TY  - JOUR
TI  - The relationship of extent of initial radiological involvement with the need of intensive care, mortality rates, and laboratory parameters in Covid-19
AB  - Background/aim: It is very important for the efficient use of limited capacity and the success of treatment to predict patients who may need ICU with high mortality rate in the Covid-19 outbreak. In our study, it was aimed to investigate the value of the radiological involvement on initial CT in demonstrating the ICU transfer and mortality rate of patients. Materials and methods: All PCR-positive patients were included in the study, whose CT, PCR, and laboratory values were obtained simultaneously at the time of first admission. Patients were divided into 4 groups in terms of the extent of radiological lesions. These groups were compared in terms of intensive care transfer needs and Covid-related mortality rates. Results: A total of 477 patients were included in the study. Ninety of them were group 0 (no lung involvement), 162 were group 1 (mild lesion), 89 were group 2 (moderate lesion), and 136 were group 3 (severe lung involvement). A significant relationship was found between the extensiveness of the radiological lesion on CT and admission to intensive care and mortality rate. As the initial radiological involvement amounts increased, the rate of ICU transfer and mortality increased. The mortality rates of the groups were 0%, 3%, 12.3%, and 12.5%, respectively, and the difference was significant (p < 0.001). Similarly, the ICU transfer rates of the groups were 2.2%, 5.6%, 13.5%, and 17.7%, respectively, and the difference was significant (p < 0.001). Conclusion: In conclusion, in our study, the strong relationship between the initial radiological extent assessment and the need for intensive care and mortality rates has been demonstrated, and we believe that our results will make a significant contribution to increase the success of the health system in predicting patients who may progress, helping clinicians and managing pandemics.Key words: Covid-19, extensiveness of radiological lesions, intensive care, mortality rate
AU  - kocayiğit, havva
AU  - KARABAY, OĞUZ
AU  - Koroglu, Mehmet
AU  - YAYLACI, SELÇUK
AU  - dheir, hamad
AU  - Sengul, Aysun
AU  - YURUMEZ, YUSUF
AU  - Aydemir, Yusuf
AU  - AYDEMIR, OZLEM
AU  - Erdem, Ali Fuat
AU  - GÜNDÜZ, Yasemin
AU  - Guclu, Ertugrul
DO  - 10.3906/sag-2009-49
PY  - 2021
JO  - Turkish Journal of Medical Sciences
VL  - 51
IS  - 3
SN  - 1300-0144
SP  - 1012
EP  - 1020
DB  - TRDizin
UR  - http://search/yayin/detay/482270
ER  -