Acil Servise Başvuran ve Pnömoni Tanısı ile Yoğun Bakıma Yatan Hastalarda RDW/Albumin ve BUN/Kreatinin Oranının Mortaliteyi Göstermedeki Gücü

Yıl 2025, Cilt: 35 Sayı: 6, 1072 - 1080, 31.12.2025

Nazım Onur Can , Şenol Arslan , Furkan Akpınar , Halil İbrahim Doru

https://doi.org/10.54005/geneltip.1540057

https://izlik.org/JA66RK54DW

Öz

ÖZET
Amaç: Pnömoni tüm dünyada en önemli mortalite ve morbidite nedenlerinden biridir. Pnömoni hastalarının acil servislerde prognozunu belirlemede kullanabileceğimiz daha basit ve kolay belirteçlere ihtiyaç vardır. Biz bu çalışmamızda acil servise başvuran ve pnömoni tanısı ile yoğun bakıma yatırılan hastalarda RDW/Albümin ve BUN/Kreatinin oranı ile 30 günlük mortalite, hastanede kalış süresi ve entübasyon ihtiyacı arasındaki ilişkiyi değerlendirmeyi amaçladık.
Yöntemler: Çalışmaya Ocak 2022- Aralık 2023 tarihleri arasında acil servise başvuran ve pnömoni sebebi ile yoğun bakıma yatırılan 98 hasta dahil edildi. Hastalar taburcu ve ex olan hastalar olmak üzere iki gruba ayrıldı. Gruplar arasında RDW/Albümin ve BUN/Kreatinin oranlarının mortalite ile olan ilişkisi karşılaştırıldı.
Bulgular: Çalışmadan elde ettiğimiz bulgulara göre RDW/Albumin oranının acil servisten yoğun bakıma yatışı yapılan hastalarda mortaliteyi anlamlı şekilde öngördüğü bulunmuştur. Elde edilen diğer bir bulguda ise BUN/Kreatinin oranının da mortaliteyi istatistiksel olarak anlamlı şekilde öngördüğü belirlenmiştir (p<0,05). Çalışmada ayrıca BUN/Kreatinin oranı ile yatış süresi arasında ve yine CRP ile yatış süresi arasında düşük düzeyde pozitif yönlü bir ilişki bulunmuştur. Çalışmamızda albumin seviyesinin entübe olan grupta düştüğü, BUN (p=0,001), kreatinin (p=0,028) ve CRP'nin (p<0,001) ise entübe olan grupta yüksek ve anlamlı olduğu bulunmuştur.
Sonuç: Çalışmamızda RDW/Albümin ve BUN/Kreatinin oranlarının pnömoni hastalarında 30 günlük mortalite tahmininde kullanılabilecek parametreler olduğunu tespit ettik.

Anahtar Kelimeler

Albumin , Kreatinin , Mortalite , Pnömoni

The Power of RDW/Albumin and BUN/Creatinine Ratio in Predicting Mortality in Patients Admitted to the Emergency Department and Hospitalized in Intensive Care Unit with Pneumonia

https://izlik.org/JA66RK54DW

Öz

ABSTRACT
Background/Aims: Pneumonia is one of the most important causes of mortality and morbidity worldwide. There is a need for simpler and easier markers that we can use to determine the prognosis of pneumonia patients in emergency departments. In this study, we aimed to evaluate the relationship between RDW/Albumin and BUN/Creatinine ratio and 30-day mortality, length of hospital stay and need for intubation in patients admitted to the emergency department and hospitalized in intensive care unit with a diagnosis of pneumonia.
Methods: The study included 98 patients admitted to the emergency department between January 2022 and December 2023 and hospitalized in the intensive care unit due to pneumonia. Patients were divided into two groups as discharged and exited patients. The relationship between RDW/Albumin and BUN/Creatinine ratios and mortality was compared between the groups.
Results: According to the findings of the study, RDW/Albumin ratio was found to significantly predict mortality in patients hospitalized from the emergency department to the intensive care unit. Another finding was that the BUN/Creatinine ratio also significantly predicted mortality (p<0.05). In the study, a low level positive correlation was found between BUN/Creatinine ratio and length of hospitalization and between CRP and length of hospitalization. In our study, it was found that albumin level decreased in the intubated group, while BUN (p=0.001), creatinine (p=0.028) and CRP (p<0.001) were high and significant in the intubated group.
Conclusion: In our study, we found that RDW/Albumin and BUN/Creatinine ratios are parameters that can be used to predict 30-day mortality in pneumonia patients.

Anahtar Kelimeler

Albumin , Creatinine , mortality , Pneumonia

Kaynakça

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