COVID-19 Is Not Over and Needs Prediction Scores: An Endless Road!

Mahmoodpoor, Ata; Imani, Farnad; Soleimanpour, Hassan

doi:10.5812/aapm.121654

Cited by 3 publications

(2 citation statements)

References 17 publications

(16 reference statements)

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“…Corona spread in December 2019 and has affected the world since then. Therefore, in addition to the common manifestations of this disease, identifying its rare manifestations can also help to understand this pandemic as much as possible (6)(7)(8)(9). Funding/Support: No funding/support was received for this manuscript.…”

Section: Discussionmentioning

confidence: 99%

Severe and Life-Threatening Paroxysmal Laryngospasm: Uncommon Presentation of COVID-19

et al. 2023

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Introduction: Laryngospasm is a life-threatening condition caused due to involuntary contraction in laryngeal muscles. It can last seconds to minutes and may cause hypoxemia, loss of consciousness, and death. Case Presentation: We report a case of laryngospasm in a patient with Coronavirus-2 infection who was admitted to the emergency department for the first time. Laryngospasm was revealed after treatment. Conclusions: The clinician should note that laryngospasm can be triggered by Coronavirus-2 infection.

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Section: Discussionmentioning

confidence: 99%

Severe and Life-Threatening Paroxysmal Laryngospasm: Uncommon Presentation of COVID-19

et al. 2023

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“…However, the advantages and disadvantages of early versus late intubation are controversial. Also, it should be admitted that the COVID-19 pandemic is an opportunity to learn more about critically ill patients ( 12 , 13 ).…”

Section: Introductionmentioning

confidence: 99%

Deciding When to Intubate a COVID-19 Patient

et al. 2022

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Background: The SARS-CoV-2 pandemic is one of the most significant challenges for healthcare providers, particularly in the critical care setting. The timing of intubation in COVID-19 patients seems to be challenging. Therefore, we aimed to investigate how it may have a survival benefit, and we determined which clinical characteristics were associated with outcomes. Methods: This cross-sectional study was conducted in the Imam Khomeini Hospital Complex. We randomly selected patients admitted to intensive care units and, based on intubation status, categorized them into three subgroups (early, late, and not intubated). Early intubation is defined as intubation within 48 hours of ICU admission, and late intubation is defined as intubation after 48 hours of ICU admission. Results: Early-intubated patients were more likely to have dyspnea than late-intubated patients, and late-intubated patients had a higher mean heart rate than early-intubated patients. The neutrophil/lymphocyte ratio was significantly (P < 0.05) lower in not-intubated patients than in other patients. There was no difference in NLR between early- and late-intubated patients. Mean serum creatine phosphokinase and troponin I levels were higher in late-intubated patients than in early- and not-intubated patients. Early-intubated patients had a lower ROX index than late-intubated patients. Patients with higher scores of APACHE 2, respiratory rates, and neutrophil to lymphocyte ratio were more likely to be intubated. Increasing APACHE and SOFA scores were associated with decreased odds of survival. Conclusions: There were no statistically significant differences in total mortality between early- and late-intubated patients. APACHE 2 scores, NLR, RR, and history of ischemic heart disease are some of the appropriate predictors of intubation. Higher respiratory rates (tachypnea) can be an indicator of early intubation. The ROX index is one of the most sensitive and capable tools for predicting intubation. Intubation status is a potent predictor of in-hospital mortality.

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