Simsek Engin Ersin, Guner Abdullah Emre, Kul Seval, Karakurt Zuhal, Tekesin Kemal, Birinci Suayip
Department of Family Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
Department of Public Health Services, Provincial Directorate of Health, Istanbul, Turkey.
North Clin Istanb. 2020 Oct 5;7(5):443-451. doi: 10.14744/nci.2020.87846. eCollection 2020.
COVID-19 has spread worldwide and leads to an increased risk of mortality. We aimed to analyze what actions have been effective in fighting COVID-19 in Turkey with a comparison to pandemic-affected countries.
This was a retrospective observational cross-sectional study. The Republic of Turkey Ministry of Health official web page includes data reported daily from 11 March to 26 April. Global COVID-19 data were recorded daily from https://www.worldometers.info/coronavirus/country/. Data were analyzed for 31 days according to Intensive Care Unit (ICU) admission, intubation and mortality rates. Segmented regression analysis was used. The results from COVID-19-affected countries were compared with the results from Turkey for the first 65 days.
In total, 889.742 tests were performed (positive=110.130 [12.37%]). The mortality rate was 2.55% (n=2805) on 27 April 2020. The annual percent change (APC) values of the cases showed 5 segments ([23.1], [14.7] [11.4], [3.7], [0.7]; each p=0.001). ICU admission showed 4 segments (APC: [3.1, p=0.001], [-2.2, p=0.10], [-7.6, p=0.001], [-4.5, p=0.001]). The decline of APC for intubation rates showed 5 segments (APC: [1.1, p=0.10], [-1.1,p=0.001], [-2.0, p=0.001], [-0.4, p=0.40], [-2.7, p=0.001]). The mortality rates showed 4 segments (APC: [-6.3, p=0.001], [8.4, p=0.001], [0.2, p=0.30], [1.4, p=0.001]). Deaths were reported per 1 million individuals for the first 65 days: Spain 11.6%, Italy 11.4%, UK 11.3%, France 11.1%, USA 10.3%, Germany 8.4%, Iran 8.2%, Turkey 7.5%, South Korea 4.1% and China 2.4%.
Public health policies and protocols to combat COVID-19 helped control the spread and decrease positive cases and mortality rates in Turkey. Turkey managed COVID-19 better than Spain, Italy, UK, France, USA and Turkey managed COVID-19 similarly to Germany and Iran. China and South Korea were best at managing COVID-19.
新冠病毒病（COVID-19）已在全球传播并导致死亡风险增加。我们旨在分析在土耳其抗击COVID-19方面哪些行动是有效的，并与受疫情影响的国家进行比较。
这是一项回顾性观察性横断面研究。土耳其共和国卫生部官方网页包含了3月11日至4月26日每日报告的数据。全球COVID-19数据每日从https://www.worldometers.info/coronavirus/country/记录。根据重症监护病房（ICU）收治率、插管率和死亡率对数据进行了31天的分析。采用了分段回归分析。将受COVID-19影响国家的结果与土耳其前65天的结果进行了比较。
共进行了889,742次检测（阳性=110,130[12.37%]）。2020年4月27日死亡率为2.55%（n=2805）。病例的年度百分比变化（APC）值显示有5个阶段（[23.1]，[14.7]，[11.4]，[3.7]，[0.7]；各p=0.001）。ICU收治显示有4个阶段（APC：[3.1，p=0.001]，[-2.2，p=0.10]，[-7.6，p=0.001]，[-4.5，p=0.001]）。插管率的APC下降显示有5个阶段（APC：[1.1，p=0.10]，[-1.1，p=0.001]，[-2.0，p=0.001]，[-0.4，p=0.40]，[-2.7，p=0.001]）。死亡率显示有4个阶段（APC：[-6.3，p=0.001]，[8.4，p=0.001]，[0.2，p=0.30]，[1.4，p=0.001]）。前65天每100万人口中的死亡报告率为：西班牙11.6%，意大利11.4%，英国11.3%，法国11.1%，美国10.3%，德国8.4%，伊朗8.2%，土耳其7.5%，韩国4.1%，中国2.4%。
抗击COVID-19的公共卫生政策和方案有助于控制土耳其的传播并降低阳性病例数和死亡率。土耳其在管理COVID-19方面比西班牙、意大利、英国、法国和美国做得更好，在管理COVID-19方面与德国和伊朗类似。中国和韩国在管理COVID-19方面表现最佳。
