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COVID-19 and ICU admission associated predictive factors in Iranian patients
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Amir Sadeghi    , Pegah Eslami , Arash Dooghaie moghadam , Ali Pirsalehi , Sajad Shojaee , Mohammad Vahidi , Amirali Soheili , Faezeh Ghanimat , Yasaman Keshmiri , Saeed Abdi , Mohammad Reza Zali |
| Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran , nnzali@hotmail.com |
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Abstract: (3205 Views) |
Background: The pandemic situation created an overwhelmed needs for ICU facilities, according to this problem, the need of accurate the management of facilities represents bold. In this study, prognostic risk factors for ICU admission among COVID-19 hospitalized patients were evaluated.
Methods: From 22 February to April 20, 2020. Totally,214 COVID-19 patients participated in this study. The included patients were between 18- 80 years old, and the patients who previously admitted for COVID-19 were excluded. The comorbid medical conditions, admission laboratory, demographic data, and first manifestations were analyzed between two groups, including ICU and non-ICU admitted patients. The statistical analysis, univariate and multivariate analysis were afforded. The value of the predictors in risk assessment of ICU admission were estimated.
Results: 55 patients (25.7%) were admitted in ICU. The ICU admitted patient’s mortality rate was about 68%. The age was significantly higher among ICU admission group (P=0.03). Admission O2 saturation was significantly lower among ICU admitted patients (P=0.00). The kidney disease and malignancy history were more frequent in ICU-admitted patients (P=0.04, P=0.00). Myalgia was the clinical manifestation that significantly presented more frequent in ICU-admitted patients. INR, CRP, ESR, HB, and Lymphocyte were significantly different between two groups. After multivariable analysis, admission O2 saturation, hematocrit, CRP and myalgia could significantly predict the risk of ICU admission. Furthermore, the value of predictors was estimated in our study.
Conclusion: Based on our results, the admission O2 saturation, HCT, CRP levels at first admission and myalgia presentation could be considered as the valuable predictors of ICU admission. |
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| Keywords: ICU admission, COVID-19, prognostic factors. |
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Full-Text [PDF 189 kb]
(1196 Downloads)
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Type of Study: Original Article |
Subject:
Internal
Received: 2020/05/30 | Accepted: 2020/08/15 | Published: 2020/10/19
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