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Kardiologiia

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The relationship between pericardial effusion and pulmonary involvement, prognosis, mortality in COVID-19 patients

https://doi.org/10.18087/cardio.2022.9.n1991

Abstract

Aim    Comprehensive studies on the coexistence of COVID-19 and pericardial effusion (PEff) are limited. In this study, we investigated the relationship between pneumonia severity and PEff, predisposing factors, and the effect of PEff on clinical prognosis and mortality in COVID-19 patients.
Material and methods    Between March and November 2020, 5 575 patients were followed up in our pandemic hospital due to COVID-19. 3 794 patients with positive polymerase chain reaction (PCR) test results and thoraxcomputerized tomography (CT) imaging at admission were included in the study. The clinical and demographic characteristics, CT images, hematological and biochemical parameters of these patients were retrospectively examined. Pulmonary involvement of 3794 patients was divided into three groups and its relationship with PEff was investigated retrospectively.
Results    There were 560 patients who did not have pulmonary involvement, 2 639 patients with pulmonary involvement below 50 %, and 595 patients with 50 % or more pulmonary involvement. As pulmonaryinvolvement or the severity of the disease increased, male gender and advanced age become statistically significant. The mean age of patients with PEff was higher, and PEff was more common in males. Patients with PEff had more comorbid diseases and significantly elevated serum cardiac and inflammatory biomarkers. The need for intensive care and mortality rates were higher in these patients. While the in-hospital mortality rate was 56.9 % in patients with PEff and pulmonary involvement above 50 %, in-hospital mortality rate was 34.4 % in patients with pulmonary involvement above 50 % and without PEff (p<0.001).The presence of PEff during admission for COVID-19 disease, the appearance of PEff or increase in the degree of PEff during follow-up were closely related to mortality and prognosis.
Conclusion    As the severity of pulmonary involvement or the clinical severity of the disease increased, PEff occurred in patients or the degree of PEff increased. The clinical prognosis of patients presenting with PEff was quite poor, and the frequency of intensive care admissions and mortality were significantly higher. PEff was an important finding in the follow-up and management of patients with COVID-19, and it reflected the clinical prognosis.

About the Authors

İbrahim Saraç
University of Health Sciences, Erzurum Education and Research Hospital
Turkey

M.D,

Department of Cardiology, University of Health Sciences, Erzurum, Turkey. 
  

 



Gökhan Tonkaz
University of Health Sciences, Erzurum Education and Research Hospital
Turkey
Department of Radiology, University of Health Sciences, Erzurum Education and Research Hospital, Erzurum, Turkey


Emrah Aksakal
University of Health Sciences, Erzurum Education and Research Hospital
Turkey

M.D, Department of Cardiology, University of Health Sciences,   

Erzurum Education and Research Hospital, Erzurum, Turkey.



Faruk Aydınyılmaz
University of Health Sciences, Erzurum Education and Research Hospital
Turkey

M.D, Department of Cardiology, University of Health Sciences,   

Erzurum Education and Research Hospital, Erzurum, Turkey.



Kaan Alişar
University of Health Sciences, Erzurum Education and Research Hospital
Turkey

Department of Radiology, University of Health Sciences, Erzurum Education and Research Hospital, Erzurum, Turkey

 



Sidar Şiyar Aydın
Doğubeyazıt State Hospital
Turkey
Department of Cardiology, Doğubeyazıt State Hospital, Ağrı, Turkey

 



Selim Aydemir
Mareşal Çakmak State Hospital
Turkey
Department of Cardiology, Mareşal Çakmak State Hospital, Erzurum, Turkey


Remziye Doğan
Düzce State Hospital, Düzce
Turkey
Department of Cardiology, Düzce State Hospital, Düzce, Turkey


Oktay Gülcü
University of Health Sciences, Erzurum Education and Research Hospital
Turkey
Department of Cardiology, University of Health Sciences, Erzurum Education and Research Hospital, Erzurum, Turkey


Kamuran Kalkan
University of Health Sciences,Erzurum Education and Research Hospital,
Turkey
Department of Cardiology, University of Health Sciences, Erzurum Education and Research Hospital, Erzurum, Turkey.


References

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Review

For citations:


Saraç İ., Tonkaz G., Aksakal E., Aydınyılmaz F., Alişar K., Aydın S.Ş., Aydemir S., Doğan R., Gülcü O., Kalkan K. The relationship between pericardial effusion and pulmonary involvement, prognosis, mortality in COVID-19 patients. Kardiologiia. 2022;62(9):67-73. https://doi.org/10.18087/cardio.2022.9.n1991

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ISSN 0022-9040 (Print)
ISSN 2412-5660 (Online)