The Impact of Vaccination Among Hospitalized Patients with the Diagnosis of COVID-19

We aimed to investigate the vaccination status and the risk factors for the intensive care unit (ICU) support need of the laboratory-confirmed breakthrough COVID-19 infection inpatients. This multi-center point-prevalence study was conducted on inpatients, divided into two groups as 'fully'...

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Bibliographic Details
Published in:Infectious diseases & clinical microbiology 2023-06, Vol.5 (2), p.118-126
Main Authors: Yıldız, Yeşim, Özger, Hasan Selçuk, Acar, Ali, Seremet-Keskin, Ayşegül, Binay, Umut Devrim, Ünlü, Gülten, Bayram, Halim, Asan, Ali, Akça, Mustafa Özgür, Karamanlioğlu, Dilek, İnan, Osman, Kaya, Şafak, Yıldırım, Çiğdem, Arslan, Yusuf, Kömür, Süheyla, Saygıdeğer, Yasemin, Kandemir, Fatma Özlem, Yaşar, Simge, Akdemir-Kalkan, İrem, Tekin-Taş, Zeynep, Sakız, Ayşe, Bayındır, Yaşar, Özer, Ayşe Belin, Mete, Ayşe Özlem, Erol, Çiğdem, Mermutluoğlu, Çiğdem, Kadiroğlu, Ali Kemal, Azap, Alpay, Şenol, Esin
Format: Article
Language:English
Subjects:
Comorbidity
Coronary heart disease
COVID-19
Diabetes
Diagnosis
Health aspects
Hospital patients
Hypertension
Infection
Intensive Care Unit
Medical research
Medicine, Experimental
Original
Prevalence studies (Epidemiology)
Risk factors
Vaccination
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Summary:We aimed to investigate the vaccination status and the risk factors for the intensive care unit (ICU) support need of the laboratory-confirmed breakthrough COVID-19 infection inpatients. This multi-center point-prevalence study was conducted on inpatients, divided into two groups as 'fully' and 'partially' vaccinated according to COVID-19 vaccination status. Totally 516 patients were included in the study. The median age was 65 (55-77), and 53.5% (n=276) of the patients were male. Hypertension (41.9%, n=216), diabetes mellitus (DM) (31.8%, n=164), and coronary artery disease (CAD) (16.3%, n=84) were the predominant comorbidities. Patients were divided into two groups ICU (n=196) and non-ICU (n=301). Hypertension ( =0.026), DM ( =0.048), and congestive heart failure (CHF) ( =0.005) were significantly higher in ICU patients and the median age was younger among non-ICU patients ( =0.033). Of patients, 16.9% (n=87) were fully vaccinated, and this group's need for ICU support was statistically significantly lower ( =0.021). We conclude that older age, hypertension, DM, CHF, and being partially vaccinated were associated with the need for ICU support. Therefore, all countries should continuously monitor post-vaccination breakthrough COVID-19 infections to determine the national booster vaccine administration approach that will provide vulnerable individuals the highest protection.
ISSN:2667-646X
2667-646X
DOI:10.36519/idcm.2023.216