COVID-19 Enfeksiyonunda Ağırlaştırıcı Risk Faktörlerinin Araştırılması

Amaç: Koronavirüs hastalığı-2019, yaklaşık iki yıl önce Çin'de başlayan ancak tüm dünyayı etkisi altına alan bir salgına neden olmuştur. Koronavirüs hastalığı-2019 enfeksiyonu ile takip edilen hastaların değerlendirilmesi, ciddi enfeksiyon için risk faktörlerinin ve göstergelerinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Koronavirüs hastalığı-2019 enfeksiyonu ile 15 Mart- 01 Haziran 2020 tarihleri arasında yatarak tedavi gören hastalar araştırıldı. Hastalar oksijen satürasyonlarına göre iki gruba ayrıldı; oksijen satürasyonu % 90'ın üzerinde olan hastalar grup 1, % 90 ve altı olan hastalar grup 2 olarak belirlendi. Bu iki grup ağırlaştırıcı risk faktörleri açısından karşılaştırıldı. Bulgular: Bu çalışmaya 90 hasta (46 kadın, 44 erkek) dahil edildi. Bilgisayarlı toraks tomografisinde orta-şiddetli pnömonik tutulum (p=0,002) ve yüksek ateş (p

Investigation of Aggravating Risk Factors in COVID-19 Infection

Aim: Coronavirus disease-2019 caused an epidemic that started in China about two years ago but affected the whole world. It was aimed to evaluate patients followed up with coronavirus disease-2019 infection, to determine risk factors and indicators for severe infection. Material and Methods: Patients who received treatment as inpatient with coronavirus disease-2019 infection between March 15- June 01 2020 were investigated. Patients were divided into two groups according to their oxygen saturation; patients with oxygen saturation over 90% were group 1, patients with 90% or less were determined as group 2. This two groups were compared in terms of aggravating risk factors. Results: In this study, 90 patients (46 female, 44 male) were included. Moderate-severe pneumonic involvement in computed tomography of thorax (p=0.002) and high fever (p

___

  • Phelan AL, Katz R, Gostin LO. The novel coronavirus originating in Wuhan, China: challenges for global health governance. JAMA. 2020; 323(8): 709-10.
  • Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020; 382: 727-33.
  • Republic of Turkey Ministry of Health Directorate General of Public Health, 2020. COVID-19 (SARS-CoV-2 infection) general information, epidemiology and diagnosis. Scientific Board Study. Avaible from:s URL: https://covid19.saglik.gov.tr/Eklenti/39551/0/covid-19rehberigenelbilgilerepidemiyolojivetanipdf.pdf Accessed January 12, 2021.
  • Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020; 382(18): 1708-20.
  • Komurcuoglu B. Clinical and laboratory findings of COVID-19. Eurasian J Pulmonol. 2020; 22: 16-8.
  • Mizumoto K, Kagaya K, Chowell G. Early epidemiological assessment of the transmission potential and virulence of coronavirus disease 2019 (COVID-19) in Wuhan City: China. BMC Med. 2020; 15(18): 217.
  • Bilgiç Z, Güner R. COVID-19: Pathogenesis, transmission routes and risk factors. Aktaş F, editor. COVID-19: Pandemic Lessons. 1st Edition. Ankara: Turkey Clinics; 2020. p.14-24.
  • Liu Y, Du X, Chen J, Jin Y, Peng L, Wang HHX, et al. Neutrophil-to-lymphocyte Ratio as an Independent Risk Factor for Mortality in Hospitalized Patients With COVID-19. J Infect. 2020; 81(1): 6-12.
  • Yang J, Zheng Y, Gou X, Pu K, Chen Z, Guo Q, et al. Prevalence of comorbidities in the novel Wuhan coronavirus (COVID-19) infection: a systematic review and meta-analysis. Int J of Infect Dis. 2020; 94: 91-5.
  • Zhang B, Zhou X, Zhu C, Song Y, Feng F, Qiu Y, et al. Immune phenotyping based on the neutrophil-to-lymphocyte ratio and IgG level predicts disease severity and outcome for patients with COVID-19. Front Mol Biosci. 2020; 7: 157.
  • Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, et al. Dysregulation of immune response in patients with Coronavirus 2019 (COVID-19) in Wuhan, China. Clin Infect Dis. 2020; 71 (15): 762-8.
  • Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020; 395(10229): 1054-62.
  • Rod JE, Oviedo-Trespalacios O, Cortes-Ramirez J. A brief-review of the risk factors for COVID-19 severity. Rev Saude Publica. 2020; 54: 60.
  • Zhang JJY, Lee KS, Ang LW, Leo YS, Young BE. Risk factors for severe disease and efficacy of treatment in patients infected with COVID-19: A systematic review, meta-analysis, and meta-regression analysis. Clin Infect Dis. 2020; 71(16): 2199-206.
  • Günal Ö, Türe E, Bayburtlu M, Arslan U, Demirağ MD, Taşkın MH, et al. Evaluation of patients diagnosed with COVID-19 in terms of risk factors. Bulletin of Microbiology. 2020; 54(4): 575-82.
  • Republic of Turkey Ministry of Health Directorate General of Public Health, 2021. COVID-19 (SARS-CoV-2 infection) adult patient treatment. Scientific Board Study. Avaible from:s URL:https://covid19.saglik.gov.tr/Eklenti/42169/0/covid19rehberieriskinhastayonetimivetedavi20122021v6pdf.pdf Accessed December 20, 2021.
  • Karabıyık L. Intensive Care Scoring Systems. Turkish Journal of Intensive Care Medicine. 2010; 9(3): 129-43.
  • World Health Organization (WHO). WHO Coronavirus Disease (COVID-19) Dashboard. Avaible from:s URL: https://covid19.who.int/ Accessed January 13, 2021.
  • Republic of Turkey Ministry of Health, 2021. COVID-19 Weekly Status Report 12.10.2020 - 18.10.2020 Turkey. Avaible from:s URL: https://covid19.saglik.gov.tr/Eklenti/39168/0/covid-19-haftalik-durum-raporu---42-haftapdf.pdf?_tag1=710A3D148C11F8852B0DDC1FB4EE49DAE667F46D#:~:text=T%C3%BCrkiye'de%20toplam%209.296%20COVID,%252%2C67'dir Accessed January 13, 2021.
  • Republic of Turkey Ministry of Health, General Directorate of Public Health. 2020. Drugs used in the treatment of COVID-19, drug interactions. Avaible from:s URL: https://covid19.saglik.gov.tr/Eklenti/37818/0/covid-19tedavisindekullanilanilaclar-ilacetkilesimleripdf.pdf Accessed January 13, 2021.
  • Safdarian AR, Momenzadeh K, Kahe F, Farhangnia P, Rezaei N. Death due to COVID-19 in a patient with diabetes, epilepsy, and gout comorbidities. Clin Case Rep. 2021; 9: 461-4.
  • Rider FK, Lebedeva AV, Mkrtchyan VR, Guekht AB. Epilepsy and COVID-19: patient management and optimization of antiepileptic therapy during pandemic. Zh Nevrol Psikhiatr Im S S Korsakova. 2020; 120(10): 100-7.
Sağlık Bilimlerinde Değer-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2022
  • Yayıncı: Düzce Üniversitesi
Sayıdaki Diğer Makaleler

Hemşirelik Doktora Öğrencilerinin Hemşirelik Metaparadigmalarına İlişkin Görüşleri: Nitel Bir Çalışma

Sevda KORKUT, Meral BAYAT, Yağmur SEZER EFE

COVID-19 Olası/Kesin Tanılı Hastalarda Serbest Radikal Ve Antioksidan Enzim Düzeylerinin Değerlendirilmesi

Fatih DAVRAN, Ceyhan HACIOĞLU, Merve ALPAY, Pınar YILDIZ GÜLHAN, Cihadiye Elif ÖZTÜRK, Nevin INCE, Elif Nisa UNLU, Ali ANNAKKAYA

Post Kolesistektomi Sendromu: Kırk Sekiz Yaşında Kadın Hastada Kolon Kanseri Olgu Sunumu

Hasan Can DEMİRKAYA, İsmet ÖZAYDIN, Mehmet Emin GÖNÜLLÜ, Nurgül ALTINSOY

Kolorektal Kanser Hücrelerinde Boraksın Gpx4/ACSL4 Sinyal Yolu Aracılığıyla Sitotoksik Etkileri

Ceyhan HACIOĞLU, Fatih DAVRAN

Gastroenterit Etkeni Virüslerin İmmünokromatografik Yöntem ve Multipleks PZR Yöntemiyle Araştırılması

Mücahide TOPÇU, Mehmet KÖROĞLU, Özlem AYDEMİR, Yusuf AYDEMİR, Mustafa ALTINDİŞ, Bahri ELMAS

İnvazif Kandida Enfeksiyonu

Gulsah ALTUN, Türkay AKBAŞ, Dilek YEKENKURUL

Plantar Fasiitli Erişkinlerde Günlük Yaşam Aktivitelerinde Algılanan Aktivite Performansı-Memnuniyet Düzeyi ve Yaşam Kalitesi Arasında İlişki Var mı?

Berkan TORPİL, Güleser GÜNEY YILMAZ, Gözde ÖNAL, Özgür KAYA

Halk Sağlığı Bakışıyla Obezite Yönetimi

Gamze DEMİRAY, Faruk YORULMAZ

Mültecilerde Sağlık Hizmetlerine Erişim

Selma ALTINDİŞ, Mustafa Baran İNCİ, Ünal ERKORKMAZ

Fokal Asimetrik Meme Dansitelerinin Değerlendirilmesinde Tomosentezin Tanıya Katkısı

Derya GÜÇLÜ, İbrahim Feyyaz NALDEMİR, Elif Nisa UNLU, Ömer ÖNBAŞ