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

Yesim Yildiz,Hasan Selcuk Ozger,Ali Acar, Aysegul Seremet-Keskin,Umut Devrim Binay,Gulten Unlu, Halim Bayram,Ali Asan, Mustafa Ozgur Akca, Dilek Karamanlioglu,Osman Inan, Safak Kaya, Cigdem Yildirim,Yusuf Arslan,Suheyla Komur, Yasemin Saygideger,Fatma Ozlem Kandemir, Simge Yasar,Irem Akdemir-Kalkan, Zeynep Tekin-Tas, Ayse Sakiz,Yasar Bayindir, Ayse Belin Ozer,Ayse Ozlem Mete,Cigdem Erol,Cigdem Mermutluoglu,Ali Kemal Kadiroglu,Alpay Azap,Esin Senol

INFECTIOUS DISEASES AND CLINICAL MICROBIOLOGY(2023)

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摘要
Objective: 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. Materials and Methods: 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. Results: 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 (p=0.026), DM (p=0.048), and congestive heart failure (CHF) (p=0.005) were significantly higher in ICU patients and the median age was younger among non -ICU patients (p=0.033). Of patients, 16.9% (n=87) were fully vaccinated, and this group's need for ICU support was statistically significantly lower (p=0.021). Conclusion: 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. Corresponding Yesim ysmyldz6@gmail.com Accepted: Suggested Yildiz Seremet-Keskin Study Society and
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关键词
COVID-19 vaccine,intensive care unit,risk factor,SARS-CoV-2 infection,vaccine breakthrough infections,variant of concerns
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