COVID-19 NEDENİYLE BİR PANDEMİ HASTANESİNE BAŞVURAN HASTALARIN SOSYO DEMOGRAFİK ÖZELLİKLERİNİN YATIŞ VE ÖLÜM ORANLARININ İNCELENMESİ

Bu çalışmanın temel amacı COVID-19 nedeniyle bir pandemi hastanesine başvuran hastaların sosyo-demografik özelliklerinin, yatış ve ölüm oranlarının incelenmesidir. Bu araştırma retrospektif ve tanımlayıcı nitelikte bir araştırmadır. Araştırma pandemide ikinci dalganın yaşandığı ve Sakarya Yenikent Devlet Hastanesinin pandemi hastanesi olarak hizmet verdiği 01.11.2020 ve 31.01.2021 tarihleri arasındaki dönemi kapsamaktadır. Araştırma sonuçlarına göre erkek hasta sayısının kadınlardan daha fazla olduğu, ileri yaşın servise yatış ve ölüm riskini artırdığı, yatan hastalarda yatış gün sayısı ile yaş grupları arasında ise istatistiksel olarak anlamlı bir farklılığın olmadığı sonucuna ulaşılmıştır (p<0.05). Günlük ortalama 161 hasta ayakta COVID-19 şüphesi ile hastaneye müracaat etmiştir. Üç aylık dilimde ayaktan başvuran toplam 14.679 hastanın %0,6’sının yabancı uyruklu, %2,5’u prim borcu olduğu, %8,1’ine yatış verildiği ve %0,1’nin acil serviste öldüğü belirlenmiştir. COVID -19 servisinde yatan toplam 1070 hastanın ortalama 8,69 gün yatış yaptığı, %0,6’sının yabancı uyruklu olduğu ve %98,2’sinin Sosyal Güvenlik Kurumu’na tabi olduğu saptanmıştır. Servisteki ölüm oranı %1,4 ve taburcu olma durumu %81,7 olarak bulunmuştur. COVID-19 yoğun bakım servisinde ortalama yatış gün sayısı 8,64’tür, ölüm oranı ise %49,1’dir. Yoğun bakım servisinde yatanların da %97,3’ü Sosyal Güvenlik Kurumu’na tabi iken %0,3’ü yabancı uyruklu hastadır.

INVESTIGATION OF THE SOCIODEMOGRAPHIC CHARACTERISTICS HOSPITALIZATION AND DEATH RATE OF PATIENTS APPLIED TO A PANDEMIC HOSPITAL DUE TO COVID-19

The main purpose of this study is to examine the socio-demographic characteristics, hospitalization and death rates of patients admitted to a pandemic hospital due to COVID-19. This research is a retrospective and descriptive study. The research covers the period between 01.11.2020 and 31.01.2021, when the second wave of the pandemic was experienced, and Sakarya Yenikent State Hospital served as a pandemic hospital. According to the results of the study, it was concluded that the number of male patients was higher than females, advanced age increased the risk of hospitalization and death, and there was no statistically significant difference between the number of hospitalization days and age groups in hospitalized patients (p<0.05). An average of 161 outpatients per day applied to the hospital with the suspicion of COVID-19. It was determined that 0.6% of the 14,679 outpatients admitted in the three month period were foreign nationals, 2.5% had premium debts, 8.1% were hospitalized and 0.1% died in the emergency room. It was determined that a total of 1070 patients hospitalized in the COVID-19 service were hospitalized for an average of 8.69 days, 0.6% were foreign nationals and 98.2% were subject to the Social Security Institution. The mortality rate in the service was found to be 1.4% and the discharge rate was 81.7%. The average number of days of hospitalization in the COVID-19 intensive care unit is 8.64, and the death rate is 49.1%. 97.3% of those hospitalized in the intensive care unit are subject to the Social Security Institution, and 0.3% are foreign nationals.

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  • Akbudak, İ. H. (2021). Covid-19 Enfeksiyonu Tanısı ile Yoğun Bakımda Takip Edilen Kritik Hastaların Retrospektif Değerlendirilmesi: Tek Merkez Deneyimi. Pamukkale Medical Journal, 14(2), 438–442. https://doi.org/10.31362/patd.848721
  • Banumathi, P. G., Sujatha, S., & Murugan, A. A. (2020). Demographic and Clinical Status of Covid-19 Patients in a Tertiary Care Hospital in Chengalpattu District, Tamil Nadu: an Observational Study. Journal of Clınıcal and Dıagnostıc Research, 19–22. https://doi.org/10.7860/JCDR/2020/47012.14343
  • Çağatay, A., Arslan, Ü., & Yılmaz, S. (2021). The Effect of the Covid-19 Pandemic on Health Services (Evaluation of Health Statistics of OECD Countries). International Scientific and Vocational Studies Journal, 5(218), 218–229. https://doi.org/10.47897/bilmes.1035948
  • Dikmen, A. U., Budak, S. N., Budak, B., Özkan, S., & Ilhan, M. N. (2020). COVID-19 Salgınında Savunmasiz Gruplardan Biri: Göçmenler. Gazi Medical Journal, 31(2A), 328–330. https://doi.org/10.12996/gmj.2020.80
  • Dowd, J. B., Andriano, L., Brazel, D. M., Rotondi, V., Block, P., Ding, X., Liu, Y., & Mills, M. C. (2020). Demographic Science Aids in Understanding The Spread and Fatality Rates of COVID-19. Proceedings of the National Academy of Sciences of the United States of America, 117(18), 9696–9698. https://doi.org/10.1073/pnas.2004911117
  • Gebhard, C., Regitz-Zagrosek, V., Neuhauser, H. K., Morgan, R., & Klein, S. L. (2020). The impact of sex and gender on immunotherapy outcomes. Biology of sex differences, 11(1), 24. https://doi.org/10.1186/s13293-020-00301-y
  • Hsiehchen, D., Espinoza, M., & Slovic, P. (2020). Political Partisanship and Mobility Restriction During the COVID-19 Pandemic. Public Health, 187, 111–114. https://doi.org/10.1016/j.puhe.2020.08.009
  • İşlek, E., Özatkan, Y., & Bİlİr, M. K. (2021). Türkiye’ de COVID-19 Pandemisi Yönetimi ve Sağlık Politikası Stratejileri. Türkiye Sağlık Enstitüleri Başkanlığı Dergisi, 4(2), 54–56.
  • Jin, J. M., Bai, P., He, W., Wu, F., Liu, X.-F., Han, D.-M., Liu, S., & Yang, J.-K. (2020). Gender Differences in Patients with COVID-19: Focus on Severity and Mortality. Frontiers in Public Health, 8(April), 1–6. https://doi.org/10.3389/fpubh.2020.00152
  • Kraemer, M. U. G., Yang, C. H., Gutierrez, B., Wu, C. H., Klein, B., Pigott, D. M., du Plessis, L., Faria, N. R., Li, R., Hanage, W. P., Brownstein, J. S., Layan, M., Vespignani, A., Tian, H., Dye, C., Cauchemez, S., Pybus, O. G., Scarpino, S. V., Xu, B., … O’Brien, K. (2020). The Effect of Human Mobility and Control Measures on the COVID-19 Epidemic in China. medRxiv, 497(May), 493–497. https://doi.org/10.1101/2020.03.02.20026708
  • Kulu, H., & Dorey, P. (2020). The Contribution of Age Structure to the Number of Deaths from Covid-19 in the UK By Geographical Units. medRxiv. https://doi.org/10.1101/2020.04.16.20067991
  • Miró, Ò., Alquézar-Arbé, A., Llorens, P., Martín-Sánchez, F. J., Jiménez, S., Martín, A., Burillo-Putze, G., Jacob, J., García-Lamberetchs, E. J., Piñera, P., & González del Castillo, J. (2021). Comparison of the Demographic Characteristics and Comorbidities of Patients with COVID-19 who Died in Spanish Hospitals Based on Whether They Were or Were Not Admitted to an İntensive Care Unit. Medicina Intensiva (English Edition), 45(1), 14–26. https://doi.org/10.1016/j.medine.2020.09.004
  • Polat, Ö., Anaklı, İ., Alay, G. H., Çeliksoy, E., Tuna, V., Orhun, G., Kılıç, M., Mercan, M., Esen, F., Çağatay, A. A., & Özcan, P. E. (2020). Effect of Gender on the Inflammatory Markers in COVID-19 Patients. Turkish Journal of Intensive Care, 18(1), 14–21. https://doi.org/10.4274/tybd.galenos.2020.29292
  • Sannigrahi, S., Pilla, F., Basu, B., Basu, A. S., & Molter, A. (2020). Examining the Association between Socio-Demographic Composition and COVID-19 Fatalities in the European Region Using Spatial Regression Approach. Sustainable Cities and Society, 62(102418), 1–14. https://doi.org/10.1016/j.scs.2020.102418
  • Vekaria, B., Overton, C., Wiśniowski, A., Ahmad, S., Aparicio-Castro, A., Curran-Sebastian, J., Eddleston, J., Hanley, N. A., House, T., Kim, J., Olsen, W., Pampaka, M., Pellis, L., Ruiz, D. P., Schofield, J., Shryane, N., & Elliot, M. J. (2021). Hospital Length of Stay for COVID-19 Patients: Data-Driven Methods for Forward Planning. BMC Infectious Diseases, 21(1), 700. https://doi.org/10.1186/s12879-021-06371-6
  • Venkatesan, P. (2020). The Changing Demographics of COVID-19. The Lancet Respiratory Medicine, 8(12), e95. https://doi.org/10.1016/ S2213-2600(20)30461-6
  • Wang, W., Tang, J., & Wei, F. (2020). Updated Understanding of the Outbreak of 2019 Novel Coronavirus (2019‐Ncov) in Wuhan, China. Journal of Medical Virology, 92(4), 441– 447. https://doi.org/10.1002/jmv.25689
  • World Health Organization, (2022). https://covid19.who.int/region/euro/country/tr, Erişim Tarihi: 18.01.2022.
  • Williamson, E. J., Walker, A. J., Bhaskaran, K., Bacon, S., Bates, C., Morton, C. E., Curtis, H. J., Mehrkar, A., Evans, D., Inglesby, P., Cockburn, J., McDonald, H. I., MacKenna, B., Tomlinson, L., Douglas, I. J., Rentsch, C. T., Mathur, R., Wong, A. Y. S., Grieve, R., Goldacre, B. (2020). Factors Associated with COVID-19-related Death Using OpenSAFELY. Nature, 584(7821), 430–436. https://doi.org/10.1038/s41586-020- 2521-4
  • Yavuz, E. (2020). COVID-19 Aşıları. Turkish Journal of Family Practice, 24(4), 223–234. https://doi.org/10.15511/tahd.20.00427
  • Yenimahalleli Yaşar, G. (2019). Genel Sağlık Sigortasının Tam Kapsayıcılık Düzeyi: On Yıllık Değerlendirme. Çalışma Ortamı, 162, 20–23.