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?:abstract
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OBJECTIVE: 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 METHODS: 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 RESULTS: 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% CONCLUSION: 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
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