Official websites use. Share sensitive information only on official, secure websites. Address for correspondence: Ayfer Kaya Gök, M. Intensive care workers received the largest share of the COVID pandemic, which caused nightmares to the whole world. In COVID pneumonia cases which had high mortality rates, many prognostic factors and laboratory examinations were tried to evaluate the clinical severity quickly and accurately. This study was planned to investigate a correlation between the initially ventilation strategy and major prognostic parameters and CT scores in patients admitted to intensive care unit ICU. In our study, we reviewed 50 consecutive non-invasive mv and 50 consecutive invasive mv treatment of COVID pneumonia patients between March 23, ,and May 23,in the ICUs Berlin Collage Escort Girl our hospital. No significant difference was found in terms of gender and comorbidity status. There was no significant difference between the CT scores and the number of lobes involved. The mortality rate in the IMV group was significantly higher. Patients who started treatment with NIMV had relatively low poor prognostic factors, their mortality was lower. However, the total CT score at diagnosis was expected to be higher in those who were performed IMV, no significant difference was found in our study. We concluded that the severity classification of the patients cannot be made according to CT scores. In cases of COVID pneumonia with high mortality rates, many prognostic factors and tests have been tried to be classified to evaluate clinical severity quickly and accurately. COVID, caused by severe acute respiratory syndrome coronavirus-2 from the coronavirus family, started in Wuhan, China in December and spread all over the world, and was declared a pandemic by the World Health Organization in March To date, no treatment has been definitively shown to be effective for either suspected or confirmed COVID patients. COVID clinic presents in different spectrums ranging from asymptomatic to severe pneumonia. Comorbidities were advanced age, male gender, and coexisting diseases. However, negative results have been obtained in some cases that strongly suggest the disease in terms of history and laboratory. Despite negative PCR results, overall lung involvement score on the 2 nd week had predictive value for clinical severity and could be indicator for further treatment. In cases of COVID pneumonia with high mortality rates, CT results were classified for rapid and accurate assessment of clinical severity, and higher CT scores were found in severe cases. This study was planned to investigate a correlation between the initial ventilation strategy and major prognostic parameters and CT scores in patients who admitted to ICU. The secondary endpoint was to investigate the effects of these parameters on the length of intensive care and hospital stays and mortality rates. Files were scanned retrospectively. The approval of the Clinical Research Ethics Committee of our hospital, dated May 26,and numberedwas obtained for the study. The total severity score was reached by summing the five lobe scores 0—20 Table 1. The data were analyzed in computer environment with SPSS First of Berlin Collage Escort Girl, the normality distribution of the data was examined Kolmogorov—Smirnov test and it was determined that they were not normally distributed. For this reason, non-parametric tests were applied. The data of the groups were tested in terms of number, percentage, mean, and standard deviation. First of all, demographic data of patients age, gender, and additional comorbidities were examined Table 2. Chi-Square test. In NIMV group, min age was 23, max age was 98 and mean age was In IMV group, min age was 32, max age was 88mand mean age was It was determined that the group aged 46 years and over in the IMV group was proportionally higher than the NIMV group and the significant difference was due to this group. Mann-Whitney U test. There was no significant difference between CT scores and the number of lobes involved. Mortality rates among the patient groups are analyzed in Table 4. Different clinical situations can be observed in COVID disease, ranging from asymptomatic situation to severe pneumonia. A systematic review and meta-analysis was done by Fang et al. They found that the males and comorbidities, including any comorbidities, were significantly associated with the severe disease. Most problematic comorbidities were chronic obstructive pulmonary disease, respiratory system disease, and cerebrovascular disease. In an another Berlin Collage Escort Girl, it was reported that advanced age, additional comorbidities hypertension, diabetes, cardiovascular diseases, chronic lung disease, and cancerhigh-risk scores, high d-dimer and C-reactive protein levels, andlow lymphocyte counts are effective in the increase in mortality rates. Our most common comorbidity was hypertension. The most important intensive care hospitalization indication is COVIDrelated acute respiratory failure ARDSthe main problem is in the respiratory system, other organ damage is not significant.
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