A Retrospective Review of Patients Hospitalized in the Postoperative Intensive Care Unit due to Ectopic Pregnancy Rupture

Yıl 2020, , 44 - 50, 15.01.2020

Osman Uzundere , Cem Kıvılcım Kaçar

https://doi.org/10.21673/anadoluklin.591224

Öz

Aim:
In this study, we
aimed to retrospectively review the clinical characteristics of patients who
were operated on for ectopic pregnancy rupture (EPG) in our hospital and hospitalized
in the postoperative intensive care unit (ICU) and evaluate the possible
relations between the patient laboratory data and ICU length of stay.

Materials
and Methods: The study
included 56 female patients whose medical records were available and who were
hospitalized in the ICU between 1.1.2017 and 1.1.2019. We retrospectively recorded
the patients’ demographic and clinical characteristics and laboratory data, amount
of blood and blood products received, and number of days spent in the ICU.

Results:
The mean patient age
was 30.21±5.26 years and the mean ICU length of stay was 1.87±1.20 days. The patients
were given an average of 1.78±1.76 units of erythrocyte suspension (EU), 1.19±1.55
U fresh frozen plasma (FFP), and 0.03±0.26 U platelet suspension (PS). It was
found that between the ICU length of stay and the hematocrit and platelet
values, hemoglobin values, ES and FFP use, and PS use there was a weak negative
(r=-0.388, p=0.003; r=-0.380, p=0.004), moderate negative (r=-0.436, p=0.001), moderate
positive (r=0.469, p<0.001; r=0.476,
p<0.001), and weak
positive (r=0.281, p=0.036) correlation, respectively. It was also found that the patients who received blood and blood
products replacement stayed in the ICU longer than those who did not receive a replacement
(p=0.004).

Discussion
and Conclusion: We found a
statistically significant negative correlation between the low hemoglobin,
hematocrit, and platelet values and the ICU length of stay. There was a statistically
significant positive correlation between the amount of ES, FFP, and PS given to
the patients and the ICU length of stay. It was also observed that the patients
who received more blood and blood products stayed longer in the ICU.

Anahtar Kelimeler

blood transfusion, ectopic pregnancy rupture, intensive care unit

Ektopik Gebelik Rüptürü Nedeniyle Postoperatif Yoğun Bakım Ünitesine Alınan Hastalar Üzerine Bir Retrospektif İnceleme

Öz

Amaç: Bu çalışmada, hastanemizde ektopik gebelik rüptürü (EGR)
nedeniyle acilen opere edilen ve sonrasında postoperatif yoğun
bakım ünitesine (YBÜ) alınan hastaların klinik özelliklerini incelemek ve
laboratuvar verileri ile YBÜ’de kalış süresi arasındaki olası ilişkileri retrospektif
olarak değerlendirmek amaçlanmıştır.

Gereç ve Yöntemler: Çalışmaya dosya verilerine ulaşılabilen ve
1.1.2017—1.1.2019 döneminde YBÜ’de yatmış olan 56 kadın hasta
dahil edildi. Hastaların demografik ve klinik özellikleri, laboratuvar
verileri, aldıkları kan ve kan ürünü miktarları ile YBÜ’de kaldıkları gün sayısı
retrospektif olarak kaydedildi.

Bulgular: Ortalama
hasta yaşı 30,21±5,26 yıl, ortalama YBÜ’de kalış süresi 1,87±1,20 gün idi.
Hastalara ortalama 1,78±1,76 ünite eritrosit
süspansiyonu (ES), 1,19±1,55 Ü taze
donmuş plazma (TDP) ve 0,03±0,26 Ü trombosit
süspansiyonu (TS) verildi. Hastaların YBÜ’de kalış
süresi ile hematokrit ve platelet değerleri, hemoglobin değeri, ES ve TDP kullanımı,
ve TS kullanımı arasında sırasıyla negatif yönlü zayıf (r=-0,388, p=0,003;
r=-0,380, p=0,004), negatif yönlü orta (r=-0,436, p=0,001), pozitif yönlü orta (r=0,469, p<0,001; r=0,476, p<0,001), ve pozitif
yönlü zayıf (r=0,281, p=0,036) düzeyde korelasyon olduğu saptandı. Ayrıca kan
ve kan ürünleri replasmanı uygulanan hastaların replasman uygulanmayan hastalara
göre YBÜ’de daha uzun süre kaldığı saptandı (p=0,004).

Tartışma ve Sonuç: Düşük
hemoglobin, hematokrit ve platelet değerleri ile YBÜ’de kalış süresi arasında
negatif yönlü, istatistiksel olarak anlamlı korelasyon saptandı. Hastalara
verilen ES, TDP ve TS miktarıyla YBÜ’de kalış süresi arasında ise pozitif yönlü
istatistiksel olarak anlamlı korelasyon vardı. Ayrıca daha fazla kan ve kan
ürünleri alan hastaların, YBÜ’de daha uzun süre kaldığı saptandı.

Anahtar Kelimeler

ektopik gebelik rüptürü, kan transfüzyonu, yoğun bakım ünitesi

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