الفهرس 
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Abstract
The COVID19 pandemic began in Wuhan, China at the end of 2019,
and spread quickly throughout the world. Some countries experienced more
than one wave of the pandemic. As of 11 July 2022, globally there have
been around 560 M confirmed cases and around 6.3 M deaths caused by
COVID19. The most frequent clinical signs are fever and cough; however,
some patients develop severe illness, which results in intensive care unit
(ICU) admission and even death
During the pandemic, along with the non-COVID critically ill
patients, COVID19 patients were also transferred to ICU, which resulted in
the demand for ICU resources substantially increasing, exceeding the
capacity in many healthcare systems. ICUs are costly and time-sensitive
resources, and if their capacity is challenged, it can have a major
consequence for healthcare services. In addition, as the number of critically
ill patients continues to increase, their stays in the ICU have become even
longer, especially during the COVID19 situation. To solve this issue, some
scoring systems have been used for the early identification of ICU
requirements. Scoring techniques rely on the identification of prognostic
markers associated with the severity of the disease
The aim of the present study was to detect the predictors of ICU
admission in COVID 19 patients.
This was a retrospective study from patients files involved 258
patients admitted to Shebin El kom fever hospital who were diagnosed
positive of COVID 19 according to WHO criteria in the period between
February and May 2021.
The studied patients were classified into the following groups
according to the need of ICU admission.
group I : Included 186 patients who need ICU care on admission or at
some point during hospital stay
These patients were classified into two subgroups according to the
need of mechanical ventilation
group Ia: Included 134 patient which undergo mechanical ventilation
either invasive or not
group Ib: Includes 52 patients which did not undergo mechanical
ventilation.
group II : include72 patient who did not need ICU
All patients in the present study were subjected to full history taking,
Full clinical examination (General examination- Local chest examination),
Routine laboratory investigations including complete blood count, Liver
Function Tests, Blood urea and serum creatinine and Imaging study.