ISSN: 2149-2247 | E-ISSN: 2149-2549
Erciyes Medical Journal The Impact of Left Ventricle Geometry Patterns on Length of Hospital Stay in COVID-19 Patients [Erciyes Med J]
Erciyes Med J. 2022; 44(5): 481-489 | DOI: 10.14744/etd.2022.08365

The Impact of Left Ventricle Geometry Patterns on Length of Hospital Stay in COVID-19 Patients

Mehmet Erdoğan1, Ayşe Kaya Kalem2, Selçuk Öztürk3, Mehmet Akif Erdöl4, Yunus Emre Özbebek1, Hacı Ahmet Kasapkara1, Bircan Kayaaslan2, Fatma Eser2, Imran Hasanoğlu2, Hüseyin Ünsal Erçelik5, Rahmet Güner2
1Department of Cardiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Türkiye
2Department of Infectious Disease and Clinical Microbiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Türkiye
3Department of Cardiology, Faculty of Medicine, Bozok University Yozgat, Türkiye
4Department of Cardiology, Bozok University Faculty of Medicine, Yozgat, Türkiye
5Department of Cardiovascular Surgery, Ministry of Health, Bilkent City Hospital, Ankara, Türkiye

Objective: The coronavirus disease 2019 (COVID-19) has placed huge strains on medical systems. Therefore, it is essential to determine the predictors of the long hospital stay. We sought to investigate whether alterations in left ventricular (LV) geometry in COVID-19 patients are associated with the length of stay (LoS) and a long hospital stay.
Materials and Methods: 108 consecutive hospitalized COVID-19 patients were incorporated in the study and 89 patients remained for statistical analysis. All participants underwent standard two-dimensional (2D) and Doppler echocardiographic examinations. Patients were classified according to LV geometry characteristics namely normal geometry (NG), concentric remodeling, concentric hypertrophy and eccentric hypertrophy.
Results: Multiple binary logistic regression model adjusted for clinical and laboratory variables yielded significant and inde-pendent association of LV mass index (LVMI) (OR: 1.12, 95% CI: 1.06–1.19, p<0.001), 10 g/m2 increase in LVMI (OR: 3.63, 95% CI: 2.00–6.59, p<0.001), LV geometry patterns (OR: 2.92, 95% CI: 1.46–5.84, p=0.002), and altered geo-metric patterns compared to NG (OR: 3.97, 95% CI: 1.08–14.5, p=0.037) with long hospital stay. Correlation analysis of LVMI and LoS demonstrated significant and moderate correlation (rho=0.58, p<0.001).
Conclusion: LVMI and LV geometric patterns independently predict long hospital stays in COVID-19 patients. The signifi-cant correlation between LoS and LVMI underlies the significance of LV geometry in this infection.

Keywords: COVID-19, left ventricular geometry, left ventricular hypertrophy, SARS-CoV-2, transthoracic echocardiography.

Mehmet Erdoğan, Ayşe Kaya Kalem, Selçuk Öztürk, Mehmet Akif Erdöl, Yunus Emre Özbebek, Hacı Ahmet Kasapkara, Bircan Kayaaslan, Fatma Eser, Imran Hasanoğlu, Hüseyin Ünsal Erçelik, Rahmet Güner. The Impact of Left Ventricle Geometry Patterns on Length of Hospital Stay in COVID-19 Patients. Erciyes Med J. 2022; 44(5): 481-489

Corresponding Author: Mehmet Erdoğan, Türkiye
Manuscript Language: English
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