Evaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older

Abstract Background Older adults have an increased risk of mortality from Coronavirus disease 2019 (Covid-19). Despite the high number of publications on the topic of Covid-19 pandemic, few studies have focused on the intensive care treatments of Covid-19 patients aged 80 years and older. The goal o...

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Autores principales:	Sibel Oba, Mustafa Altınay, Aysel Salkaya, Hacer Şebnem Türk
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/ba4dd4bf46fd40b6ad36161594812625
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spelling	oai:doaj.org-article:ba4dd4bf46fd40b6ad361615948126252021-11-28T12:09:39ZEvaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older10.1186/s12871-021-01511-61471-2253https://doaj.org/article/ba4dd4bf46fd40b6ad361615948126252021-11-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01511-6https://doaj.org/toc/1471-2253Abstract Background Older adults have an increased risk of mortality from Coronavirus disease 2019 (Covid-19). Despite the high number of publications on the topic of Covid-19 pandemic, few studies have focused on the intensive care treatments of Covid-19 patients aged 80 years and older. The goal of our study is to investigate the effect of the intensive care treatments on the mortality of Covid-19 patients aged 80 years and older based on their clinical features, laboratory findings and the intensive care treatments methods. Methods The data of 174 patients aged 80 years and older treated from Covid-19 in intensive care unit were assessed retrospectively. The patients were divided into two groups as survivor and non-survivor. The effects of age, gender, length of stay, comorbid diseases, laboratory values, thoracic computed tomography findings, having invasive mechanical ventilation (IMV), high flow nasal cannula (HFNC) and/or non-invasive mechanical ventilation (NIMV), hemodiafiltration (HDF), anti-cytokines and plasma therapy on mortality have been investigated. Results The mean age and mean values of CRP, PCT, Ferritin, LDH were statistically significantly high in the non-survivor group. The mortality rate of the patients who had IMV was also statistically significantly higher compared to patients who had HFNC and/or NIMV. Albumin level and the rate of treatment with HFNC and/or NIMV were statistically significantly low in non-survivor group compared to the Survivor group. Conclusion ICU treatments may be beneficial for the Covid-19 patients aged 80 years and older. Increased age, high levels of CRP, PCT, ferritin, and having IMV are detected as poor outcome markers.Sibel ObaMustafa AltınayAysel SalkayaHacer Şebnem TürkBMCarticleAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anesthesiology RD78.3-87.3
spellingShingle	Anesthesiology RD78.3-87.3 Sibel Oba Mustafa Altınay Aysel Salkaya Hacer Şebnem Türk Evaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older
description	Abstract Background Older adults have an increased risk of mortality from Coronavirus disease 2019 (Covid-19). Despite the high number of publications on the topic of Covid-19 pandemic, few studies have focused on the intensive care treatments of Covid-19 patients aged 80 years and older. The goal of our study is to investigate the effect of the intensive care treatments on the mortality of Covid-19 patients aged 80 years and older based on their clinical features, laboratory findings and the intensive care treatments methods. Methods The data of 174 patients aged 80 years and older treated from Covid-19 in intensive care unit were assessed retrospectively. The patients were divided into two groups as survivor and non-survivor. The effects of age, gender, length of stay, comorbid diseases, laboratory values, thoracic computed tomography findings, having invasive mechanical ventilation (IMV), high flow nasal cannula (HFNC) and/or non-invasive mechanical ventilation (NIMV), hemodiafiltration (HDF), anti-cytokines and plasma therapy on mortality have been investigated. Results The mean age and mean values of CRP, PCT, Ferritin, LDH were statistically significantly high in the non-survivor group. The mortality rate of the patients who had IMV was also statistically significantly higher compared to patients who had HFNC and/or NIMV. Albumin level and the rate of treatment with HFNC and/or NIMV were statistically significantly low in non-survivor group compared to the Survivor group. Conclusion ICU treatments may be beneficial for the Covid-19 patients aged 80 years and older. Increased age, high levels of CRP, PCT, ferritin, and having IMV are detected as poor outcome markers.
format	article
author	Sibel Oba Mustafa Altınay Aysel Salkaya Hacer Şebnem Türk
author_facet	Sibel Oba Mustafa Altınay Aysel Salkaya Hacer Şebnem Türk
author_sort	Sibel Oba
title	Evaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older
title_short	Evaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older
title_full	Evaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older
title_fullStr	Evaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older
title_full_unstemmed	Evaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older
title_sort	evaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ba4dd4bf46fd40b6ad36161594812625
work_keys_str_mv	AT sibeloba evaluationoftheeffectofclinicalcharacteristicsandintensivecaretreatmentmethodsonthemortalityofcovid19patientsaged80yearsandolder AT mustafaaltınay evaluationoftheeffectofclinicalcharacteristicsandintensivecaretreatmentmethodsonthemortalityofcovid19patientsaged80yearsandolder AT ayselsalkaya evaluationoftheeffectofclinicalcharacteristicsandintensivecaretreatmentmethodsonthemortalityofcovid19patientsaged80yearsandolder AT hacersebnemturk evaluationoftheeffectofclinicalcharacteristicsandintensivecaretreatmentmethodsonthemortalityofcovid19patientsaged80yearsandolder
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Evaluation of the effect of clinical characteristics and intensive care treatment methods on the mortality of covid-19 patients aged 80 years and older

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