Covıd-19 Tanısıyla Hastaneye Yatırılan Hastaların Laboratuvar Değerleri Ve Radyolojik Sonuçların Korelasyonu: İkinci Dalga İki Merkez Deneyimi


Sağlık Akademisi Kastamonu, 2022 (Peer-Reviewed Journal)


Objective: In this study, we aimed to determine the demographic, clinical, laboratory and radiological characteristics of patients diagnosed with COVID-19 in two different centers. Methods: Our study is a two-center, retrospective study. Patients with a positive SARS-CoV-2 RT-PCR test who were followed up with a definitive diagnosis of COVID-19 who were hospitalized between September 1 and November 30 were included in the study. Demographic, clinical, laboratory and thoracic computed tomography data of the patients were evaluated retrospectively. Results: A total of 304 COVID-19 patients, 157 of whom were male, were included in our study. Among the most common comorbid diseases were 38.3% hypertension, 36.3% diabetes mellitus, 23.8% asthma. The most common symptoms were cough (77.3), dyspnea (63.2) and myalgia (29.9). When we evaluated lung involvement as mild-moderate and severe pneumonia, mild pneumonia was observed in 83 patients, moderate pneumonia was observed in 151 patients, and pneumonia with severe involvement was observed in 69 patients. It was determined that white blood cell, neutrophil, aspartate aminotransferase, lactate dehydrogenase, ferritin, CRP, D-Dimer and INR levels and length of stay were statistically significantly higher in patients with severe Covid-19 pneumonia, whereas lymphocyte levels were significantly lower (p). <0.05). Conclusions: It has been observed that laboratory parameters are more severe in patients with severe COVID-19 pneumonia, and the rates of intensive care admissions and deaths are higher. Efficient and safe drug studies are still needed in the COVID-19 pandemic, the effect of which is partially reduced with vaccination.