Pub Date : 2023-01-01DOI: 10.4103/2221-6189.374312
Abhijit S. Nair, Jacob Paul, A. Yadav, Khalid M Al Sawafi
{"title":"Invasive versus non-invasive ventilation in patients with COVID-19 pneumonia: A retrospective study","authors":"Abhijit S. Nair, Jacob Paul, A. Yadav, Khalid M Al Sawafi","doi":"10.4103/2221-6189.374312","DOIUrl":"https://doi.org/10.4103/2221-6189.374312","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70255802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/2221-6189.369076
Hamed Delam, A. Eidi, Z. Keshtkaran, O. Soufi, Behzad Rezaei, Mohammad-Rafi Bazrafshan
Objective: To investigate the trend of animal bites in southern Iran from 2015 to 2019. Methods: This is a cross-sectional study of patients with animal bites who were referred to the Center for Disease Control in the three cities of Larestan, Evaz, and Khonj in Fars province, southern Iran from 2015 to 2019. The trend of animal bites incidence was analyzed using the Cochran-Armitage trend test. Results: In total, from 2015 to 2019, 1 944 cases of animal bites were reported. A total of 79.8% of the cases were men. The overall average incidence of animal bites was 142.93 per 100 000 people. The incidence of animal bites was significantly increased (Ptrend<0.001). The highest incidence was in November (79.04 per 100 000 people) followed by January (76.1 per 100 000 people) and February (69.48 per 100 000 people); also, the lowest incidence was in August (47.42 per 100 000 people) and July (50.0 per 100 000 people). Conclusions: The incidence of animal bites has significantly increased. Given the importance of rabies, control and management of animal bites should be emphasized and considered.
{"title":"Incidence rate of animal bites in southern Iran during 2015-2019 using Cochrane-Armitage trend test","authors":"Hamed Delam, A. Eidi, Z. Keshtkaran, O. Soufi, Behzad Rezaei, Mohammad-Rafi Bazrafshan","doi":"10.4103/2221-6189.369076","DOIUrl":"https://doi.org/10.4103/2221-6189.369076","url":null,"abstract":"Objective: To investigate the trend of animal bites in southern Iran from 2015 to 2019. Methods: This is a cross-sectional study of patients with animal bites who were referred to the Center for Disease Control in the three cities of Larestan, Evaz, and Khonj in Fars province, southern Iran from 2015 to 2019. The trend of animal bites incidence was analyzed using the Cochran-Armitage trend test. Results: In total, from 2015 to 2019, 1 944 cases of animal bites were reported. A total of 79.8% of the cases were men. The overall average incidence of animal bites was 142.93 per 100 000 people. The incidence of animal bites was significantly increased (Ptrend<0.001). The highest incidence was in November (79.04 per 100 000 people) followed by January (76.1 per 100 000 people) and February (69.48 per 100 000 people); also, the lowest incidence was in August (47.42 per 100 000 people) and July (50.0 per 100 000 people). Conclusions: The incidence of animal bites has significantly increased. Given the importance of rabies, control and management of animal bites should be emphasized and considered.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"12 1","pages":"29 - 34"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42047239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/2221-6189.379275
SanaSalim Khan, Sumbul Qamar, M. Ansari, JN Mohapatra
{"title":"Correlation of umbilical cord blood pH, base deficit, and lactate levels with outcomes of hypoxic newborns: A prospective study","authors":"SanaSalim Khan, Sumbul Qamar, M. Ansari, JN Mohapatra","doi":"10.4103/2221-6189.379275","DOIUrl":"https://doi.org/10.4103/2221-6189.379275","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"69 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70255994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/2221-6189.374310
Thirumurugan E, G. K, Swathy P, Afrin Syed Ali, Alekhya Ponduri Lakshmi, J. B, B. Das
{"title":"General awareness of symptoms of myocardial infarction and the need for urgent treatment: A cross-sectional, street survey in Chennai, Tamil Nadu","authors":"Thirumurugan E, G. K, Swathy P, Afrin Syed Ali, Alekhya Ponduri Lakshmi, J. B, B. Das","doi":"10.4103/2221-6189.374310","DOIUrl":"https://doi.org/10.4103/2221-6189.374310","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70255431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/2221-6189.379276
S. Pareek, Thakur Malvika, ,. Eenu, K. Yogesh, Sarin Jyoti, Nitesh Kumawat
{"title":"Effectiveness of simulation-based learning regarding management of post-COVID complications in terms of knowledge, clinical decision-making ability, and self-efficacy among nursing students: A quasi-experimental study","authors":"S. Pareek, Thakur Malvika, ,. Eenu, K. Yogesh, Sarin Jyoti, Nitesh Kumawat","doi":"10.4103/2221-6189.379276","DOIUrl":"https://doi.org/10.4103/2221-6189.379276","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70256048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/2221-6189.369077
N. Verma, N. Gupta, Vashi Gupta, Smita Nath
Rationale: Dengue fever is a leading cause of death in tropical and subtropical countries. Although most patients have a self-limited febrile illness, the viral infection can induce virus-mediated host changes, making immunocompetent persons susceptible to deadly fungal infections. However, there are only a few reports of such an association. Here we present a case of this deadly co-infection. Patient’s Concern: A 17-year-old male patient was diagnosed with dengue fever. He presented to us with facial swelling, periorbital edema, and black discoloration over the palate during the second week of his illness. Diagnosis: Diagnostic tests confirmed the presence of fungal hyphae. A diagnosis of post-dengue mucormycosis was made. No other comorbidity or underlying immune deficit was detected. Interventions: The patient underwent surgical debridement and antifungal treatment. Outcomes: The patient recovered and showed signs of palatal healing with an advancing mucosal edge. Lessons: Dengue virus and mucor co-infection has brought to light a new pathogenic paradigm. Clinicians need to be aware of this emerging medical condition and maintain a high index of suspicion for mucor co-infections while treating dengue patients.
{"title":"Emerging peril of post–dengue mucormycosis: A case report","authors":"N. Verma, N. Gupta, Vashi Gupta, Smita Nath","doi":"10.4103/2221-6189.369077","DOIUrl":"https://doi.org/10.4103/2221-6189.369077","url":null,"abstract":"Rationale: Dengue fever is a leading cause of death in tropical and subtropical countries. Although most patients have a self-limited febrile illness, the viral infection can induce virus-mediated host changes, making immunocompetent persons susceptible to deadly fungal infections. However, there are only a few reports of such an association. Here we present a case of this deadly co-infection. Patient’s Concern: A 17-year-old male patient was diagnosed with dengue fever. He presented to us with facial swelling, periorbital edema, and black discoloration over the palate during the second week of his illness. Diagnosis: Diagnostic tests confirmed the presence of fungal hyphae. A diagnosis of post-dengue mucormycosis was made. No other comorbidity or underlying immune deficit was detected. Interventions: The patient underwent surgical debridement and antifungal treatment. Outcomes: The patient recovered and showed signs of palatal healing with an advancing mucosal edge. Lessons: Dengue virus and mucor co-infection has brought to light a new pathogenic paradigm. Clinicians need to be aware of this emerging medical condition and maintain a high index of suspicion for mucor co-infections while treating dengue patients.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"12 1","pages":"35 - 38"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41393440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/2221-6189.369073
Ç. Tekin, Züleyha Kılıç
Objective: To explore health-improving behaviors during COVID-19 pandemic and to reveal the impact of the risk perception of COVID-19 on these behaviors. Methods: We recruited a total of 510 participants for this cross-sectional study. The data were collected online using a questionnaire booklet covering a form inquiring about the participants’ demographic, physical, and mental characteristics, the Generalized Anxiety Disorder-7 Scale, and the COVID-19 Perceived Risk Scale. Results: The mean age of the participants was (28.7±10.1) years, and 76.1% were females. Of the participants, 31.8% were overweight and obese. While 35.1% experienced negative alterations in their dietary patterns, 23.9% reported positive changes to their diet during the pandemic. Besides, 47.8% reported their sleep to be negatively affected during the pandemic. While the rate of those with extended screen time was 72.5%, it was 44.3% for the participants engaging in regular exercise. More than one-third of the participants (35.9%) had high and severe anxiety. We also found increased risk perception of COVID-19 among females, obese, those with disturbed eating and sleep quality, healthcare workers, and those with severe anxiety. Conclusions: Overall, the pandemic has appeared to have brought both positive and negative impacts on maintaining and improving eating, sleep, physical activity, and mental health.
{"title":"Impact of COVID-19 pandemic on health-promoting lifestyle behaviors: A cross-sectional study","authors":"Ç. Tekin, Züleyha Kılıç","doi":"10.4103/2221-6189.369073","DOIUrl":"https://doi.org/10.4103/2221-6189.369073","url":null,"abstract":"Objective: To explore health-improving behaviors during COVID-19 pandemic and to reveal the impact of the risk perception of COVID-19 on these behaviors. Methods: We recruited a total of 510 participants for this cross-sectional study. The data were collected online using a questionnaire booklet covering a form inquiring about the participants’ demographic, physical, and mental characteristics, the Generalized Anxiety Disorder-7 Scale, and the COVID-19 Perceived Risk Scale. Results: The mean age of the participants was (28.7±10.1) years, and 76.1% were females. Of the participants, 31.8% were overweight and obese. While 35.1% experienced negative alterations in their dietary patterns, 23.9% reported positive changes to their diet during the pandemic. Besides, 47.8% reported their sleep to be negatively affected during the pandemic. While the rate of those with extended screen time was 72.5%, it was 44.3% for the participants engaging in regular exercise. More than one-third of the participants (35.9%) had high and severe anxiety. We also found increased risk perception of COVID-19 among females, obese, those with disturbed eating and sleep quality, healthcare workers, and those with severe anxiety. Conclusions: Overall, the pandemic has appeared to have brought both positive and negative impacts on maintaining and improving eating, sleep, physical activity, and mental health.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"12 1","pages":"10 - 17"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42146250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/2221-6189.385678
Mehmet Uçar
In tropical countries, scorpion sting is a significant cause of disease, leading to severe localized cutaneous reactions, neurologic impairments, and respiratory distress, as well as myocarditis[1]. The world's most poisonous scorpion species, Leiurus quinquestriatus, is found in southern Turkey and is a threat to the public's health in all of the provinces, particularly in Adiyaman and its surrounding areas, which were hit by the recent Turkey and Syria earthquake[1]. The scorpion species Leiurus quinquestriatus is unique to that region. As one of the world's most poisonous scorpions and one of the two dangerous scorpion species found in Turkey, its sting is fatal to people as its venom is twice as potent as that of the other dangerous species, such as Androctonus crassicauda[2]. The most concerning consequences of scorpion sting, pulmonary edema, and cardiogenic shock, are linked to cardiac involvement[3]. An antidote should be given in extreme situations, especially when children are involved. Children under 5 are among the most vulnerable populations associated with a higher risk for these illnesses, which is strongly associated with mortality and poor outcomes[4]. The devastating earthquake hammered southern Turkey and northern Syria on February 6, 2023, resulting in a severe humanitarian disaster. By March 20, 2023, there had been over 50000 reported deaths in Turkey and over 8000 in Syria[5]. The earthquake had forced Syria, which is already at war, and Turkey, which is already in an economic crisis and had been severely struck, into even worse situations. The inhabitants of these two countries would experience pernicious, long-term health consequences if this immediate catastrophe is not appropriately managed. People must adapt to new living situations as a result of disasters like earthquakes. The vast majority of those impacted by the earthquake in Turkey and Syria had left their homes. In addition to being susceptible to the risk of potential outbreaks of post-disaster infectious diseases, the individuals who still reside in earthquake-affected areas do so in tents and containers, exposing them to the outdoor environment and making them prone to insect bites. Most importantly, scorpion stings had been detected in Turkey and Syria, in areas where the earthquake inflicted the most damage[6]. The connection between the earthquake and cases of scorpion stings had not been reported yet since the earthquake took place in the winter. However, it is highly possible that as the weather gets warmer, the movement of stinging poisonous creatures will increase, making the locals a potential target of the risk[7]. In addition to using social and individual methods, policymakers have a lot of work to do to control the scorpion species Leiurus quinquestriatus. In this scenario, it is important to make appropriate use of primary healthcare services and to run efficient prevention and treatment programs to mitigate people's risk from scorpion stings[8].
{"title":"Are scorpion stings the new public health threat for southeast Turkey and northern Syria after the earthquakes? An emphasis on <i>Leiurus quinquestriatus</i>","authors":"Mehmet Uçar","doi":"10.4103/2221-6189.385678","DOIUrl":"https://doi.org/10.4103/2221-6189.385678","url":null,"abstract":"In tropical countries, scorpion sting is a significant cause of disease, leading to severe localized cutaneous reactions, neurologic impairments, and respiratory distress, as well as myocarditis[1]. The world's most poisonous scorpion species, Leiurus quinquestriatus, is found in southern Turkey and is a threat to the public's health in all of the provinces, particularly in Adiyaman and its surrounding areas, which were hit by the recent Turkey and Syria earthquake[1]. The scorpion species Leiurus quinquestriatus is unique to that region. As one of the world's most poisonous scorpions and one of the two dangerous scorpion species found in Turkey, its sting is fatal to people as its venom is twice as potent as that of the other dangerous species, such as Androctonus crassicauda[2]. The most concerning consequences of scorpion sting, pulmonary edema, and cardiogenic shock, are linked to cardiac involvement[3]. An antidote should be given in extreme situations, especially when children are involved. Children under 5 are among the most vulnerable populations associated with a higher risk for these illnesses, which is strongly associated with mortality and poor outcomes[4]. The devastating earthquake hammered southern Turkey and northern Syria on February 6, 2023, resulting in a severe humanitarian disaster. By March 20, 2023, there had been over 50000 reported deaths in Turkey and over 8000 in Syria[5]. The earthquake had forced Syria, which is already at war, and Turkey, which is already in an economic crisis and had been severely struck, into even worse situations. The inhabitants of these two countries would experience pernicious, long-term health consequences if this immediate catastrophe is not appropriately managed. People must adapt to new living situations as a result of disasters like earthquakes. The vast majority of those impacted by the earthquake in Turkey and Syria had left their homes. In addition to being susceptible to the risk of potential outbreaks of post-disaster infectious diseases, the individuals who still reside in earthquake-affected areas do so in tents and containers, exposing them to the outdoor environment and making them prone to insect bites. Most importantly, scorpion stings had been detected in Turkey and Syria, in areas where the earthquake inflicted the most damage[6]. The connection between the earthquake and cases of scorpion stings had not been reported yet since the earthquake took place in the winter. However, it is highly possible that as the weather gets warmer, the movement of stinging poisonous creatures will increase, making the locals a potential target of the risk[7]. In addition to using social and individual methods, policymakers have a lot of work to do to control the scorpion species Leiurus quinquestriatus. In this scenario, it is important to make appropriate use of primary healthcare services and to run efficient prevention and treatment programs to mitigate people's risk from scorpion stings[8].","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135799470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To evaluate the complications of central venous catheterization (CVC). Methods: A prospective, observational study was conducted at a tertiary care center in India from December 2018 to September 2020. Critically ill patients (aged ≥18 years) in the intensive care unit undergoing CVC procedures were included in the study. Baseline demographics and detailed medical history were recorded. Chest X-rays and electrocardiography were performed on all the patients. Complications associated with CVC were recorded. Results: A total of 100 patients with the indication for centralvenous catheter insertion were included. The majority (81%) of the patients were inserted with CVC at the right internal jugular vein. Complications such as arterial puncture (2%), hematoma (4%), blood clot formation (4%), catheter kinking (3%), thoracic injury(1%), thrombophlebitis (6%), sepsis (9%) and nerve injury (1%)were reported. Conclusions: Though central venous access is preferred in management of critically ill patients, it has its risks. However, early recognition and prompt management of complications may reduce mortality and morbidity. Physicians and intensive care unit intensivists should be vigilant for central venous catheter-related complications. Suitable site selection, operator experience, and proper catheter maintenance are associated with optimal outcomes.
{"title":"Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational study","authors":"Reena Singh, Naimish Patel, Nidhi Mehta, Gaurav Singh, Nirav Patel","doi":"10.4103/2221-6189.385685","DOIUrl":"https://doi.org/10.4103/2221-6189.385685","url":null,"abstract":"Objective: To evaluate the complications of central venous catheterization (CVC). Methods: A prospective, observational study was conducted at a tertiary care center in India from December 2018 to September 2020. Critically ill patients (aged ≥18 years) in the intensive care unit undergoing CVC procedures were included in the study. Baseline demographics and detailed medical history were recorded. Chest X-rays and electrocardiography were performed on all the patients. Complications associated with CVC were recorded. Results: A total of 100 patients with the indication for centralvenous catheter insertion were included. The majority (81%) of the patients were inserted with CVC at the right internal jugular vein. Complications such as arterial puncture (2%), hematoma (4%), blood clot formation (4%), catheter kinking (3%), thoracic injury(1%), thrombophlebitis (6%), sepsis (9%) and nerve injury (1%)were reported. Conclusions: Though central venous access is preferred in management of critically ill patients, it has its risks. However, early recognition and prompt management of complications may reduce mortality and morbidity. Physicians and intensive care unit intensivists should be vigilant for central venous catheter-related complications. Suitable site selection, operator experience, and proper catheter maintenance are associated with optimal outcomes.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135799614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/2221-6189.369074
Damla Anbarlı Metin, Hamdi Metin, Ş. Atiş
Objective: To evaluate the effect of the modified systemic inflammation score (mSIS) on prognosis in patients diagnosed with COVID-19. Methods: In this retrospective cross-sectional study, 181 patients were selected and divided into two groups: patients with and without admission to the intensive care unit (ICU). An albumin level of ≥4.0 g/dL and lymphocyte-to-monocyte ratio (LMR) of ≥3.4 was scored 0, an albumin level of <4.0 g/dL or LMR of <3.4 was scored 1, and an albumin level of <4.0 g/dL and LMR of <3.4 was scored 2. Results: A total of 242 COVID-19 positive patients were initially included in this study. Of these patients, 61 were excluded and 181 patients remained. Among the 181 participants, 94 (51.9%) were female, and the median age was 61 (51, 75) years. The mSIS scale ranged from 0 to 2. After analysis, the median score was 0 (0, 0) in the non-ICU group and 2 (0, 2) in the ICU group (P<0.001). The median white blood cell, lymphocyte counts, and albumin levels were lower in the ICU group (P<0.001, P<0.001, and P<0.001, respectively). In logistic regression analysis lymphocytopenia (OR=5.158, 95% CI=1.249-21.304, P=0.023), hypoalbuminemia (OR=49.921, 95% CI=1.843-1 352.114, P=0.020), AST elevation (OR=3.939, 95% CI=1.017-15.261, P=0.047), and mSIS=2 (OR=5.853, 95% CI=1.338-25.604, P=0.019) were identified as independent predictors of ICU admission. Conclusion: The mSIS can be used as an independent parameter for establishing the intensive care needs of patients with COVID-19.
{"title":"The modified systemic inflammation score is a predictor of ICU admission of COVID-19 patients","authors":"Damla Anbarlı Metin, Hamdi Metin, Ş. Atiş","doi":"10.4103/2221-6189.369074","DOIUrl":"https://doi.org/10.4103/2221-6189.369074","url":null,"abstract":"Objective: To evaluate the effect of the modified systemic inflammation score (mSIS) on prognosis in patients diagnosed with COVID-19. Methods: In this retrospective cross-sectional study, 181 patients were selected and divided into two groups: patients with and without admission to the intensive care unit (ICU). An albumin level of ≥4.0 g/dL and lymphocyte-to-monocyte ratio (LMR) of ≥3.4 was scored 0, an albumin level of <4.0 g/dL or LMR of <3.4 was scored 1, and an albumin level of <4.0 g/dL and LMR of <3.4 was scored 2. Results: A total of 242 COVID-19 positive patients were initially included in this study. Of these patients, 61 were excluded and 181 patients remained. Among the 181 participants, 94 (51.9%) were female, and the median age was 61 (51, 75) years. The mSIS scale ranged from 0 to 2. After analysis, the median score was 0 (0, 0) in the non-ICU group and 2 (0, 2) in the ICU group (P<0.001). The median white blood cell, lymphocyte counts, and albumin levels were lower in the ICU group (P<0.001, P<0.001, and P<0.001, respectively). In logistic regression analysis lymphocytopenia (OR=5.158, 95% CI=1.249-21.304, P=0.023), hypoalbuminemia (OR=49.921, 95% CI=1.843-1 352.114, P=0.020), AST elevation (OR=3.939, 95% CI=1.017-15.261, P=0.047), and mSIS=2 (OR=5.853, 95% CI=1.338-25.604, P=0.019) were identified as independent predictors of ICU admission. Conclusion: The mSIS can be used as an independent parameter for establishing the intensive care needs of patients with COVID-19.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"12 1","pages":"18 - 22"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45304973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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