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The Effect of Co-Morbid Diseases on The Need for Mechanical Ventilation and Mortality of Patients with Covid-19 in Intensive Care Unit

Ulku Ince, Harun Tolga Duran, Yusuf Yildirim, Sule Gokce.




Abstract

It is aimed to contribute to the literature on Covid 19, a new disease, by examining the mechanical ventilation support, mortality and factors affecting them during the follow-up of patients infected with Covid 19 in the intensive care unit. The clinical course of covid 19 infected patients who were hospitalized in the intensive care unit between March 30 and October 30, 2020, such as length of stay, additional diseases, mechanical ventilation support and mortality rates, were analyzed retrospectively and compared. 66 of 100 patients included in the study required invasive mechanical ventilation, 34 of them did not. The probability of having two or more comorbidities was significantly higher in patients requiring invasive mechanical ventilation (P:0,007). The motrality rate was 64% among all patients. Advanced age and additional systemic diseases increase mortality in patients infected with Covid19 treated in intensive care. We believe that patients of advanced age and 2 and above with additional systemic diseases need more invasive mechanical ventilation support and that adequate clinical improvement cannot always be achieved with high flow nasal oxigenation (HFNO) and invasive mechanical ventilation (IMV) support applications in these patients.

Key words: Covid-19, mechanical ventilation, mortality






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The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.