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355580

Outcome Predictors for ICU Admitted Critically Ill Covid-19 Patients in Fayoum University Hospitals

Article

Last updated: 23 Dec 2024

Subjects

-

Tags

Critical care medicine.

Abstract

Introduction: COVID-19 began a worldwide public health emergency with high mortality rate when it started to spread 2019 in China. It caused millions of deaths within less than two years.
Aim of the study: Evaluation of clinical, laboratory and radiological parameters of COVID-19 patients as well as therapeutic management; and assessment of their impact as outcome predictors.
Subjects and Methods: We investigated 210 patients admitted to the critical care department at Fayoum university hospitals with PCR-confirmed COVID-19, from April 2020 to September 2021. We separated our patients into two groups: survival group (group I) and mortality group (group II ).
Results: Our study revealed that among our ICU-admitted patients with COVID19; those with higher mortality were older, more overweight ,had higher CRP (60.0 ± 54. in group I vs. 78.9 ± 67.2 in group II, P<0.05) , higher D-dimer level (1.5±1.4 in Group I vs. 2.4±1.9 in Group II, P<0.01), higher LDH , higher IL6 (139.9±640.3 in Group I vs. 560.5 ± 1163.7 in Group II, P<0.05) and less serum albumin level upon ICU admission . Also, mortality was less in patients with lower CORAD score in CT chest, less affected lung lobes , less APACHE II score.
Conclusions: Our study showed that age and weight of COVID-19 patients together with many laboratory and radiological parameters could be good predictors of mortality upon ICU admission

DOI

10.21608/fumj.2024.254145.1299

Keywords

COVID-19, predictors, Outcome, Intensive care

Authors

First Name

Abdelrahman

Last Name

Yassein

MiddleName

Mohamed

Affiliation

Lecturer of critical care department, faculty of medicine, Fayoum university , Egypt

Email

amy00@fayoum.edu.eg

City

-

Orcid

-

First Name

Osama

Last Name

Momtaz

MiddleName

M.

Affiliation

Professor of Critical Care Medicine, Faculty of Medicine, Fayoum University.

Email

usamamomtaz@yahoo.com

City

-

Orcid

-

First Name

Hamada

Last Name

Abdelsalam

MiddleName

A.

Affiliation

Department of critical care medicine, Faculty of Medicine, Fayoum University, Fayoum, Egypt

Email

haa22@fayoum.edu.eg

City

-

Orcid

-

First Name

Ahmed

Last Name

Elkhateeb

MiddleName

Fathy

Affiliation

Critical Care Department, faculty of medicine, Fayoum University, Fayoum city, Egypt

Email

afm02@fayoum.edu.eg

City

fayoum

Orcid

-

Volume

13

Article Issue

2

Related Issue

47824

Issue Date

2024-04-01

Receive Date

2023-12-23

Publish Date

2024-04-01

Page Start

49

Page End

61

Print ISSN

2536-9474

Online ISSN

2536-9482

Link

https://fumj.journals.ekb.eg/article_355580.html

Detail API

https://fumj.journals.ekb.eg/service?article_code=355580

Order

355,580

Type

Full Length research Papers

Type Code

353

Publication Type

Journal

Publication Title

Fayoum University Medical Journal

Publication Link

https://fumj.journals.ekb.eg/

MainTitle

Outcome Predictors for ICU Admitted Critically Ill Covid-19 Patients in Fayoum University Hospitals

Details

Type

Article

Created At

23 Dec 2024