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"DOI": "10.3390/v17020244",
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"1999-4915"
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"abstract": "<jats:p>Background: COVID-19 can cause acute pulmonary hypertension (PH), worsening outcomes in critically ill elderly patients. Point-of-care ultrasound (POCUS), assessing right ventricular hemodynamics, predicts short-term outcomes. This study examines the long-term impact of acute PH on mortality in elderly COVID-19 patients. Methods: This retrospective long-term study analyzed data from patients over 70 years old with severe COVID-19 pneumonia admitted to a mixed 25-bed, level 3 intensive care unit (ICU). POCUS focused on systolic pulmonary artery pressure (sPAP) at admission. Mortality was evaluated 1000 days post-admission. Results: The study included 130 patients, comprising 30 long-term survivors and 100 non-survivors, with a cumulative long-term mortality rate of 77%. Non-survivors had significantly higher sPAP values (39.1 ± 12.8 vs. 30.4 ± 9.2, p = 0.04), which were associated with long-term mortality in survival analysis. Conclusion: Acute pulmonary hypertension (PH), reflected by elevated systolic pulmonary artery pressure (sPAP), is strongly associated with long-term mortality in elderly critically ill COVID-19 patients. Early assessment of sPAP via POCUS may help identify high-risk patients and guide management strategies to improve outcomes.</jats:p>",
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"name": "Department of Internal Intensive Medicine, General Hospital Celje, 3000 Celje, Slovenia"
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"family": "Kurnik",
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"name": "Department of Internal Intensive Medicine, General Hospital Celje, 3000 Celje, Slovenia"
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"family": "Božič",
"given": "Helena",
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{
"affiliation": [
{
"name": "Department of Internal Intensive Medicine, General Hospital Celje, 3000 Celje, Slovenia"
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{
"name": "Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia"
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"family": "Podbregar",
"given": "Matej",
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