Evaluation of invasive ventilation (intubation) prognosis in patients with Covid-19 symptoms

Farzan, Nina and Vahabi, Sepideh and Foroghi ghomi, Seyed Yaser and Shirvani, Reza and Hashemi Madani, Shima sadat and Shakeri, Mansoureh (2020) Evaluation of invasive ventilation (intubation) prognosis in patients with Covid-19 symptoms. International Journal of Surgery Open.

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Abstract

Background: Coronavirus 2019 (COVID 19) has been reported as a pandemic by the world health organization. Increasing number of cases and associated mortality have demanded the need for clinical studies and researches. Objective: The aim of this study is to evaluate intubation prognosis of the COVID 19 patients referred to Shahid Beheshti hospital in Qom city. Method: COVID 19 patients referred to (XXX)were included in this study. Clinical sign and symptoms were recorded for each patient in a questionnaire. The diagnosis was made using real time polymerase chain reaction and chest CT scans. Lab findings from renal and liver function tests, blood count, c-reactive protein and electrolytes were also recorded. Shortness of breath was measured using oxygen saturation levels in these patients. The data was recorded in the electronic form and was analyzed using SPSS v21. Result: Of 317 patients included in this study, the average age of COVID 19 patients were 59.71 ± 16.46 years. The need of ventilation among the patients older than 50 years was significantly higher than younger patients, p ¼ 0.013. Smoking status, gender and drug addiction was not associated with the need of invasive mechanical ventilation, p ¼ 0.73, p ¼ 0.44 and p ¼ 0.76. Patients need invasive mechanical ventilation compared to those receiving non-invasive ventilation were significantly older, p ¼ 0.001. Conclusion: The need of mechanical ventilation is significantly greater in advanced age COVID-19 patients.

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