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Post-discharge mortality in the first wave of COVID-19 in Turkey

摘要Objective: To determine post-discharge mortality and associated factors of the first-wave multicenter Turkish Thoracic Society (TTD)-TURCOVID study. Methods: In this retrospective cohort study, we analyzed the data of 18 of 26 centers included in the first TTD-TURCOVID study, and 1112 cases diagnosed with COVID-19 between 11 March and 31 July 2020 participated in the study. All causes of death after COVID-19 discharge were recorded. Results: The mean age of the patients was (51.07±16.93) years, with 57.6% male patients. In the cohort group, 89.1% of COVID-19 treatment locations were hospital wards, 3.6% were intensive care units (ICUs), and 7.2% were community outpatients. In the long-term follow-up, the in-hospital mortality rate was 3.6% (95% CI 2.6-4.8), the post-discharge mortality rate was 2.8% (95% CI 1.9-3.9), and the total mortality was 6.3% (95% CI 5.0-7.8). After discharge, 63.3% of mortality overall occurred during the first six months. Mortality rates in post-discharge follow-ups were 12.7% (95% CI 8.0-30.6) in cancer patients, 10.8% (95% CI 6.3-22.9) in chronic obstructive pulmonary disease patients, 11.1% (95% CI 4.4-22.7) in heart failure patients, 7.8 (95% CI 3.8-14.3) in atherosclerotic heart disease patients, and 2.3% (95% CI 0.8-5.6) in diabetes mellitus patients. In smokers/ex-smokers, the all-mortality rates were higher than in non-smokers. Conclusions: This multicenter study showed that patients over 65 years of age, males, former/active smoker, ICU stay, lung, heart disease, and malignancy should be followed up for at least the first six months after discharge due to COVID-19.

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作者 Fusun Fakili [1] Pelin Duru Cetinkaya [2] Oya Baydar [3] Serap Argun Baris [4] Nurdan Kokturk [5] Seval Kul [6] Oguz Karcioglu [7] Pinar Aysert Yildiz [8] Ilim Irmak [9] Yonca Sekibag [10] Emel Azak [11] Sait Mulamahmutoglu [10] Caglar Cuhadaroglu [12] Bugra Kerget [13] Burcu Baran Ketencioglu [14] Hasan Selcuk Ozger [8] Gulcihan Ozkan [15] Zeynep Ture [16] Merve Ercelik [17] Tansu Ulukavak Ciftci [5] Ozlem Alici [18] Esra Nurlu Temel [19] Ozlem Ataoglu [17] Neslihan Kose [20] Muge Meltem Tor [21] Gulsah Gunluoglu [22] Sedat Altin [22] Onder Ozturk [23] Pinar Yildiz Gulhan [17] Ilknur Basyigit [4] Hasim Boyaci [4] I.Kivilcim Oguzulgen [5] Sermin Borekci [10] Bilun Gemicioglu [10] Ismail Hanta [3] Hacer Kuzu Okur [12] Gulseren Sagcan [12] Metin Akgun [13] Ali Fuat Kalyoncu [9] Oya Itil [24] Hasan Bayram [25] 学术成果认领
作者单位 Department of Pulmonary Medicine,Faculty of Medicine,Gaziantep University,Gaziantep,Turkey [1] Department of Pulmonary Medicine,University of Health Sciences,Adana City Training and Research Hospital,Adana,Turkey;Department of Pulmonary Medicine,Faculty of Medicine,Cukurova University,Adana,Turkey [2] Department of Pulmonary Medicine,Faculty of Medicine,Cukurova University,Adana,Turkey [3] Department of Pulmonary Medicine,Faculty of Medicine,Kocaeli University,Kocaeli,Turkey [4] Department of Pulmonary Medicine,Faculty of Medicine,Gazi University,Ankara,Turkey [5] Department of Biostatistics,Faculty of Medicine,Gaziantep University,Gaziantep,Turkey [6] Department of Pulmonary Medicine,Halil Sivgin Cubuk State Hospital,Ankara,Turkey [7] Department of Infectious Disease,Faculty of Medicine,Gazi University,Ankara,Turkey [8] Department of Pulmonary Medicine,Faculty of Medicine,Hacettepe University,Ankara,Turkey [9] Department of Pulmonary Medicine,Cerrahpasa Faculty of Medicine,Istanbul University-Cerrahpasa,Istanbul,Turkey [10] Department of Infectious Disease and Clinical Microbiology,Faculty of Medicine,Kocaeli University,Kocaeli Turkey [11] Department of Pulmonary Medicine,Altunizade Acibadem Hospital,Istanbul,Turkey [12] Department of Pulmonary Medicine,Faculty of Medicine,Ataturk University,Erzurum,Turkey [13] Department of Pulmonary Medicine,Faculty of Medicine,Erciyes University,Kayseri,Turkey [14] Department of Pulmonary Medicine,Maslak Acibadem Hospital,Istanbul,Turkey [15] Department of Infectious Disease and Clinical Microbiology,Faculty of Medicine,Erciyes University,Kayseri,Turkey [16] Department of Pulmonary Medicine,Faculty of Medicine,Duzce University,Duzce,Turkey [17] Department of Infectious Disease,Faculty of Medicine,Turkiye Gazetesi Private Hospital,Istanbul,Turkey [18] Department of Infectious Diseases and Clinical Microbiology,Faculty of Medicine,Suleyman Demirel University,Isparta,Turkey [19] Department of Pulmonary Medicine,Bilecik Training and Research Hospital,Bilecik,Turkey [20] Department of Pulmonary Medicine,Faculty of Medicine,Zonguldak Bulent Ecevit University,Zonguldak,Turkey [21] Department of Pulmonary Medicine,University of Health Science,Yedikule Chest Diseases and Chest Surgery Training and Research Hospital,Istanbul,Turkey [22] Department of Pulmonary Medicine,Faculty of Medicine,Suleyman Demirel University,Isparta,Turkey [23] Department of Pulmonary Medicine,Faculty of Medicine,Dokuz Eylul University,Izmir,Turkey [24] Department of Pulmonary Medicine,Koc University Research Center for Translational Medicine(KUTTAM),Koc University School of Medicine,Istanbul,Turkey [25]
栏目名称 Original Articles
DOI 10.4103/1995-7645.361853
发布时间 2022-12-30
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