{"id":13625,"date":"2021-01-05T01:21:21","date_gmt":"2021-01-04T22:21:21","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/covid-19-pandemisinde-birinci-dalga-tek-merkez-deneyimi\/"},"modified":"2021-01-05T01:21:21","modified_gmt":"2021-01-04T22:21:21","slug":"covid-19-pandemisinde-birinci-dalga-tek-merkez-deneyimi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/covid-19-pandemisinde-birinci-dalga-tek-merkez-deneyimi\/","title":{"rendered":"COVID-19 Pandemisinde Birinci Dalga: Tek Merkez Deneyimi"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: \u00c7al\u0131\u015fmam\u0131zda COVID-19 pandemisinin birinci dalgas\u0131 s\u0131ras\u0131nda Liv Hospital Ulus\u2019ta yat\u0131r\u0131larak izlenen COVID-19 tan\u0131l\u0131 hastalar\u0131n epidemiyolojik ve klinik \u00f6zellikleri, laboratuvar ve g\u00f6r\u00fcnt\u00fcleme bulgular\u0131 ve prognozlar\u0131n\u0131n de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: COVID-19 tan\u0131s\u0131yla izlenen toplam 124 olgu retrospektif olarak de\u011ferlendirildi. Hastan\u0131n solunum yolu \u00f6rne\u011finde SARS-CoV-2 RT-PCR testi sonucunun pozitif olmas\u0131, kesin olgu; hastada SARS-CoV-2 RT-PCR testi negatif olmakla birlikte, uygun klinik \u015fikayetlerin olmas\u0131 ve toraks bilgisayarl\u0131 tomografisi (BT)\u2019nde viral pn\u00f6moniyle uyumlu bulgular saptanmas\u0131 ise olas\u0131 olgu olarak kabul edildi. Oda havas\u0131nda SpO2 \u2264%93 olup oksijen deste\u011fi veya mekanik ventilasyon (MV) veya ekstrakorporeal membran oksijenasyonu ihtiyac\u0131 duyuldu\u011funda, hastada \u201ca\u011f\u0131r hastal\u0131k\u201d oldu\u011fu kabul edildi. Klinik iyile\u015fme ise 48 saat s\u00fcreyle ate\u015fin olmamas\u0131, l\u00f6kopeninin d\u00fczelmesiyle birlikte lenfosit ve trombosit say\u0131s\u0131n\u0131n artmas\u0131, oksijen deste\u011fi ihtiyac\u0131n\u0131n azalmas\u0131 veya MV\u2019den ayr\u0131lma olarak tan\u0131mland\u0131.<\/p>\n<p><strong>Bulgular<\/strong>: Toplam 124 olgunun ortanca ya\u015f\u0131 54 (minimum-maksimum 17-98)\u2019t\u00fc ve %59.7\u2019si erkek hastalardan olu\u015fmaktayd\u0131. Olgular\u0131n %58\u2019ine \u00e7e\u015fitli komorbiditeler e\u015flik etmekte olup, en s\u0131k hipertansiyon (%33.9) vard\u0131; bunu diabetes mellitus (%16.1) ve kalp hastal\u0131klar\u0131 (%13.7) izliyordu. S\u0131k rastlanan klinik \u015fikayet grubu, ate\u015f (%73.4), \u00f6ks\u00fcr\u00fck (%70.2) ve nefes darl\u0131\u011f\u0131 (%30.7)\u2019yd\u0131. Hastalar\u0131n 81 (%65.3)\u2019inin SARS-CoV-2 RT-PCR testi pozitifti. Olgular\u0131n 43 (%34.6)\u2019\u00fcnde a\u011f\u0131r hastal\u0131k vard\u0131 ve bu hastalar\u0131n 18\u2019i yo\u011fun bak\u0131m \u00fcnitesinde takip edildi. A\u011f\u0131r hastalar, a\u011f\u0131r olmayanlarla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda ortalama ya\u015flar\u0131 ve e\u015flik eden komorbiditeleri daha fazla, yat\u0131\u015f s\u00fcreleri de daha uzundu. Laboratuvar bulgular\u0131 aras\u0131nda l\u00f6kopeniden \u00e7ok, l\u00f6kositoz saptand\u0131. Gerek lenfopeni, trombositopeni ve hipoalb\u00fcminemi varl\u0131\u011f\u0131, gerekse kreatinin, D-dimer ve akut faz g\u00f6stergelerinin y\u00fcksekli\u011fi a\u011f\u0131r hastal\u0131kta daha belirgindi. Hastalar\u0131n toraks BT\u2019sinde saptanan tutulumlar, \u00e7o\u011funlukla bilateral (%73), alt ve alt-orta loblarda (%48.7), periferik yerle\u015fimli (%49.6) buzlu cam g\u00f6r\u00fcn\u00fcm\u00fcnde opasiteler (%93.3) \u015feklindeydi. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 COVID-19 Rehberleri\u2019ndeki \u00f6nerilere g\u00f6re tedavi edilen hastalar\u0131n hi\u00e7birinde ciddi bir yan etki geli\u015fmedi. Hastalardan 4 (%3.2)\u2019\u00fc kaybedildi. Kaybedilen hastalardan 2 (%2.2)\u2019si kesin olgu tan\u0131s\u0131 alm\u0131\u015ft\u0131.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: Kullan\u0131mda olan RT-PCR testlerinin duyarl\u0131l\u0131klar\u0131, COVID-19\u2019un tan\u0131s\u0131nda ve tedavisinin y\u00f6nlendirilmesinde yeterli de\u011fildir. Bu nedenle, s\u00fcrecin y\u00f6netilmesinde ayn\u0131 zamanda g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinin ve serum antikor testlerinin de kullan\u0131lmas\u0131 gerekmektedir.<\/p>\n<p>Klimik Dergisi 2020; 33(3): 223-9.<\/p>\n<p><strong>Cite this article as<\/strong>: Karako\u00e7 Z\u00c7, P\u0131narba\u015f\u0131-\u015eim\u015fek B, Asil R, et al. [First wave in COVID-19 pandemic: A single center experience]. Klimik Derg. 2020; 33(3): 223-9. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: \u00c7al\u0131\u015fmam\u0131zda COVID-19 pandemisinin birinci dalgas\u0131 s\u0131ras\u0131nda Liv Hospital Ulus\u2019ta yat\u0131r\u0131larak izlenen COVID-19 tan\u0131l\u0131 hastalar\u0131n epidemiyolojik ve klinik \u00f6zellikleri, laboratuvar ve g\u00f6r\u00fcnt\u00fcleme bulgular\u0131 ve prognozlar\u0131n\u0131n de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: COVID-19 tan\u0131s\u0131yla izlenen toplam 124 olgu retrospektif olarak de\u011ferlendirildi. Hastan\u0131n solunum yolu \u00f6rne\u011finde SARS-CoV-2 RT-PCR testi sonucunun pozitif olmas\u0131, kesin olgu; hastada SARS-CoV-2 RT-PCR testi negatif olmakla [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[5019,2997,5020,3716],"class_list":["post-13625","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-covid19","tag-mortalite","tag-sarscov2","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/13625","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=13625"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/13625\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=13625"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=13625"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=13625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}