Yoğun bakım ünitesinde takip edilen kardiyopulmoner resüsitasyon sonrası hastaların değerlendirilmesi: Bir yıllık retrospektif analiz.

Abstract

Amaç: Kardiyopulmoner resüsitasyon (KPR) sonrası hastalar kritik bir hasta grubudur. Günümüzde tedavi seçenekleri ve kılavuzların gelişmesine rağmen bu hastalarda mortalite ve morbidite oranları hala yüksektir. Yoğun Bakım Ünitesine (YBÜ) kabul edilen KPR sonrası hastalar için tanımlayıcı veriler elde etmeyi amaçladık. Gereç ve Yöntemler: KPR sonrası hastaların demografik verileri, Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi II (APACHE II) ve Glasgow koma skorları (GKS), yoğun bakımda kalış süreleri ve ölüm oranları hastanemiz veri tabanı üzerinden kayıt altına alındı. Bulgular: Çalışma süresi boyunca 78 hasta değerlendirildi.Hastaların yaş ortalaması 75,01±9,6 yıl olup 42'si (%53,84) kadındı.Yoğun bakım ünitesine kabulde ortalama APACHE II skoru 21,15 ± 7,2, ortalama GKS 8,29 ± 2,4 idi.Hastaların %96,15'inde yandaş hastalık mevcuttu ve 35 hastada 3 ve daha fazla yandaş hastalık mevcuttu.vYoğun bakımda 26 hasta hayatta kalırken 52 hasta hayatını kaybetti. Ölen hastalarda APACHE II skorları ve laktat düzeyi daha yüksek, buna karşın GKS skoru ise daha düşüktü.. Sonuç: KPR sonrası hastalarda yüksek mortalite oranları rapor edilmiştir. Bu hastalar için prognostik olduğu öne sürülen birçok faktör vardır. Ölen hastalarımızda laktat düzeyi ve APACHE II skoru daha fazla, GCS skoru ise daha düşüktü.

Keywords

• Kardiyopulmoner arest
• Yoğun bakım
• Mortalite Oranı.

Evaluation of post cardiopulmonary resuscitation patıents followed in intensive care unit: A one-year retrospective analysis.

Abstract

Aim: Post Cardiopulmonary Resuscitation (CPR) patients are a critical patient group. Despite the development of treatment options and guidelines, mortality and morbidity rates in these patients are still high. We aimed to obtain a descriptive data for post CPR patients admitted to Intensive Care Unit (ICU). Material and Methods: This single-center, retrospective observational study was conducted in the mix ICU’s at the Karabuk University Hospital in Karabuk, Turkey, from Jan 2023 to Jan 2024. Demographic data of the post-CPR patients, Acute Physiology and Chronic Health Evaluation II (APACHE II) and Glasgow coma scores (GCS), length of stay in the ICU and mortality were recorded through our hospital database. Results: During the study period,78 patients were evaluated. The mean age of the patients was 75.01 ± 9.6 years, and 42 of them were female (53.84%). The mean APACHE II scores on ICU admission was 21.15 ± 7.2, and mean GKS was 8.29 ± 2.4. Comorbid disease was present in 96.15% of the patients, and 35 patients had 3 or more comorbid diseases. Twenty-six patients survived whereas 52 died in ICU. APACHE II scores and. the lactate level were higher, whereas GCS score was lower in nonsurvivors. Conclusion: High mortality rates have been reported for post CPR patients. There are many factors that have been suggested to be prognostic for these patients. In our died patients, the lactate level and their APACHE II score were higher and their GCS scores were lower.

Keywords

• Cardiopulmonary arrest
• Intensive care
• Mortality Rate.

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