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10.1590/1806-9282.67.Suppl1.20200715

http://scihub22266oqcxt.onion/10.1590/1806-9282.67.Suppl1.20200715
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34406295!ä!34406295

suck abstract from ncbi


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pmid34406295      Rev+Assoc+Med+Bras+(1992) 2021 ; 67Suppl 1 (Suppl 1): 51-56
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  • Correlation between venous blood gas indices and radiological involvements of COVID-19 patients at first admission to emergency department #MMPMID34406295
  • Dheir H; Karacan A; Sipahi S; Yaylaci S; Tocoglu A; Demirci T; Cetin ES; Guneysu F; Firat N; Varim C; Karabay O
  • Rev Assoc Med Bras (1992) 2021[]; 67Suppl 1 (Suppl 1): 51-56 PMID34406295show ga
  • BACKGROUND: The purpose of this study was to investigate the relation between venous blood gas and chest computerized tomography findings and the clinical conditions of COVID-19 pneumonia. METHODS: A total of 309 patients admitted to the emergency department and subsequently confirmed COVID-19 cases was examined. Patients with pneumonia symptoms, chest computerized tomography scan, venous blood gas findings, and confirmed COVID-19 on reverse transcription-polymerase chain reaction (PCR) were consecutively enrolled. Multiple linear regression was used to predict computerized tomography and blood gas findings by clinical/laboratory data. RESULTS: The median age of patients was 51 (interquartile range 39-66), and 51.5% were male. The mortality rate at the end of follow-up was 18.8%. With respect to survival status of patients pCO2 and HCO3 levels and total computerized tomography score values were found to be higher in the surviving patients (p<0.001 and p=0.003, respectively), whereas pH and lactate levels were higher in patients who died (p=0.022 and p=0.001, respectively). With logistic regression analysis, total tomography score was found to be significantly effective on mortality (p<0.001). The diffuse and random involvement of the lungs had a significant effect on mortality (p<0.001, 95%CI 3.853-38.769, OR 12.222 and p=0.027; 95%CI 1.155-11.640, OR 3.667, respectively). With linear regression analysis, the effect of pH and lactate results were found to have a positive effect on total tomography score (p=0.003 and p<0.001, respectively), whereas pCO2 was found to have a negative effect (p=0.029). CONCLUSION: There was correlation between venous blood gas indices and radiologic scores in COVID-19 patients. Venous blood gas taken in emergency department can be a fast, applicable, minor-invasive, and complementary test in terms of diagnosing COVID-19 pneumonia and predicting the prognosis of disease.
  • |*COVID-19[MESH]
  • |Emergency Service, Hospital[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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