Factors Affecting Duration of Hospital Stay in Deceased COVID-19 Patients.

Autor: Kurtipek, Ercan, Mermer, Mehmet, Yıldırım, Bilgenur, Yazar, Mehmet Akif, Duran, Mustafa, Duksal, Faysal
Předmět:
Zdroj: International Journal of General Medicine; Mar2023, Vol. 16, p929-936, 8p
Abstrakt: aimed to elucidate the predictivity of NLR, CAR and other laboratory parameters on the duration of hospital stay and mortality in patients with COVID-19. Materials and Method: The data of 1516 COVID-19 patients who were hospitalized in our institution have been analyzed retrospectively. Patients were divided into two groups those who deceased within the first 10 days of hospitalization (Group I, ≤ 10 days) and those who deceased in the later period (Group II, > 10 days). Age, gender, time to mortality after hospitalization, neutrophil count, CRP, neutrophil-to-lymphocyte ratio (NLR), CRP/albumin ratio (CAR), and d-dimer values were obtained from blood samples taken during hospitalization. Results: NLR and CAR values were significantly higher in those who died in the first 10 days compared to the other group (p< 0.02 and p< 0.001, respectively). In addition, WBC, neutrophil, CRP and d-dimer levels were statistically significantly higher than the other group (p< 0.05). Logistic regression analysis results for NLR and CAR were significant. The cut-off values were calculated (5.74 and 4.27, respectively) for both parameters. Among the most common comorbid diseases were hypertension (HT) in 41%, coronary artery disease (CAD) in 41.7%, asthma-chronic obstructive pulmonary disease (COPD) in 36.7%, diabetes mellitus (DM) in 36.1%. Conclusion: NLR and CAR may have a decisive influence in determining the length of stay in hospital for patients who die in hospital due to COVID-19. In addition, it is recommended that COVID-19 cases with diabetes be followed closely. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index