Clinical characteristics of critically Ill patients with 2019 novel coronavirus (COVID-19): Do we need a new scoring system?

Critically ill patients with COVID-19 have hospitalized in an ICU due to the closer monitoring and therapy. In fact, ICU admissions are dependent on the severity of illness and the ICU capacity of the health-care system. Therefore, many patients with confirmed COVID-19 with RT-PCR and/or suspected COVID-19 were hospitalized in ICUs with a limited number of beds. This ambiguity can result in both contamination risk to uninfected patients and occupancy rate of the limited ICU beds. Hence, it may be need a new scoring system for contagious critically ill patients. The aim of this study was to describe the epidemiological and clinical features of 75 critically ill patients due to COVID-19 and to compare confirmed COVID-19 cases with suspected COVID-19 cases in our critical care units.

Participants: COVID-19 cases, Patients with PCR test positive were considered as the confirmed COVID-19 cases.

Method: File Scanning

• The patients’ epidemiological, clinical, laboratory, and radiological characteristics and treatment and outcomes data will accessed from Hospital Data Management System (HDMS) of Konya Training and Research Hospital and Public Health Management System (PHMS) of Ministry of Health.

Suspected COVID-19 cases

• The suspected COVID-19 cases were defined as follows: those who were interpreted in favor of the suspected covid-19 on c-CT by radiologists in addition to the typical symptoms of the novel coronavirus disease such as cough, high fever (>38,5 °C), or dyspnea, and those with a history of contact with another confirmed COVID-19 patient in addition to typical symptoms.

Primary Outcome Measures:

• Polymerase Chain Reaction (PCR) test [ Time Frame: 5 days ]
• To compare confirmed COVID-19 cases with suspected COVID-19 cases in critical care units.

Secondary Outcome Measures:

• A scoring system for patients to be admitted to the intensive care unit [ Time Frame: 5 days ]
• To use symptoms, medical history, computed tomography and laboratory examinations for scoring system to detect suspected COVID-19 cases admitted to the intensive care units.
   

Clinical Trial.gov details

Epidemiology
Vulnerable Populations

Jun 2020 — Jul 2020

Turkey

Clinical Epidemiology of COVID-19 in Malaria Settings