STRUCTURAL AND FACTORIAL ANALYSIS OF DISORDERS OF PSYCHOEMOTIONAL STATUS IN INTENSIVE CARE PATIENTS WITH COVID-19

Abstract

Purpose: to analyze the frequency, structure and characteristics of the clinical course of disorders of the psychoemotional status among resuscitation patients with COVID-19 pneumonia. Material and methods. The article summarized the clinical characteristics of 4,856 intensive care patients with COVID-19 pneumonia who received treatment at the Republican Specialized Multidisciplinary Infectious Diseases Hospital Zangiota No. 2 from July 2020 to March 2021. The study included adult patients (over 18 years old). Males prevailed (57.0%). According to the severity of the underlying disease (COVID-19 pneumonia), an extremely serious condition was noted in 13.8% (670 out of 4856) cases. At the same time, the average degree (46.2%) and severe course (40.0%) of COVID-19 pneumonia were diagnosed with almost equal frequency. The distribution of patients in terms of the percentage of lung injury from COVID-19 infection showed that in 9.5% of cases, up to 20% of lung tissue damage was observed. The majority of patients (52.4%) had between 50% and 70% of lung damage on admission to intensive care units. Results. The overall prevalence of disorders of psychoemotional status was 43.5% (2114 out of 4856), including the depressive syndrome was observed in 21.7% (1055 out of 4856) cases. The overall incidence of anxiety disorders among resuscitated patients with COVID-19 was 27.2% (1324 out of 4856), the overall incidence of PTSD was 21.4% (1042 out of 4856). A significant correlation between the development of psychoemotional disorders and the clinical and demographic characteristics of patients with COVID-19 was noted for such predictors as age over 60 years, female sex, severe and extremely severe course of the disease, and more than 50% of the volume of lung damage. Conclusion. Almost half of patients with COVID-19 have various disorders of the psychoemotional status, as well as their combinations. The severity of symptoms of psychoemotional disorders accompanying COVID-19 pneumonia correlates with an increased risk of severe and extremely severe disease.