Atatürk Üniversitesi Atatürk Üniversitesi
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Makale Tam Makale Uluslararası 2023

Clinical characteristics and outcomes of nosocomial COVID-19 in Turkey: A retrospective multicenter study

Süleyman Yıldırım, Celalettin Yılmaz, Gülru Polat, Serap Argun Baris, İlknur Başyiğit, İlknur Kaya, Ceyda Anar, Mihriban Bozkurt, Hüsnü Baykal, Hulya Dirol, Gamzenur Ozbey, Emine Ozsari, Emel Cireli, Ali Kadri Çırak, Dursun Tatar, Mine Gayaf, Selen Karaoglanoglu, Yener Aydın, Atilla Eroğlu, Yıldız Olçar, Berna Botan Yıldırım, Bengül Gürsoy, Deniz Demir Yılmaz, Elif Yelda Ozgun Niksarlioglu, Ramazan Eren, Ayşegül Tomruk Erdem, Müge Meltem Tor, Fusun Fakili, Mustafa Çolak, Merve Erçelik, Ali Tabaru, Özlem Ediboglu

ASIAN PACIFIC JOURNAL OF TROPICAL MEDICINE Cilt 16 · Sayı 8 · ss. 347–353 · 01.08.2023
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Özet

Objective: To identify the clinical characteristics and outcomes of hospital-acquired SARS-CoV-2 infection during the vaccination period nationwide in Turkey.

Methods: COVID-19 patients followed in the pandemic services across Turkey between January 1, 2021, and March 31, 2022 were investigated retrospectively. Nosocomial COVID-19 was defined as a patient neither diagnosed with COVID-19 nor suspected COVID-19 at the hospital admission and was confirmed COVID-19 ≥5 days after hospital admission. The primary outcome of this study was in-hospital mortality; demographic features and vaccination status was compared between survivors and nonsurvivors.

Results: During the study period, 15 573 COVID-19 patients were followed in 18 centers and 543 (3.5%) patients were nosocomial COVID-19. Most patients with nosocomial COVID-19 (80.4%) were transferred from medical wards. 162 (29.8%) of the patients with nosocomial COVID-19 admitted to the intensive care unit due to disease severity and 138 (25.4%) of the patients died during hospital stay. Advanced age (≥65 years) and number of comorbid diseases (≥2) was found to be associated with mortality in nosocomial COVID-19 (OR 1.74, 95% CI 1.11-2.74 and OR 1.60, 95% CI 1.02-2.56, respectively). Vaccination was associated with survival in nosocomial COVID-19 (OR 0.25, 95% CI 0.16-0.38).

Conclusions: Patients with nosocomial COVID-19 had increased admission to intensive care units and higher mortality rate. Vaccination can decrease the in-hospital mortality rate.

Atıf için künye

Yıldırım, S., Yılmaz, C., Polat, G., Argun Baris, S., Başyiğit, İ., Kaya, İ., Anar, C., Bozkurt, M., Baykal, H., Dirol, H., Ozbey, G., Ozsari, E., Cireli, E., Çırak, A. K., Tatar, D., Gayaf, M., Karaoglanoglu, S., Aydın, Y., Eroğlu, A., … Ediboglu, Ö. (2023). Clinical characteristics and outcomes of nosocomial COVID-19 in Turkey: A retrospective multicenter study. ASIAN PACIFIC JOURNAL OF TROPICAL MEDICINE, 16(8), 347–353. https://doi.org/10.4103/1995-7645.383912

BibTeX 
@article{yildirim2023-214266,
  author = {Yıldırım, Süleyman and Yılmaz, Celalettin and Polat, Gülru and Argun Baris, Serap and Başyiğit, İlknur and Kaya, İlknur and Anar, Ceyda and Bozkurt, Mihriban and Baykal, Hüsnü and Dirol, Hulya and Ozbey, Gamzenur and Ozsari, Emine and Cireli, Emel and Çırak, Ali Kadri and Tatar, Dursun and Gayaf, Mine and Karaoglanoglu, Selen and Aydın, Yener and Eroğlu, Atilla and Olçar, Yıldız and Botan Yıldırım, Berna and Gürsoy, Bengül and Demir Yılmaz, Deniz and Ozgun Niksarlioglu, Elif Yelda and Eren, Ramazan and Tomruk Erdem, Ayşegül and Tor, Müge Meltem and Fakili, Fusun and Çolak, Mustafa and Erçelik, Merve and Tabaru, Ali and Ediboglu, Özlem},
  title = {Clinical characteristics and outcomes of nosocomial COVID-19 in Turkey: A retrospective multicenter study},
  journal = {ASIAN PACIFIC JOURNAL OF TROPICAL MEDICINE},
  year = {2023},
  volume = {16},
  number = {8},
  pages = {347--353},
  issn = {1995-7645},
  doi = {10.4103/1995-7645.383912},
  url = {https://akademik.atauni.edu.tr/yayinlar/214266-clinical-characteristics-and-outcomes-of-nosocomial-covid-19-in-turkey-a}
}