الفهرس | Only 14 pages are availabe for public view |
Abstract The COVID19 pandemic began in Wuhan, China at the end of 2019, and spread quickly throughout the world. Some countries experienced more than one wave of the pandemic. As of 11 July 2022, globally there have been around 560 M confirmed cases and around 6.3 M deaths caused by COVID19. The most frequent clinical signs are fever and cough; however, some patients develop severe illness, which results in intensive care unit (ICU) admission and even death During the pandemic, along with the non-COVID critically ill patients, COVID19 patients were also transferred to ICU, which resulted in the demand for ICU resources substantially increasing, exceeding the capacity in many healthcare systems. ICUs are costly and time-sensitive resources, and if their capacity is challenged, it can have a major consequence for healthcare services. In addition, as the number of critically ill patients continues to increase, their stays in the ICU have become even longer, especially during the COVID19 situation. To solve this issue, some scoring systems have been used for the early identification of ICU requirements. Scoring techniques rely on the identification of prognostic markers associated with the severity of the disease The aim of the present study was to detect the predictors of ICU admission in COVID 19 patients. This was a retrospective study from patients files involved 258 patients admitted to Shebin El kom fever hospital who were diagnosed positive of COVID 19 according to WHO criteria in the period between February and May 2021. The studied patients were classified into the following groups according to the need of ICU admission. group I : Included 186 patients who need ICU care on admission or at some point during hospital stay These patients were classified into two subgroups according to the need of mechanical ventilation group Ia: Included 134 patient which undergo mechanical ventilation either invasive or not group Ib: Includes 52 patients which did not undergo mechanical ventilation. group II : include72 patient who did not need ICU All patients in the present study were subjected to full history taking, Full clinical examination (General examination- Local chest examination), Routine laboratory investigations including complete blood count, Liver Function Tests, Blood urea and serum creatinine and Imaging study. |