Geriatrik Hasta Grubunun Yoğun Bakımdan Çıkışı ve Mortalitesinin Retrospektif Olarak Değerlendirilmesi

Öz

Giriş:Yoğun bakım ünitesinde (YBÜ) takip edilen geriatrik hastalar yüksek mortaliteye sahip olsalar da, morbidite ve mortalite oranları yaşa bağlı olmayıp altta yatan hastalığın şiddetiyle bağlantılıdır. Çalışmamın amacı, YBÜ’de yatan 65 yaş ve üzeri hastaların yoğun bakımdan taburculuk ve mortalite oranlarını karşılaştırmaktır. Gereç ve Yöntemler:YBÜ’de geritarik hastalara ait veriler,yaş, cinsiyet, yatış tanısı, altta yatan hastalıklar, kalış süreleri, mekanik ventilator gereksinimi ve Simplified Acute Physiology Score II (SAPS II) ile hastaların mortalite durumları değerlendirilmiştir. Çalışmaya 174 hasta dahil edilmiştir. Çalışmada Grup I; 65-77 yaş arası hastalardan, Grup II ise; 78 yaş ve üzeri hastalardan oluşmuştur. Bulgular:Gruplar arasında demografik veriler arasında istatistiksel açıdan anlamlı farklılık tespit edilmedi. SAPS II değerine bakıldığında grup I’de ortalama değer 42.05±19 iken Grup II’de 44.92±20.09 olarak saptandı. SAPS II skorlarına göre gruplar arasında mortalite ilişkisi incelendiğinde istatistiksel açıdan anlamlı bir ilişki olduğu saptanmıştır. Sonuç:Çalışma bulguları YBÜ’deki geriatrik hastalarda mortalite oranlarının değerlendirilmesinde SAPS II skorunun kullanılabileceğini göstermektedir.

Anahtar Kelimeler

• geriatri
• yoğun bakım yatışı
• SAPS II

Retrospective evaluation of geriatric patient group discharge from Intensive Care Unit and mortality

Öz

Aim:Although geriatric patients hospitalized in intensive care units (ICUs) have high mortality, morbidity and mortality rates are not related to age but are related to the severity of the underlying disease. The aim of our study is to compare the ICU discharge and mortality rates of 65 years and over aged patients hospitalized in the ICU. Material and Methods:Data belonging to geriatric patients in the ICU were evaluated with age, gender, hospitalization diagnosis, underlying diseases, duration of stay, mechanical ventilator requirement and the mortality status of the patients with Simplified Acute PhysiologyScore II (SAPS II). 174 patients were included in the study. In the study, patients were divided into two groups according to age group. Group I; among the patients between 65-77 years old, Group II; it consisted of patients 78 years and older. Results:There was no statistically significant difference between the demographic data between the groups. Looking at the SAPS II variable, the mean value was 42.05 ± 19 in group I, while it was 44.92 ± 20.09 in group II. When the relationship between mortality determined accordingto SAPS II scores and actual mortality was examined, istatistically significant relationship was found. Conclusion:The study findings show that SAPS II score can be used to evaluate mortality rates in geriatric patients in ICU.

Anahtar Kelimeler

• geriatrics
• intensive care admission
• SAPSII

Kaynakça

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