Yoğun bakım ünitelerimizde bir yıllık süreçte ölüm ile sonuçlanan hasta yatışlarının retrospektif değerlendirilmesi
Retrospective study of patients admission who ended by death in our intensive care unit as one year period
Yazar: ENES BÜLBÜL
Danışman: UZMAN GÜLTEN ARSLAN
Sağlık Bilimleri Üniversitesi / Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi / Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
Derece: Tıpta Uzmanlık, 2017
Konu: Anestezi ve Reanimasyon = Anesthesiology and Reanimation
Dizin: APACHE skorlama sistemi = APACHE scoring system ; C reaktif protein = C reactive protein ; Hastaneye yatırma = Hospitalization ; Retrospektif çalışmalar = Retrospective studies ; Yoğun bakım = Intensive care ; Yoğun bakım üniteleri = Intensive care units ; Ölçekler = Scales ; Ölüm = Death

Özet:
Bu çalışmada 01 Ocak 2015- 31.12.2015 tarihleri arasında Sağlık Bilimleri Üniversitesi Kartal Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi Yoğun Bakım Ünitesi'nde takip edilen 510 hasta değerlendirme altına alınmıştır. Yaş, cinsiyet, ek hastalıkları, yatış süreleri, YBÜ'ye kabul ediliş ve ölüm nedenleri, beyin ölümü ve organ donörü varlığı, geldikleri birim, mekanik ventilasyon süresi, beslenme türü, inotrop kullanımı, trakeostomi gereksinimleri, post-CPR varlığı, re-entübasyon durumu, ilk 24 saat MV gereksinimi, APACHE II ve ilk 24 saat GKS skorları hazırlanan formlara kaydedilerek değerlendirmeler yapıldı.
Hastalar yaş gruplarına göre Yaş≤18, 18

Abstract:
In this study, 510 patients who were followed up at University of Health Sciences Kartal Dr. Lütfi Kırdar Training and Research Hospital Intensive Care Unit between 01 January 2015 and 31 December 2015 were evaluated. Age, gender, admission, duration of hospital stay, admission to ICU, causes of death, brain death and presence of organ donor, unit of arrival, duration of mechanical ventilation, feeding type, inotropic use, tracheostomy requirements, presence of post-CPR, re-intubation status, first 24-hour MV requirement, APACHE II and first 24-hour GKS scores were recorded in he prepared forms and evaluated. Patients were grouped according to age groups as Age≤18, 18 , but no significant difference was found between the groups. Despite the fact that women have longer admission times when duration of hospitalization was evaluated according to the gender, no significant relationship was found between genders. The relationship between gender and duration of MV was also similar and the duration was higher in women but no significant difference was found between genders. The patients included in the study were handled under 10 different groups according to the reasons for admission. The most patients were in the oncologic diseases group (21%). The highest mean age was in the Cardiovascular System Diseases and the lowest mean age was in the trauma group, and statistically significant difference was found between the groups. In the evaluation according to the gender-acceptance criteria, the highest number of males was found in the trauma group and there was a significant difference between the groups.
According to the causes of death of our patients in our study, the highest number of patients was found in the malignancy group (24%). The group with the lowest mean age in terms of causes of death was determined as 36.4 years as trauma group, and the group with the highest mean age was 74.2 years as circulatory system diseases. There was a significant difference between the causes of death in terms of mean age. In the gender evaluation of death reasons, the percentage of male patients was the lowest in "Multiorgan Failure" group with 39% and the highest in "Trauma" group with 93%, and statistically significant difference was found.