Anatolian Journal of Emergency Medicine

Yazarlar: Serdar ÖZDEMİR, Hatice AKÇA, İbrahim ALTUNOK, Abdullah ALGIN, Abuzer ÖZKAN, Emin PALA, Serkan Emre EROĞLU

Konular:Tıp

Anahtar Kelimeler:Coronavirus infections,Dyspnea,Turkey,Fever,Cough,Prognosis

Özet: Aim: To evaluate the relationships between the symptoms of patients admitted to the COVID-19 outpatient clinic and short-term mortality, hospitalization, intensive care unit admission and necessity of mechanical ventilation during hospitalization. Material and Methods: This retrospective cohort study was conducted at a pandemic clinic. All hospitalized patients and outpatients with positive RT-PCR assay for SARS-CoV-2 were included the study. Demographic parameters, clinical characteristics, vital parameters on admission, outpatient clinic outcomes of each patient were obtained from the hospital computer-based patient data system and analyzed. Primary outcome of this study was determining the relationship between the symptoms of patients admitted to the COVID-19 outpatient clinic and 30-day mortality. The secondary outcomes were hospitalization, intensive care unit admission, and necessity of mechanical ventilation during hospitalization. Results: A total of 1566 patients with positive results of RT-PCR assay for SARS-CoV-2 were included. The rates of 30-day mortality and hospitalization were 3.6% and 35.1%, respectively. The most common symptoms were cough (56.7%) and fever (33.3%). Cough and shortness of breath associated with short-term mortality, ICU admission and necessity of mechanical ventilation during hospitalization (for cough P = 0.029, P = 0.003, P = 0.03; for shortness of breath P <0.001, p <0.001, and P = 0.009, respectively). Conclusion: The cough and shortness of breath were associated with 30-day mortality, ICU admission and necessity of mechanical ventilation during hospitalization.

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