Evaluation of Patients Diagnosed with COVID-19 and Followed up in Intensive Care Unit Requiring Continuous Renal Replacement Therapy Using APACHE-II and SOFA Scores

İrem Akın Şen; Şenol Arslan; Cem Şen

Article Details

Evaluation of Patients Diagnosed with COVID-19 and Followed up in Intensive Care Unit Requiring Continuous Renal Replacement Therapy Using APACHE-II and SOFA Scores

Authors:

İrem Akın Şen | Şenol Arslan | Cem Şen

Publisher:

Kahramanmaras Sutcu Imam University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.18 Issue 3, pp.69-77

Document Type:

Article

Publication Date:

11/2023

Document Language:

Turkish

Document ID (Org No.):

2001303781

pISSN:

1303-6610

Keywords:

Abstract:

 Objective: In 5 of COVID-19 cases, the requirement for intensive care unit ICU hospitalization develops through the disease course. This study aimed to evaluate the mortality rates of the critically ill COVID-19 patients followed up in the ICU who needed continuous renal replacement CRRT treatment using APACHE-II and SOFA scores. Materials and Methods: With the APACHE 2 and SOFA Scoring System, 13 patients hospitalized in the Anesthesia Intensive Care Unit of the Education Research Hospital between March and September 2020 and required CRRT were evaluated. APACHE-II and SOFA scores were recorded before and two days after the CRRT application. Scoring systems were compared in terms of mortality. Results: Considering the APACHE-II and SOFA scoring systems before and after CRRT, it was determined that the APACHE-II scoring system before CRRT was more determinant in predicting the estimated mortality rate. However, after CRRT, it was observed that APACHE-II and SOFA scoring systems were not different from each other. When the duration of hospitalization was evaluated, a negative correlation was found between APACHE-II and SOFA scoring systems. Conclusion: Our study concluded that mortality was higher in men and patients with hypertension, consistent with the literature. Our study revealed no difference in mortality between APACHE-II and SOFA scores after CRRT and that both systems could be used. Although it is thought that these results may contribute to future follow-up and treatment methods, new studies are needed.

 Objective: In 5 of COVID-19 cases, the requirement for intensive care unit ICU hospitalization develops through the disease course. This study aimed to evaluate the mortality rates of the critically ill COVID-19 patients followed up in the ICU who needed continuous renal replacement CRRT treatment using APACHE-II and SOFA scores. Materials and Methods: With the APACHE 2 and SOFA Scoring System, 13 patients hospitalized in the Anesthesia Intensive Care Unit of the Education Research Hospital between March and September 2020 and required CRRT were evaluated. APACHE-II and SOFA scores were recorded before and two days after the CRRT application. Scoring systems were compared in terms of mortality. Results: Considering the APACHE-II and SOFA scoring systems before and after CRRT, it was determined that the APACHE-II scoring system before CRRT was more determinant in predicting the estimated mortality rate. However, after CRRT, it was observed that APACHE-II and SOFA scoring systems were not different from each other. When the duration of hospitalization was evaluated, a negative correlation was found between APACHE-II and SOFA scoring systems. Conclusion: Our study concluded that mortality was higher in men and patients with hypertension, consistent with the literature. Our study revealed no difference in mortality between APACHE-II and SOFA scores after CRRT and that both systems could be used. Although it is thought that these results may contribute to future follow-up and treatment methods, new studies are needed.

 Objective: In 5 of COVID-19 cases, the requirement for intensive care unit ICU hospitalization develops through the disease course. This study aimed to evaluate the mortality rates of the critically ill COVID-19 patients followed up in the ICU who needed continuous renal replacement CRRT treatment using APACHE-II and SOFA scores. Materials and Methods: With the APACHE 2 and SOFA Scoring System, 13 patients hospitalized in the Anesthesia Intensive Care Unit of the Education Research Hospital between March and September 2020 and required CRRT were evaluated. APACHE-II and SOFA scores were recorded before and two days after the CRRT application. Scoring systems were compared in terms of mortality. Results: Considering the APACHE-II and SOFA scoring systems before and after CRRT, it was determined that the APACHE-II scoring system before CRRT was more determinant in predicting the estimated mortality rate. However, after CRRT, it was observed that APACHE-II and SOFA scoring systems were not different from each other. When the duration of hospitalization was evaluated, a negative correlation was found between APACHE-II and SOFA scoring systems. Conclusion: Our study concluded that mortality was higher in men and patients with hypertension, consistent with the literature. Our study revealed no difference in mortality between APACHE-II and SOFA scores after CRRT and that both systems could be used. Although it is thought that these results may contribute to future follow-up and treatment methods, new studies are needed.

 Amaç: Dunya Saglık Orgutu DSO tarafından Aralık 2019 yılında pandemi ilan edilen COVID-19 salgını sonrası, Martın ikinci haftasından itibaren ülkemizde olgular bildirilmiştir. COVID-19 olgularının 5inde hastalığın seyri sırasında yoğun bakım ünitesine YBÜ yatış ihtiyacı gelişmektedir. Bu çalışma ile YBÜde izlediğimiz kritik durumdaki COVID-19 hastalarından sürekli renal replasman CRRT tedavisi ihtiyacı olan hastaların mortalite oranlarını APACHE-II ve SOFA skoru ile değerlendirmesi amaçlanmıştır. Gereç ve Yöntemler: MartEylül 2020 arasında Eğitim Araştırma Hastanesinin Anestezi Yoğun Bakım Ünitesine yatırılıp CRRT ihtiyacı olan 13 hasta APACHE-II ve SOFA skorlama sistemi ile değerlendirildi. CRRT uygulamasından önce ve uygulamadan 2 gün sonra APACHE-II ve SOFA skorları kaydedildi. Mortalite açısından skorlama sistemleri kıyaslandı. Bulgular: CRRT öncesi ve sonrası APACHE-II ve SOFA skorlama sitemlerine bakıldığında; CRRT öncesi APACHE-II skorlama sisteminin tahmini ölüm oranın öngörmede daha belirleyici olduğu; fakat CRRT sonrası APACHE-II ve SOFA skorlama sisteminin birbiriyle farkı olmadığı görülmüştür. Hastanede yatış süreleri değerlendirildiğinde APACHE-II ile SOFA skorlama sistemi arasında negatif yönde bir ilişki bulunmuştur. Sonuç: Çalışmamız literatür ile uyumlu olarak erkeklerde ve hipertansiyonu olan hastalarda mortalitenin daha yüksek olduğunu göstermiştir. Ayrıca APACHE-II ve SOFA skoru arasında CRRT sonrasında mortalite açısından fark olmadığını her iki sisteminde kullanılabileceğini gösterilmiştir. Bu sonuçların gelecekteki takip ve tedavi yöntemlerine katkı sağlayabileceği düşünülmekle birlikte yeni çalışmalara ihtiyaç vardır.

Article Details

Evaluation of Patients Diagnosed with COVID-19 and Followed up in Intensive Care Unit Requiring Continuous Renal Replacement Therapy Using APACHE-II and SOFA Scores

Authors:

İrem Akın Şen | Şenol Arslan | Cem Şen

Publisher:

Kahramanmaras Sutcu Imam University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.18 Issue 3, pp.69-77

Document Type:

Article

Publication Date:

11/2023

Document Language:

Turkish

Document ID (Org No.):

2001303781

pISSN:

1303-6610

CRRT

APACHE-II

SOFA Score

COVID-19CCRT,

APACHE-II

,SOFA SKORU

COVİD 19

Issues

Article Details

Authors: İrem Akın Şen | Şenol Arslan | Cem Şen

Publisher: Kahramanmaras Sutcu Imam University

Main Topics: Sağlık Kurumları Yönetimi

Journal: Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.18 Issue 3, pp.69-77

Document Type: Article

Publication Date: 11/2023

Document Language: Turkish

Document ID (Org No.): 2001303781

pISSN: 1303-6610

Issues

Authors:

İrem Akın Şen | Şenol Arslan | Cem Şen

Publisher:

Kahramanmaras Sutcu Imam University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.18 Issue 3, pp.69-77

Document Type:

Article

Publication Date:

11/2023

Document Language:

Turkish

Document ID (Org No.):

2001303781

pISSN:

1303-6610