Hospital and 1-Year mortality Outcomes in COVID-19 pneumonia

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Aşkar S., Aşkar M., Bilgin M. H., Yıldız H., Beyzaei R., Keskin S.

ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.1, sa.1, ss.1-5, 2024 (ESCI)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 1 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.4328/acam.22082
  • Dergi Adı: ANNALS OF CLINICAL AND ANALYTICAL MEDICINE
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
  • Sayfa Sayıları: ss.1-5
  • Van Yüzüncü Yıl Üniversitesi Adresli: Evet

Özet

Aim: COVID-19 caused many deaths, and its socioeconomic impact continues. Hospital mortality is generally known, but information on 1-year mortality is

limited. This study aimed to measure all-cause mortality rates in hospitalized and 1-year follow-up COVID-19 patients and to evaluate the factors affecting

these rates.

Material and Methods: PCR-positive patients’ demographic, clinical, and laboratory characteristics were retrospectively analyzed. Hospitalization duration and

mortality data were recorded. Discharged patients’ polyclinic, follow-up, and mortality status within one-year were evaluated.

Results: The study included 201 patients, with a mean age of 63.12±14.5 years, and 59.2% were male. Logistic regression analysis identified several factors

affecting hospital mortality, including male gender, smoking, lactate-dehydrogenase, and ferritin. Further analyses indicated that advanced age, low-oxygen

saturation, high-sodium levels, low-potassium levels, low-hemoglobin), elevated-white-blood cell count, reduced-platelet count, increased INR and D-Dimer

count, and elevated-CRP (C-reactive protein) levels were significant factors influencing hospital mortality. Mortality within 1-year was associated with factors

including male gender, diabetes, low-oxygen saturation, elevated-AST levels, elevated-ALT levels, elevated-ferritin levels, and hospitalization length. Those who

died within one year were more likely to have been hospitalized in intensive-care unit, required oxygen support, and were smokers.

Discussion: Hospital mortality was associated with impaired laboratory parameters and smoking, whereas 1-year mortality was associated with intensivecare,

oxygen requirements, and diabetes.