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  1. Article: Use of Spironolactone in SARS-CoV-2 ARDS Patients.

    Dumanlı, Güleren Yartaş / Dilken, Olcay / Ürkmez, Seval

    Turkish journal of anaesthesiology and reanimation

    2020  Volume 48, Issue 3, Page(s) 254–255

    Keywords covid19
    Language English
    Publishing date 2020-04-30
    Publishing country Turkey
    Document type Journal Article
    ISSN 2667-677X
    ISSN 2667-677X
    DOI 10.5152/TJAR.2020.569
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Effect of prone positioning on end-expiratory lung volume, strain and oxygenation change over time in COVID-19 acute respiratory distress syndrome

    Olcay Dilken / Emanuele Rezoagli / Güleren Yartaş Dumanlı / Seval Ürkmez / Oktay Demirkıran / Yalım Dikmen

    Frontiers in Medicine, Vol

    A prospective physiological study

    2022  Volume 9

    Abstract: BackgroundProne position (PP) is a recommended intervention in severe classical acute respiratory distress syndrome (ARDS). Changes in lung resting volume, respiratory mechanics and gas exchange during a 16-h cycle of PP in COVID-19 ARDS has not been yet ...

    Abstract BackgroundProne position (PP) is a recommended intervention in severe classical acute respiratory distress syndrome (ARDS). Changes in lung resting volume, respiratory mechanics and gas exchange during a 16-h cycle of PP in COVID-19 ARDS has not been yet elucidated.MethodsPatients with severe COVID-19 ARDS were enrolled between May and September 2021 in a prospective cohort study in a University Teaching Hospital. Lung resting volume was quantitatively assessed by multiple breath nitrogen wash-in/wash-out technique to measure the end-expiratory lung volume (EELV). Timepoints included the following: Baseline, Supine Position (S1); start of PP (P0), and every 4-h (P4; P8; P12) until the end of PP (P16); and Supine Position (S2). Respiratory mechanics and gas exchange were assessed at each timepoint.Measurements and main results40 mechanically ventilated patients were included. EELV/predicted body weight (PBW) increased significantly over time. The highest increase was observed at P4. The highest absolute EELV/PBW values were observed at the end of the PP (P16 vs S1; median 33.5 ml/kg [InterQuartileRange, 28.2–38.7] vs 23.4 ml/kg [18.5–26.4], p < 0.001). Strain decreased immediately after PP and remained stable between P4 and P16. PaO2/FiO2 increased during PP reaching the highest level at P12 (P12 vs S1; 163 [138–217] vs 81 [65–97], p < 0.001). EELV/PBW, strain and PaO2/FiO2 decreased at S2 although EELV/PBW and PaO2/FiO2 were still significantly higher as compared to S1. Both absolute values over time and changes of strain and PaO2/FiO2 at P16 and S2 versus S1 were strongly associated with EELV/PBW levels.ConclusionIn severe COVID-19 ARDS, EELV steadily increased over a 16-h cycle of PP peaking at P16. Strain gradually decreased, and oxygenation improved over time. Changes in strain and oxygenation at the end of PP and back to SP were strongly associated with changes in EELV/PBW. Whether the change in EELV and oxygenation during PP may play a role on outcomes in COVID-ARDS deserves further ...
    Keywords acute respiratory distress syndrome ; COVID-19 ; prone position ; end-expiratory lung volume ; oxygenation ; nitrogen washin/washout ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Incidence, Risk Factors, and Prognosis of Bloodstream Infections in COVID-19 Patients in Intensive Care: A Single-Center Observational Study.

    Kurt, Ahmet Furkan / Mete, Bilgul / Urkmez, Seval / Demirkiran, Oktay / Dumanli, Guleren Yartas / Bozbay, Suha / Dilken, Olcay / Karaali, Ridvan / Balkan, Ilker Inanç / Saltoğlu, Nese / Dikmen, Yalim / Tabak, Fehmi / Aygun, Gokhan

    Journal of intensive care medicine

    2022  Volume 37, Issue 10, Page(s) 1353–1362

    Abstract: Background: Critically ill COVID-19 patients are prone to bloodstream infections (BSIs).: Aim: To evaluate the incidence, risk factors, and prognosis of BSIs developing in COVID-19 patients in the intensive care unit (ICU).: Methods: Patients ... ...

    Abstract Background: Critically ill COVID-19 patients are prone to bloodstream infections (BSIs).
    Aim: To evaluate the incidence, risk factors, and prognosis of BSIs developing in COVID-19 patients in the intensive care unit (ICU).
    Methods: Patients staying at least 48 h in ICU from 22 March 2020 to 25 May 2021 were included. Demographic, clinical, and laboratory data were analyzed.
    Results: The median age of the sample (n  =  470) was 66 years (IQR 56.0-76.0), and 64% were male. The three most common comorbidities were hypertension (49.8%), diabetes mellitus (32.8%), and coronary artery disease (25.7%). Further, 252 BSI episodes developed in 179 patients, and the BSI incidence rate was 50.2 (95% CI 44.3-56.7) per 1000 patient-days. The source of BSI is central venous catheter in 42.5% and lower respiratory tract in 38.9% of the episodes.
    Conclusion: BSI is a common complication in COVID-19 patients followed in the ICU, and it can lead to mortality. Failure in infection control measures, intensive immunosuppressive treatments, and invasive interventions are among the main factors leading to BSIs.
    MeSH term(s) Aged ; Bacteremia/epidemiology ; Bacteremia/etiology ; COVID-19/complications ; COVID-19/epidemiology ; Critical Care ; Cross Infection ; Female ; Humans ; Incidence ; Intensive Care Units ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Risk Factors ; Sepsis
    Language English
    Publishing date 2022-05-23
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 632828-3
    ISSN 1525-1489 ; 0885-0666
    ISSN (online) 1525-1489
    ISSN 0885-0666
    DOI 10.1177/08850666221103495
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Assessment of the role of neutrophil extracellular traps in SARS-CoV-2 pneumonia.

    Cakmak, Fatih / Ozkan, Seda / Konukoglu, Dildar / Biberoglu, Serap / Ipekci, Afsin / Akdeniz, Yonca Senem / Bolayirli, Ibrahim Murat / Balkan, Ilker Inanc / Dumanli, Guleren Yartas / Ikizceli, Ibrahim

    Bratislavske lekarske listy

    2022  Volume 123, Issue 11, Page(s) 846–852

    Abstract: Background: Abnormal neutrophil extracellular traps are associated with lung diseases, thrombosis, increased mucosal secretion in the airways. The aim of this study is to evaluate the possible place of the most specific NETosis marker Cit-H3 protein in ... ...

    Abstract Background: Abnormal neutrophil extracellular traps are associated with lung diseases, thrombosis, increased mucosal secretion in the airways. The aim of this study is to evaluate the possible place of the most specific NETosis marker Cit-H3 protein in diagnostic algorithms by revealing its relationship with the severity, mortality and prognosis of SARS-CoV-2 pneumonia.
    Patients and methods: Patients (n = 78) who applied to the Emergency Department between March 11, 2020 and June 10, 2020, with positive SARS-CoV-2 polymerase chain reaction (PCR) test and lung involvement were included in the prospective study. Serum Cit-H3 levels and critical laboratory parameters were measured at baseline on the day of clinical deterioration and before recovery/discharge/death. Cit-C3 levels were determined by enzyme immunassay method.
    Results: Cit-H3 levels in patients with SARS-CoV-2 pneumonia during their first admission to the hospital were significantly higher compared to the healthy control group (p < 0.05). Repeated measurements of Cit-H3 levels of the patients significantly correlated with D-dimer, procalcitonin, Neutrophil/ Lymphocyte ratio, lymphocyte, CRP, and oxygen saturation. Cit-H3 levels of the patients who died were significantly higher than that of those who survived (p < 0.05). Cit-H3 levels were found to be statistically significantly higher in patients who developed acute respiratory distress syndrome, were admitted to the intensive care unit, and had mortality (p < 0.05).
    Conclusions: Cit-H3 plays a role in inflammatory processes in SARS-CoV-2 pneumonia, and changes in serum Cit-H3 levels of these patients can be used to determine prognosis and mortality (Tab. 5, Fig. 1, Ref. 21).
    MeSH term(s) COVID-19 ; Extracellular Traps ; Humans ; Procalcitonin ; Prospective Studies ; SARS-CoV-2
    Chemical Substances Procalcitonin
    Language English
    Publishing date 2022-10-18
    Publishing country Slovakia
    Document type Journal Article
    ZDB-ID 127421-1
    ISSN 0006-9248
    ISSN 0006-9248
    DOI 10.4149/BLL_2022_135
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Efficacy of Serum Angiotensin II Levels in Prognosis of Patients With Coronavirus Disease 2019.

    Ozkan, Seda / Cakmak, Fatih / Konukoglu, Dildar / Biberoglu, Serap / Ipekci, Afsin / Akdeniz, Yonca Senem / Bolayirli, Ibrahim Murat / Balkan, Ilker Inanc / Dumanli, Guleren Yartas / Ikizceli, Ibrahim

    Critical care medicine

    2021  Volume 49, Issue 6, Page(s) e613–e623

    Abstract: Objectives: We aimed to determine serum angiotensin II levels in patients with coronavirus disease 2019 infection and to investigate the effect of these levels on the prognosis of the disease.: Design: The study was planned prospectively and ... ...

    Abstract Objectives: We aimed to determine serum angiotensin II levels in patients with coronavirus disease 2019 infection and to investigate the effect of these levels on the prognosis of the disease.
    Design: The study was planned prospectively and observationally.
    Setting: The study was conducted in a tertiary university hospital.
    Patients: Coronavirus disease 2019 patients older than 18 years old, polymerase chain reaction test positive, with signs of pneumonia on tomography, and hospitalized were included in the study. ICU need, development of acute respiratory distress syndrome, and in-hospital mortality were considered as primary endpoints.
    Interventions: Blood samples were taken from patients three times for angiotensin II levels.
    Measurements and main results: Angiotensin II levels were studied by enzyme-linked immunosorbent assay method. The SPSS 24.0 program (Statistics Program for Social Scientists, SPSS, Chicago, IL) was used to analyze the data. A total of 112 patients were included in the study, of which 63.4% of the patients were men. The serum angiotensin II levels were statistically significantly lower in the patients with coronavirus disease 2019 compared with the healthy control group (p < 0.001). There was no statistical significance between the serum angiotensin II levels measured at three different times (p > 0.05). The serum angiotensin II levels of the patients with acute respiratory distress syndrome were found to be statistically significantly lower than those without acute respiratory distress syndrome in three samples collected at different clinical periods (p < 0.05). The angiotensin II levels of the patients who required admission to the ICU at all three times of blood sample collection were found to be statistically significantly lower than those who did not (p < 0.05). Although the serum angiotensin II levels of the patients who died were low, there was no statistically significant difference in mortality at all three times (p > 0.05).
    Conclusions: The serum angiotensin II levels decrease significantly in patients with coronavirus disease 2019, and this decrease is correlated with lung damage.
    MeSH term(s) Angiotensin II/blood ; Biomarkers/blood ; COVID-19/blood ; COVID-19/diagnosis ; Prognosis ; Sensitivity and Specificity
    Chemical Substances Biomarkers ; Angiotensin II (11128-99-7)
    Language English
    Publishing date 2021-06-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000004967
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Efficacy of Serum Angiotensin II Levels in Prognosis of Patients with COVID-19

    Ozkan, Seda / Cakmak, Fatih / Konukoglu, Dildar / Biberoglu, Serap / Ipekci, Afsin / Akdeniz, Yonca Senem / Bolayirli, Ibrahim Murat / Balkan, Ilker Inanc / Dumanli, Guleren Yartas / Ikizceli, Ibrahim

    SSRN Electronic Journal ; ISSN 1556-5068

    2020  

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.2139/ssrn.3703908
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Tocilizumab in COVID-19: The Cerrahpaşa-PREDICT score.

    Eşkazan, Ahmet Emre / Balkan, İlker İnanç / Demirbaş, Kaan Can / Ar, Muhlis Cem / Karaali, Rıdvan / Sekibağ, Yonca / Mulamahmutoğlu, Sait / Yartaş Dumanlı, Güleren / Çakmak, Fatih / Özgür Yurttaş, Nurgül / Kurt, Furkan / Aladağ Kurt, Seda / Kuşkucu, Mert / Ürkmez, Seval / Börekçi, Şermin / Saribal, Devrim / Mete, Bilgül / Bavunoğlu, Işıl / Dikmen, Yalım /
    Aygün, Gökhan / Midilli, Kenan / Tabak, Fehmi

    Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy

    2021  Volume 27, Issue 9, Page(s) 1329–1335

    Abstract: Background: Cytokine release syndrome (CRS), characterized by overproduction of proinflammatory cytokines in the course of severe coronavirus disease 2019 (COVID-19), has been suggested as the major cause of mortality. Tocilizumab, a recombinant ... ...

    Abstract Background: Cytokine release syndrome (CRS), characterized by overproduction of proinflammatory cytokines in the course of severe coronavirus disease 2019 (COVID-19), has been suggested as the major cause of mortality. Tocilizumab, a recombinant humanized monoclonal antibody against human IL-6 receptor, poses a therapeutic option for the treatment of CRS leading to severe acute respiratory syndrome in coronavirus-2 (SARS-CoV-2) infection.
    Methods: We performed a single-center retrospective study to reveal the outcome of COVID-19 patients on tocilizumab and proposed "the Cerrahpaşa-PREDICT score", a new clinical scoring system using clinical and laboratory parameters that would help predicting the 28-day mortality of COVID-19 patients receiving tocilizumab.
    Results: Eighty-seven patients (median age: 59 years) were included of whom 75.8% were male. Tocilizumab use significantly improved clinical and laboratory parameters. The 28-day mortality rate on tocilizumab was 16.1%. The Cerrahpaşa-PREDICT score, consisting of platelet counts, procalcitonin, D-dimer levels, SO
    Conclusions: Severe COVID-19 should closely be monitored for the signs of hyperinflammation. We showed that administration of tocilizumab early in the course of the disease (prior to ICU admission) resulted in a favorable outcome. Close monitoring usually aids identifying patients who would benefit from tocilizumab. In this regard, the Cerrahpaşa-PREDICT score might serve as a practical tool for estimating the 28-day mortality in COVID-19 patients who received tocilizumab and would facilitate timely recognition of fatal cases to be evaluated for other therapeutic options.
    MeSH term(s) Antibodies, Monoclonal, Humanized ; COVID-19/drug therapy ; Humans ; Male ; Middle Aged ; Retrospective Studies ; SARS-CoV-2 ; Treatment Outcome
    Chemical Substances Antibodies, Monoclonal, Humanized ; tocilizumab (I031V2H011)
    Language English
    Publishing date 2021-05-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1355399-9
    ISSN 1437-7780 ; 1341-321X
    ISSN (online) 1437-7780
    ISSN 1341-321X
    DOI 10.1016/j.jiac.2021.05.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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