Abstract
Background: In this research we aimed to demonstrate the
clinical-radiological and laboratory characteristics of patients
hospitalized for COVID-19 pneumonia despite having COVID-19 vaccine
compared to unvaccinated patients. Materials-Methods: Patients
hospitalized in the COVID-19 clinic between February 2022 and August
2022 were included in the study. Demographic, clinical features and
treatment results furthermore COVID-19 vaccination status of the cases
were recorded. The cases were divided into two groups as those with and
without the COVID vaccination and compared respectively. Results: A
total of 215 cases were included in the study, 53.5% (n=115) were
vaccinated. The presence of comorbid chronic diseases and cancer was
less in the unvaccinated group. The duration of hospitalization was
longer in the unvaccinated group(9.6 and 7.1 days, respectively). The
number of segments affected were significantly higher in the
unvaccinated group(p<0.05). Patients who received high-dose
glucocorticoid therapy in the unvaccinated group was higher (28 cases
vs. 11 cases; p<0.001).). The 11.3% (13/115) of the patients
in the vaccinated group deceased, whereas 14% (14/100) in the
unvaccinated group. Vaccination was found to be an independent factor
affecting mortality (p=0.034 CI: 0.108 - 0.918). Conclusion: The
vaccinated cases were who were infected with COVID-19 had shorter
duration of hospitalization and lower severity of radiological
involvement. The requirement of pulse steroids were also less compared
to unvaccinated individuals. Despite having chronic diseases and cancer,
which is considered to have a significant effect on mortality in
COVID-19. Additionally although the vaccinated group was older, they had
similar mortality rates with unvaccinated subjects.