Analysis of healthcare patients with SARS-CoV-2 disease
Keywords:
covid-19, hospitalization, mortalityAbstract
Research objective: To present the total number and demographic data of patients with COVID-19 treated at the Clinical Hospital Center (KBC) Rijeka, the proportion of patients who required hos-pital admission and invasive mechanical ventilation, the mortality rate and the duration of hospital treatment. Research methods: Retrospectively collected data included 1739 patients with COVID-19 treated at the KBC in the period from March 1, 2020 to February 28, 2021. The data was collected from the IBIS database, and processed and graphically displayed using Microsoft Office Excel and Prism 10 for Mac OS. Results: Out of 1739 patients with SARS-CoV-2, 1192 (68.55%) patients were treated on an outpatient basis, while 547 (31.45%) of them were indicated for hospital treatment, of which 146 (26.69%) patients required invasive mechanical ventilation (IMV). The majority of patients treated in hospital were male (64.17%) and older than 65 (66.54%). The median duration of hospital treatment was 9.75 days, and 19.01% of hospitalized patients spent more than 15 days in the hospital. Of hospitalized patients, 62.34% recov-ered, while 37.66% died. Of the total number of deceased patients (206), 129 (62.62%) were men, and 77 (37.38%) were women. The youngest deceased was 27 years old and had spent 9 days in hospital, while the oldest was 100 years old and had spent one day in hospital.
Conclusion: In the analyzed period, the mortality rate from infec-tion with SARS-CoV-2 in KBC Rijeka was high and for patients treated in the hospital amounted to 37.66%.
References
Hodgens A, Gupta V. Severe Acute Respiratory Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
Chakraborty C, Sharma AR, Sharma G, Bhattacharya M, Lee SS. SARS-CoV-2 causing pneumonia-associated respiratory disorder (COVID-19): diagnostic and proposed therapeutic options. Eur Rev Med Pharmacol Sci. 2020;24(7):4016-4026.
Korona virus, Dostupno na URL adresi: https://www.koronavirus.hr/ Datum pristupa 11. srpnja 2023.
Weiss SR, Leibowitz JL. Coronavirus pathogenesis. Advances in virus research. Elsevier Inc.; 2011
Skitarelić N, Dželalija B, Skitarelić N. Covid-19 pandemija: kratki pregled dosadašnjih spoznaja. Medica Jadertina. Opća bolnica Zadar; 2020
Sharma A, Ahmad Farouk I, Lal SK. COVID-19: A Review on the Novel Coronavirus Disease Evolution, Transmission, Detection, Control and Prevention. Viruses. MDPI; 2021
Lotfi M, Hamblin MR, Rezaei N. COVID-19: Transmission, prevention, and potential therapeutic opportunities. Clinica chimica acta; international journal of clinical chemistry. Elsevier B.V.; 2020
Udugama B, Kadhiresan P, Kozlowski HN, Malekjahani A, Osborne M, Li VYC, et al. Diagnosing COVID-19: The Disease and Tools for Detection. ACS nano. American Chemical Society; 2020
Jeličić K, Kurolt IC, Mehmedović A, Višković K, Đaković Rode O. Mikrobiološka i radiološka dijagnostika COVID-19. Infektološki glasnik. 2020
Ministarstvo zdravstva Republike Hrvatske. Smjernice za liječenje oboljelih od koronavirusne bolesti 2019 (COVID-19). Vol. 8. Hrvatski Zavod za javno zdravstvo; 2022.
Guan L, Zhou L, Le Grange JM, Zheng Z, Chen R. Non-invasive ventilation in the treatment of early hypoxemic respiratory failure caused by COVID-19: considering nasal CPAP as the first choice. Crit Care. 2020;24(1):333.
Winck JC, Ambrosino N. COVID-19 pandemic and non invasive respiratory management: Every Goliath needs a David. An evidence based evaluation of problems. Pulmonology. 2020;26(4):213-220.
Walter JM, Singer BD, Corbridge TC. Invasive Mechanical Ventilation. Southern medical journal. U.S. National Library of Medicine; 2021
Gomez JMD, Du-Fay-de-Lavallaz JM, Fugar S, Sarau A, Simmons JA, Clark B, Sanghani RM, Aggarwal NT, Williams KA, Doukky R, Volgman AS. Sex Differences in COVID-19 Hospitalization and Mortality. J Womens Health (Larchmt). 2021;30(5):646-653.
Pijls BG, Jolani S, Atherley A, Derckx RT, Dijkstra JIR, Franssen GHL, Hendriks S, Richters A, Venemans-Jellema A, Zalpuri S, Zeegers MP. Demographic risk factors for COVID-19 infection, severity, ICU admission and death: a meta-analysis of 59 studies. BMJ Open. 2021;11(1):e044640.
Gao YD, Ding M, Dong X, et al. Risk factors for severe and critically ill COVID-19 patients: A review. Allergy. 2021;76(2):428-455.
Canadian Institute for Health Information. COVID-19 hospitalization and emergency department statistics. Dostupno na URL adresi: https://www.cihi.ca/en/covid-19-hospitalization-and-emergency-department-statistics/ Datum pristupa 11. Srpnja 2023.
Erceg M, Miler Knežević A. Izvješće o smrtnosti prema listi odabranih uzroka smrti u 2019. Hrvatski Zavod za Javno zdravstvo 2020.
King CS, Sahjwani D, Brown AW, Feroz S, Cameron P, Osborn E, et al. Outcomes of mechanically ventilated patients with COVID-19 associated respiratory failure. PLoS One. 2020;23;15(11):e0242651.
Lim ZJ, Subramaniam A, Ponnapa Reddy M, Blecher G, Kadam U, Afroz A, Billah B, Ashwin S, Kubicki M, Bilotta F, Curtis JR, Rubulotta F. Case Fatality Rates for Patients with COVID-19 Requiring Invasive Mechanical Ventilation. A Meta-analysis. Am J Respir Crit Care Med. 2021;203(1):54-66.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2023 World of Health

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Časopis je u otvorenom pristupu te je distribuiran pod uvjetima Creative Commons (CC BY-NC 4.0 DEED) licencije, koja dopušta neograničenu upotrebu, distribuciju i reprodukciju u bilo kojem mediju u isključivo nekomercijalne svrhe, pod uvjetom da se citira izvor.
This is an open access journal distributed under the terms of the Creative Commons Attribution License (CC BY-NC 4.0 DEED), which permits unrestricted use, distribution, and reproduction in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.