authors | |
| Publication Date | March 4, 2023 |
| Submission Date | September 29, 2022 |
| Acceptance Date | December 2, 2022 |
| Published in Issue | Year 2023 Volume: 9 Issue: 2 |
e-ISSN: 2149-3189
The European Research Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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