• Hülya Sungurtekin, Cansu Ozgen, Ulku Arslan, Kemal Tolga Saracoglu, Volkan Yarar, Ahmet Sari, Ayse Turan Civraz, Ali Aydin Altunkan, Hilal Ayoglu, Nilgun Kavrut Ozturk, Nihal Bulut Yuksel, Birgul Yelken, Elif Bombaci, Gokhan Kilinc, Damla Akman, Pinar Demir, Ferruh Ayoglu, Fulya Ciyiltepe, Ahmet Caliskan, and Simay Karaduman.
• From the Department of Anesthesiology and Reanimation, Pamukkale University, Denizli, Turkey.
• Ann Saudi Med. 2021 Nov 1; 41 (6): 318-326.

BackgroundIn our previous report on Turkish COVID-19 patients requiring intensive care, the 24 patients in a single ICU were elderly and mortality was high. We extended our analysis to include patients admitted to ten ICUs.ObjectivesReport the demographics, clinical features, imaging findings, comorbidities, and outcomes in COVID-19 patients.DesignRetrospective.SettingIntensive care unit.Patients And MethodsThe study includes patients with clinical and radiological confirmed or laboratory-confirmed COVID-19 infection who were admitted to ten ICUs between 15 March and 30 June 2020.Main Outcome MeasuresClinical outcomes, therapies, and death during hospitalization SAMPLE SIZE: 974, including 571 males (58%).ResultsThe median age (range) was 72 (21-101) years for patients who died (n=632, 64.9%) and 70 (16-99) years for patients who lived (n=432, 35.2%) (P<.001). APACHE scores, and SOFA scores were higher in patients who died than in those who survived (P<.001, both comparisons). Respiratory failure was the most common cause of hospitalization (82.5%), and respiratory failure on admission was associated with death (P=.013). Most (n=719, 73.8%) underwent invasive mechanical ventilation therapy.ConclusionsThe majority of patients admitted to the ICU with a diagnosis of COVID-19 require respiratory support.LimitationsAlthough the Turkish Ministry of Health made recommendations for the treatment of COVID-19 patients, patient management may not have been identical in all ten units.Conflict Of InterestNone.

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