Factors Affecting Mortality in Covid-19 Disease

Completed

• Conditions: COVID-19 Pneumonia; Mortality
• Interventions: Other: covid-19 survival cohort; Other: covid-19 mortality cohort

• Registration Number: NCT06043115
• Lead Sponsor: Melike Cengiz

Brief Summary

The coronavirus disease-19 (COVID-19), defined by the reporting of pneumonia cases of unknown etiology at the end of 2019 in Wuhan, China, has spread worldwide, causing millions of deaths. Despite the fact that more than two years have passed since the struggle against the disease it continues to be an important public health problem.The increasing number of critically ill patients with this pandemic caused a great demand for intensive care units (ICU), and ICU capacity and staff had to be rapidly expanded in many countries. Similarly, in various periods of the pandemic in Turkey, the capacity of many ICUs had to be increased. The rates of admission to the ICU and death rates differed greatly from center to center due to various factors such as ICU bed capacity and the duration of access to the ICU, patient characteristics, and differences in the treatments applied. Determining the factors that may be associated with mortality is important in terms of improving the ICU follow-up of patients with COVID-19 and guiding their treatment.There is limited information about the characteristics and mortality of Turkish patients with COVID-19 in the ICU. The aim of this study is to determine the demographic, clinical and laboratory characteristics and the factors affecting ICU mortality in COVID-19 patients followed in Akdeniz University Medical Faculty Hospital since the beginning of the pandemic.

Detailed Description

It was designed as a retrospective cohort study in which patients with a diagnosis of COVID-19 hospitalized in the ICU between 11 March 2020 and 31 March 2022 were included.

Patients aged ≥18 years with a confrmed diagnosis of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection by a positive real-time reverse-transcription polymerase chain reaction test (RT-PCR) on a nasopharyngeal swab or or endotracheal aspirate were included in the present study. The study data collected from the patient record at ICU admission included demographic characteristics (age, sex, body mass index), smoking history, comorbidities, vaccination status, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Sequential Organ Failure Assessment (SOFA) score, laboratory findings, blood gas analysis (PaO2/FiO2 ratio), oxygen device method, lenght of stay ICU and hospital duration and COVID-19 related complications. Laboratory findings included a complete blood count, coagulation testing, D-dimer, blood chemical analysis, C-reactive protein (CRP), assessment of liver and renal function, procalcitonin, and microbial cultures results. Additional adjunctive support, including extracorporeal membrane oxygenation (ECMO), prone positioning, renal replacement therapy (RRT) were documented daily. Information on patient-specific therapies, such as administration of hydroxychloroquine, antivirals, convalescent plasma and plasmapheresis was also collected.

Study Timeline

• Study Start: 2022-05-11
• Primary Completion: 2022-11-30
• Study Completion: 2022-12-15
• Status Verified: 2023-09
• Study First Submitted: 2023-09-09
• Study First Submitted QC: 2023-09-15
• Last Update Submitted: 2023-09-15
• Study First Posted: 2023-09-21
• Last Update Posted: 2023-09-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 619

Inclusion Criteria

• Patients aged ≥18 years with a confrmed diagnosis of the severe acute respiratory syndrome coronavirus-2 infection by a positive real-time reverse-transcription polymerase chain reaction test

Exclusion Criteria

• Patients whose SARS-CoV-2 RT-PCR test was negative
• Chest computed tomography findings or symptoms were not compatible with COVID-19

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
covid-19 survival cohort	covid-19 survival cohort	consists of surviving patients
covid-19 mortality cohort	covid-19 mortality cohort	consists of deceased patients

Primary Outcome Measures

Name	Time	Method
factors affecting mortality in COVID-19	11 March 2020 -31 March 2022	clinical and laboratory characteristics of COVID-19 patients in mortality of ICU.

Secondary Outcome Measures

Name	Time	Method
difference between the pandemic waves	11 March 2020-31 March 2022	mortality rate of ICU, clinical and laboratory characteristics of COVID-19 patients according to pandemic waves

Trial Locations

Locations (1)

Akdeniz University School of Medicine, Department of Anesthesiology and Intensive Care, Turkey; 🇹🇷 Antalya, Turkey