Abstract

Individuals aged ≥65 years are more susceptible to COVID-19 disease and admission to intensive care is most notable. The scoring systems (national early warning score, quick sequential organ failure assessment, shock index) are recommended for rapid assessment of patients in emergency room conditions. The goal of our study is to evaluate scoring systems in conjunction with predictive factors of need for admission to intensive care of patients ≥65 years old with a diagnosis of COVID-19 who applied to the emergency room. Patients were divided into two groups according to evolution in the emergency room, being those who needed or not intensive care. National Early Warning Score, quick sequential organ failure assessment, shock index scores and serum biochemistry, blood count and blood gas values were evaluated from hospital information management system records. Of the patients included in the study, 80.8% were admitted to the ward and 14.5% to the unit of intensive care. Lymphocyte count, base deficit and bicarbonate levels were lower, and the levels of C-reactive protein, lactate, D-dimer, urea and lactate dehydrogenase were higher in patients who needed intensive care. Quick sequential organ failure assessment and shock index were considered significant in the group admitted to the intensive care unit. We recommend that quick sequential organ failure assessment and shock index be used quickly, practically and easily in predicting the need for intensive care unit in patients aged ≥65 years in emergency department diagnosed with COVID-19.

Highlights

  • Coronavirus-19 (COVID-19) disease is an infectious disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)[1,2]

  • Studies show that individuals aged ≥65 years are more susceptible to COVID-19 disease and have higher rates of hospital, intensive care, intubation, postintubation complications, and death[3,4,5,6]

  • It is noteworthy that admissions to the intensive care unit (ICU) are often the patients aged above 65 years[10]

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Summary

Introduction

Coronavirus-19 (COVID-19) disease is an infectious disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)[1,2]. Studies show that individuals aged ≥65 years are more susceptible to COVID-19 disease and have higher rates of hospital, intensive care, intubation, postintubation complications, and death[3,4,5,6]. COVID-19, which develops with atypical symptoms, progresses to multiorgan failure within this age group[9]. It is noteworthy that admissions to the intensive care unit (ICU) are often the patients aged above 65 years[10]. A number of scoring systems have been developed to rapidly evaluate the patients with COVID-19 admitted to the emergency department

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