ANALYSIS OF THE STRUCTURE OF COMPLICATIONS OF A NEW CORONAVIRUS INFECTION IN PATIENTS WHO HAVE DIED
https://doi.org/10.52485/19986173_2023_2_39
Abstract
The aim of the research: To study the frequency and types of complications in patients who have died from the novel coronavirus infection (COVID-19).
Materials and methods. A retrospective study of medical records of inpatients and examinations of the quality of medical care of 61 patients with severe and extremely severe COVID-19 who died in hospitals of the Irkutsk region in the period from January 1, 2021 to December 31, 2021 was conducted.
The study included patients over the age of 18 years with a positive laboratory result for the presence of SARSCoV-2 RNA. Patients with non-fulfillment, untimely or improper implementation of the diagnostic measures necessary for the patient are excluded from the study; failure to perform a mandatory post-mortem examination; with the presence of signs of distortion of information about the diagnostic and therapeutic measures taken.
The results. Pneumonia complicated by acute respiratory distress syndrome was the most common complication, in deceased patients from the novel coronavirus infection COVID-19 followed by cerebral edema, sepsis, hospital acute kidney injury, metabolic acidosis, acute myocardial damage, respiratory acidosis, arrhythmias, fluid overload, аcute cerebrovascular accident, pulmonary thromboembolism, acute heart failure, less often disseminated intravascular coagulation and delirium were recorded.
The causes of metabolic acidosis in most cases were sepsis and acute kidney injury, and respiratory acidosis - acute respiratory distress syndrome.
Conclusion. The novel coronavirus infection COVID-19 causes damage to the lungs, brain, heart and kidneys, which causes the severity of the patient's condition and leads to death.
About the Authors
A. V. Dats
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Yubileyny microdistrict, Irkutsk, 664049
Л. S. Dats
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Yubileyny microdistrict, Irkutsk, 664049
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Review
For citations:
Dats A.V., Dats S. ANALYSIS OF THE STRUCTURE OF COMPLICATIONS OF A NEW CORONAVIRUS INFECTION IN PATIENTS WHO HAVE DIED. Transbaikalian Medical Bulletin. 2023;(2):39-47. (In Russ.) https://doi.org/10.52485/19986173_2023_2_39
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