COVİD-19 Enfeksiyonu Tanısı Konan Yoğun Bakım Hastalarının Hastaneden Taburcu Sonrası Uzun Vadeli Sonuçları

Giriş: Covid 19 salgını dünyada ve ülkemizde hızla yayılım gösteren ciddi bir sağlık sorunu haline gelmiştir. Covid-19 enfeksiyonu geçirmiş hastalarda ileri ki dönemlere ait karşılaşılacak sorunlar hala bilinmemektedir. Bu çalışmada covid-19 enfeksiyonu sonrası devam eden semptomları değerlendirilmesi amaçlanmıştır. Materyal ve Method: Bu çalışmada covid-19 tanısı nedeni ile yoğun bakımda yatan hastaların taburculuk sonrası devam eden semptomları değerlendirilmiştir. Bulgular: Covid-19 enfeksiyonu sonrası devam eden en sık semptomun halsizlik olduğu görüldü. Hasta yaşının artışı ile covid-19 enfeksiyonu sonrası semptomların görülme sıklığı artmaktadır. Sonuç: Covid-19 enfeksiyonu sonrası devam eden semptomlar mevcuttur. Bunların tanınması erken tanı ve tedavi için önemlidir.

Anahtar Kelimeler:

COVİD-19, yoğun bakım, uzun dönem, COVID-19, intensive care, long-term

Long-Term Consequences Of Intensive Care Patients Diagnosed With COVID-19 Infection After Hospital Discharge

Introduction: The Covid 19 pandemic has become a serious health problem that spreads rapidly in the world and in our country. The problems that may be encountered in the future in patients with Covid-19 infection are still unknown. This study aimed to evaluate long-term symptoms following Covid-19 infection. Materials and Methods:This study evaluated post-discharge continued symptoms of patients hospitalized in the intensive care unit with the diagnosis of Covid-19. Results: The most common symptom that persisted after Covid-19 infection was fatigue. It was determined that as the age of the patient increases, the incidence of symptoms after Covid-19 infection increases. Conclusion: There are persistent symptoms after Covid-19 infection. Their identification is crucial for early diagnosis and treatment.

Keywords:

COVID-19, intensive care, long-term,

PDF

___

1. Perego E. Twitter 20 May 2020. https://twitter.com/elisaperego78/status/1263172084055838721
2. Edwards E. COVID-19 "long-haulers" report nearly 100 symptoms for more than 100 days. NBC News. Available at: https://www.nbcnews. com/health/health-news/covid-19-long-haulers-report-nearly-100-symptoms-more-100-n1235217. Accessed Feb 16, 2022
3. Yong E. COVID-19 can last for several months. The Atlantic. Available at: https://www.theatlantic.com/health/archive/2020/06/covid-19-coronavirus-longterm-symptoms-months/612679/. Accessed Feb 11, 2022
4. Shah W, Hillman T, Playford ED, Hishmeh L. Managing the long term effects of covid-19: summary of NICE, SIGN, and RCGP rapid guideline. BMJ. 2021;372 doi:10.1136/bmj.n136
5. Carfì A, Bernabei R, Landi F. Persistent symptoms in patient safter acute COVID-19. JAMA 2020;324(6):603-5. doi: 10.1001/jama.2020.12603.
6. Docherty AB, Harrison EM, Green CA, Hardwick HE, Pius R, Norman L, et al. Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study. BMJ 2020;369:m1985
7. Arnold DT, Hamilton FW, Milne A, Morley AJ, Viner J, Attwood M, et al Patient outcomes after hospitalisation with COVID-19 and implications for follow-up: results from a prospective UK cohort. Thorax. 2021;76(4):399-401. doi: 10.1136/thoraxjnl-2020-216086.
8. Lopez-Leon S, Wegman-Ostrosky T, Perelman C, Sepulveda R, Rebolledo PA, Cuapio A, et al. More than 50 Long-term effects of COVID-19: a systematic review and meta-analysis. medRxiv 2021;30;2021.01.27.21250617. doi: 10.1101/2021.01.27.21250617. Preprint
9. Tenforde MW, Kim SS, Lindsell CJ, Rose EB, Shapiro NI, Files DC, et al. Symptom duration and risk factors for delayed return to usual health among outpatients with covıd-19 in a multistate health care systems network - united states, march-june 2020. MMWR Morb Mortal Wkly Rep. 2020;69(30):993-8. doi: 10.15585/mmwr.mm6930e1.
10. Sudre CH, Murray B, Varsavsky T, Graham MS, Penfold RS, Bowyer RC, et al. Attributes and predictors of Long-COVID. Nat Med. 2021;27(4):626-31. doi: 10.1038/s41591-021-01292-y.
11. Townsend L, Dyer AH, Jones K, Dunne J, Mooney A, Gaffney F, et al. Persistent fatigue following SARS-CoV-2 infection is common and independent of severity of initial infection. PLoS One. 2020;15(11):e0240784. doi: 10.1371/journal.pone.0240784
12. Fraser E.. Long term respiratory complications of covid-19. BMJ 2020;370:m300. doi: 10.1136/bmj.m3001
13. Moriguchi T, Harii N, Goto J, Harada D, Sugawara H, Takamino J, et al. A first case of meningitis/encephalitis associated with SARS-Coronavirus-2. Int J Infect Dis. 2020;94:55e8.doi: 10.1016j.ijid.2020.03.062
14. Lu Y, Li X, Geng D, Mei N, Wu P, Huang C, et al. Cerebral micro-structural changes in COVID-19 patients - an MRI-based 3- monthfollow-upstudy. EClinicalMedicine. 2020; 25: 100484. doi: 10.1016/j.eclinm.2020.100484.
15. Chandrashekara S, Jaladhar P, Paramshetti S, Ramachandran V, Nizar SF, Kori D. Post COVID inflammation syndrome: different manifestations caused by the virus. J Assoc Phys India 2020;68(12):33e4.
16. Dasgupta A, Kalhan A, Kalra S. Long term complications and rehabilitation of COVID-19 patients. J Pakistan MedAssoc 2020;70: (5):131-5. doi:10.5455/JPMA.32.
17. Casas CG, Catala A, Hernandez GC, Jimenez PR, Fernandez-Nieto D, Lario ARV, et al. Classification of the cutaneous manifestations of COVID-19: a rapid prospective nation wide consensus study in Spain with 375 cases. Br J Dermatol 2020;183(1):71-7. doi: 10.1111/bjd.19163.