Göğüs Hastalıkları Servisinde İzlenmekte İken Yoğun Bakım Ünitesine Sevk Edilen Hastaların Genel Özelliklerinin İrdelenmesi

Amaç: Bu çalışmada bir eğitim hastanesi göğüs hastalıkları servisinde takip edilmekte iken yoğun bakım ihtiyacı doğan hastaların genel özelliklerinin saptanması hedeflenmiştir. Gereç ve Yöntem: Bu çalışmaya Antalya Eğitim ve Araştırma Hastanesinde 1 Ocak- 31 Aralık 2017 tarihleri arasında göğüs hastalıkları servisinden 3. Basamak yoğun bakıma sevk edilen hastalar dahil edildi. Çalışmaya göğüs hastalıkları servisinden yoğun bakıma sevk edilen tüm hastalar dahil edilirken, dosya verileri eksik olan hastalar çalışma dışında bırakıldı. Bulgular: Bu dönemde göğüs hastalıkları servisinde 697 hastanın yattığı tespit edildi. Bu hastalardan 56’sının (%8,03) yoğun bakıma sevk edildiği saptandı. Çalışmaya ortalama yaşı 69,8±14,4 olan, 38 (%67,9) erkek, 18 (%32,1) kadın hasta alındı. Yoğun bakıma sevk edilen hastaların en sık yatış nedenleri sırasıyla pnömoni %55,3 (31), kronik obstrüktif akciğer hastalığı %21,4 (12) ve trakeit %8,9 (5) olarak tespit edildi. En sık eşlik eden hastalığın kardiyovasküler sisteme ait olduğu gözlendi. Hastaların 37’sinin (%66,1) özgeçmişinde sigara kullandığı tespit edildi. Göğüs hastalıkları servisinde geçirilen süre ortalama 5,2±5,9 gün iken, yoğun bakımda geçirilen süre 6,6±10,7 gün olduğu saptandı. Yoğun bakım takiplerinde 24 (%42,9) hastanın exitus olduğu saptandı. Sonuç: Göğüs hastalıkları servisinde takip edilirken yoğun bakım ihtiyacı doğan hastalar genellikle yaşlı ve komorbit hastalıkları olan hastalardır.

Evaluation of General Characteristics of Patients Transferred to Intensive Care Unit While Being Followed up in Chest Diseases Ward

Objective: In this study, it was aimed to determine the general characteristics of patients who needed intensive care while being followed up in a training hospital chest diseases ward. Materials and Methods: Patients who were transferred from the chest diseases service to the 3rd step intensive care unit in Antalya Training and Research Hospital between January and December 2017 were included in this study. While all patients who were referred from the chest diseases service to the intensive care unit were included in the study, patients with missing file data were excluded from the study. Results: It was found that 697 patients were hospitalized in the chest diseases service during this period. It was found that 56 (8.03%) of these patients were referred to intensive care. 38 (67.9%) male and 18 (32.1%) female patients with a mean age of 69.8±14.4 years were included in the study. The most common reasons for hospitalization of patients transferred to intensive care were determined as pneumonia 55.3% (31), chronic obstructive pulmonary disease 21.4% (12) and tracheitis 8.9% (5). It was observed that the most common accompanying disease belonged to the cardiovascular system. It was determined that 66.1% (37) of the patients used smoking in their history. While the mean time spent in the chest diseases ward was 5.2±5.9 days, it was found that the time spent in the intensive care unit was 6.6±10.7 days. It was found that 24 (42.9%) patients died in intensive care follow-ups. Conclusion: Patients who need intensive care while being followed up in the chest diseases service are generally elderly and patients with co-morbid diseases.

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