Outcome Predictors for ICU Admitted Critically Ill Covid-19 Patients in Fayoum University Hospitals | ||||
| Fayoum University Medical Journal | ||||
| Volume 13, Issue 2, April 2024, Page 49-61 PDF (453.99 K) | ||||
| Document Type: Full Length research Papers | ||||
| DOI: 10.21608/fumj.2024.254145.1299 | ||||
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| Authors | ||||
Abdelrahman Mohamed Yassein  1; Osama M. Momtaz2; Hamada A. Abdelsalam3; Ahmed Fathy Elkhateeb4
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| 1Lecturer of critical care department, faculty of medicine, Fayoum university , Egypt | ||||
| 2Professor of Critical Care Medicine, Faculty of Medicine, Fayoum University. | ||||
| 3Department of critical care medicine, Faculty of Medicine, Fayoum University, Fayoum, Egypt | ||||
| 4Critical Care Department, faculty of medicine, Fayoum University, Fayoum city, Egypt | ||||
| 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 | ||||
| Keywords | ||||
| COVID-19; Predictors; Outcome; Intensive Care | ||||
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