Evaluation of the factors predicting the need for intensive care of patients with COVID-19 aged above 65 years: data from an emergency department in Turkey

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dc.authorid0000-0002-3427-5649en_US
dc.authorid0000-0003-0893-6084en_US
dc.authorid0000-0001-6829-7435en_US
dc.authorid0000-0001-8034-0301en_US
dc.authorid0000-0003-3099-6876en_US
dc.authorscopusid57213614084en_US
dc.authorscopusid57209690197en_US
dc.authorscopusid57203094225en_US
dc.authorscopusid55554222600en_US
dc.authorscopusid23567874000en_US
dc.authorwosid-en_US
dc.authorwosidGLR-3873-2022en_US
dc.authorwosid-en_US
dc.authorwosidAAZ-6502-2021en_US
dc.authorwosidA-1913-2019en_US
dc.contributor.authorAkman, Canan
dc.contributor.authorDaş, Murat
dc.contributor.authorBardakcı, Okan
dc.contributor.authorAkdur, Gökhan
dc.contributor.authorAkdur, Okhan
dc.date.accessioned2023-08-01T05:37:07Z
dc.date.available2023-08-01T05:37:07Z
dc.date.issued2021en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractOBJECTIVE: Individuals aged ≥65 years are more susceptible to COVID-19 disease and admission to intensive care is most notable. The scoring systems (national early warning score, quick sequential organ failure assessment, shock index) are recommended for rapid assessment of patients in emergency room conditions. The goal of our study is to evaluate scoring systems in conjunction with predictive factors of need for admission to intensive care of patients ≥65 years old with a diagnosis of COVID-19 who applied to the emergency room. METHODS: Patients were divided into two groups according to evolution in the emergency room, being those who needed or not intensive care. National Early Warning Score, quick sequential organ failure assessment, shock index scores and serum biochemistry, blood count and blood gas values were evaluated from hospital information management system records. RESULTS: Of the patients included in the study, 80.8% were admitted to the ward and 14.5% to the unit of intensive care. Lymphocyte count, base deficit and bicarbonate levels were lower, and the levels of C-reactive protein, lactate, D-dimer, urea and lactate dehydrogenase were higher in patients who needed intensive care. Quick sequential organ failure assessment and shock index were considered significant in the group admitted to the intensive care unit. CONCLUSIONS: We recommend that quick sequential organ failure assessment and shock index be used quickly, practically and easily in predicting the need for intensive care unit in patients aged ≥65 years in emergency department diagnosed with COVID-19.en_US
dc.identifier.citationAkman, C., Daş, M., Bardakcı, O., Akdur, G. & Akdur, O. (2021). Evaluation of the factors predicting the need for intensive care of patients with COVID-19 aged above 65 years: data from an emergency department in Turkey. Revista da Associacao Medica Brasileira, 67(10), 1454–1460. https://doi.org/10.1590/1806-9282.20210653 ‌en_US
dc.identifier.doi10.1590/1806-9282.20210653
dc.identifier.endpage1460en_US
dc.identifier.issn0104-4230
dc.identifier.issn1806-9282
dc.identifier.issue10en_US
dc.identifier.pmid35018975
dc.identifier.scopus2-s2.0-85120615037
dc.identifier.startpage1454en_US
dc.identifier.urihttps://doi.org/10.1590/1806-9282.20210653
dc.identifier.urihttps://hdl.handle.net/20.500.12428/4445
dc.identifier.volume67en_US
dc.identifier.wosWOS:000726787100015
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAkman, Canan
dc.institutionauthorDaş, Murat
dc.institutionauthorBardakcı, Okan
dc.institutionauthorAkdur, Gökhan
dc.institutionauthorAkdur, Okhan
dc.language.isoen
dc.publisherAssociacao Medica Brasileiraen_US
dc.relation.ispartofRevista da Associacao Medica Brasileiraen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/us/*
dc.subjectAge factorsen_US
dc.subjectEmergency medical servicesen_US
dc.subjectIntensive care unitsen_US
dc.titleEvaluation of the factors predicting the need for intensive care of patients with COVID-19 aged above 65 years: data from an emergency department in Turkey
dc.typeArticle

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