Evaluation of SAPS2 score survival prediction in post-COVID patients transferred from pandemic intensive care to internal intensive care unit followed up in Trakya University Health Research and Application Center

Intensive Care Units are the most stressful, difficult to manage, costly units in the healthcare field worldwide, where life expectancy as well as mortality and morbidity are high. For this reason, scoring systems have been developed taking into account situations such as patient mortality, length of stay in intensive care, treatments to be applied, management of stress factors and minimizing these factors. Simplified Acute Physiology Score (SAPS) is one of these scoring systems. In our study, it has been shown that the Corona Virus infection ended with at least two negative Corona Virus Polimeraz Chain Reaction tests in patients receiving inpatient treatment in Pandemic Intensive Care clinics during the Corona Virus-19 pandemic. In addition, postCorona Virus patients who continued to need intensive care and were therefore transferred to the Internal Intensive Care clinic for the continuation of their treatment were included as the study group. A control group was created from randomly selected patients who were hospitalized in Internal Intensive Care Unit for non-Corona Virus reasons. It was aimed to evaluate the prediction of mortality by recording the Simplified Acute Physiology Score 2 score of the patients on the first day they were transferred to the Internal Intensive Care clinic. The relationship between Simplified Acute Physiology Score scores calculated for each group and patient survival was evaluated and the groups were compared with each other. While it has been observed that the age and gender distributions of patients participating in the study are similar across groups, and both the Simplified Acute Physiology Score 2 score and the Expected Mortality Rate value could be strong parameters in indicating mortality, no significant difference was found in terms of predicting mortality between the Expected Mortality Rate parameter and the Simplified Acute Physiology Score 2 score in the comparative analysis conducted. It has been observed that the Standardized Mortality Rate is higher in the case group; therefore, post-Corona Virus patients have a higher mortality rate than expected. Keywords: COVID-19, Intensive Care, SAPS 2 score