• Elif Tanriverdİ, Mustafa Çörtük, Binnaz Zeynep Yildirim, Uğur Chousein Efsun Gonca EG 0000-0002-8029-6627 Department of Pulmonology, University of Health Sciences Yedikule Pulmonary Diseases and Thoracic Sur, Demet Turan, Halit Çinarka, Özgül Mehmet Akif MA 0000-0003-1110-6823 Department of Pulmonology, University of Health Sciences Yedikule Pulmonary Diseases and Thoracic Surgery Edu, and Erdoğan Çetinkaya.
• Department of Pulmonology, University of Health Sciences Yedikule Pulmonary Diseases and Thoracic Surgery Education and Research Hospital, İstanbul, Turkey
• Turk J Med Sci. 2021 Feb 26; 51 (1).

Background/AimNew treatment regimens for COVID-19, which has threatened the world recently, continue to be investigated. Although some of the treatments are promising, it is thought to be early to state that there is definitive treatment. Experiences and treatment protocol studies from treatment centers are still important. The aim of this study is to evaluate factors affecting the treatment process of the first cases followed in our clinic.Materials And MethodsThe consecutive hospitalized patients with COVID-19 pneumonia were analyzed in this retrospective and cross-sectional study. Data were recorded from the electronic and written files of patients.ResultsEighty-three patients were evaluated. The median age was 50 ± 15 years. Forty-eight (57.8%) patients had one or more comorbidities. The most common comorbidity was hypertension. The most common symptom was cough in 58 patients (70%). The overall mortality was 15%, and 85% of the patients were discharged. The time between the onset of symptoms and hospitalization was statistically significantly longer in deceased patients (P = 0.039). Age, D-Dimer, troponin, CK, CK-MB, ferritin, procalcitonin, and neutrophil to lymphocyte ratio were statistically significantly higher in deceased patients than survivor patients. In subgroup analysis, in the patients receiving azithromycin plus hydroxychloroquine and other antibiotics plus hydroxychloroquine, the duration of hospitalization was shorter in the azithromycin group (P = 0.027).ConclusionEarly treatment and early admission to the hospital can be crucial for the better treatment process. Combination therapy with azithromycin may be preferred in the first treatment choice because it can shorten the length of hospital stay.This work is licensed under a Creative Commons Attribution 4.0 International License.

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