ISSN: 2149-2247 | E-ISSN: 2149-2549
Characteristics and Outcomes of the Patients Infected with SARS-CoV-2 Admitted to Intensive Care Units: Erciyes University COVID-19 Center Experience [Erciyes Med J]
Erciyes Med J. 2020; 42(4): 436-440 | DOI: 10.14744/etd.2020.00907

Characteristics and Outcomes of the Patients Infected with SARS-CoV-2 Admitted to Intensive Care Units: Erciyes University COVID-19 Center Experience

Şahin Temel1, Kürşat Gündoğan1, Birkan Ülger1, Hüseyin Arican1, Kadir Bulut1, Ali Sari1, Hilal Sipahioğlu1, Ali Yeşiltepe1, Ayşim Ertürk1, Özgür Karabıyık2, Murat Sungur1
1Department of Intensive Care, Erciyes University Faculty of Medicine, Kayseri, Turkey
2Department of Radiology, Erciyes University Faculty of Medicine, Kayseri, Turkey

Objective: This study aims to investigate the characteristics and outcomes of patients infected with SARS-CoV-2 admitted to the intensive care unit (ICU).
Materials and Methods: This study was performed retrospectively in a medical ICU. All patients admitted to were either laboratory-confirmed or clinically probable COVID-19 patients, and all patients admitted to our ICU during this period were enrolled in the study.
Results: We enrolled 47 patients. The mean age was 68.4±13.4 years and 66% of patients were male. The most common co-morbidities were hypertension (66%) and cardiovascular diseases (40%). The mean APACHE II score was 22.4±8.5, and the first-day median SOFA score was 5 (range: 1–12). Hydroxychloroquine was the most common drug prescribed (78.7%). All patients received at least one antibiotic other than Azithromycin as the most common drug was Piperacillin-Tazobactam (63.8%). Among 47 patients, 55.3% (28 patients) who were admitted to the ICU needed invasive mechanical ventilation. Prone positioning was used in 23% (6 patients) of mechanically ventilated patients. The mean positive end-expiratory pressure (PEEP) was 10±3 cm H2O. The median PaO2/FiO2 ratio was 200 (range, 91–458). The most common ventilator mode was SIMV-PSV volume-controlled mode. ICU mortality rate was 34% (16 patients).
Conclusion: The most common reason to admit SARS-CoV-2 infected patients to our ICU was acute respiratory failure and hypoxemia during the first month of pandemics. COVID-19 patients have a high mortality rate when they develop severe disease.

Keywords: COVID-19, intensive care unit, SARS-CoV2, Erciyes University

Şahin Temel, Kürşat Gündoğan, Birkan Ülger, Hüseyin Arican, Kadir Bulut, Ali Sari, Hilal Sipahioğlu, Ali Yeşiltepe, Ayşim Ertürk, Özgür Karabıyık, Murat Sungur. Characteristics and Outcomes of the Patients Infected with SARS-CoV-2 Admitted to Intensive Care Units: Erciyes University COVID-19 Center Experience. Erciyes Med J. 2020; 42(4): 436-440

Corresponding Author: Murat Sungur, Türkiye
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