1991-2000 yılları arasında OMÜ Tıp Fakültesi Cerrahi Yoğunbakım Ünitesi'nin ve yoğun bakımda yatan hastaların retrospektif analizi
A retrospctive analyze of the Ondokuz Mayıs University Faculty of Medicine Surgical Intensive Care Unit and of the patients who admitted to ıcu between 1991-2000
- Tez No: 175306
- Danışmanlar: PROF. DR. A. HAYDAR ŞAHİNOĞLU
- Tez Türü: Tıpta Uzmanlık
- Konular: Anestezi ve Reanimasyon, Anesthesiology and Reanimation
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 2002
- Dil: Türkçe
- Üniversite: Ondokuz Mayıs Üniversitesi
- Enstitü: Tıp Fakültesi
- Ana Bilim Dalı: Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 84
Özet
ÖZET Bu çalışma, 1991-2000 yıllarını kapsayan 9 yıllık süre içinde, Ondokuzmayıs Üniversitesi (OMÜ) Tıp Fakültesi Cerrahi Yoğun Bakım Ünitesini ve bu ünitede yatan ve tedavi gören hastalan inceleyen, daha sonraki çalışmaların planlanmasında yol gösterici bir araştırma olarak amaçlandı. Analizi yapılan dokuz yıllık süreçte, yoğun bakım ünitesinde izlenmiş ve tedavi görmüş, dosyasına ulaşabildiğimiz 967 hastanın, incelenmeye karar verilen bilgileri yoğun bakım ünitesi hasta izlem çizelgelerinden elde edildikten sonra rakamsal olarak kodlanarak istatistiksel bilgisayar programlarından SPSS 10,0'a yüklendi ve tüm verilerin analizinde bu program kullanılarak, dağılımlar, frekans hesaplan ve karşılaştırmalar yapıldı. İstatistiksel olarak anlamlı olmalan p değerinin büyüklüğüne göre test edildi. p
Özet (Çeviri)
A RETROSPECTIVE ANALYZE OF THE ONDOKUZ MAYIS UNIVERSITY FACULTY OF MEDICINE SURGICAL INTENSIVE CARE UNIT AND OF THE PATIENTS WHO ADMITTED TO ICU BETWEEN 1991-2000. ABSTRACT The present retrospective study was designed for to review the characteristics and the outcome of the patients who admitted Ondokuz Mayıs University Intensive care unit (ICU) between 1991 and 2000. Also it was aimed to use the results of this study for further investigations as a guide. In this nine years follow-up period we could obtain the folders of 967 patients at the archive of Ondokuz Mayıs University. The data which were attained from the patient's following chart were coded in appropriate illustration for statistical analyze in SPSS 10.0 computer program. P value less than 0.05 was considered as statistically significant. 64,8 % of the 967 patients was male and 35,2 % female. The patients were divided into groups according to decades. The number of the patients in 3rd decade was statistically higher than the other decades. The rate of patients number in 8 decade and over was the lowest ( 7,5 %). The rate of patients who admitted in ICU in the name of Neurosurgery clinic was the highest (39 %). Following higher rate of patients were admitted in the name of Cardiovascular Surgery and General Surgery (17,7 % andl5,6 % respectively). The highest number of patients was followed in 1991 (19 %) and the lowest number of patients in 1993 (4.8 %). It was determined that the patients were followed in ICU by 59 different clinical diagnosis and 48 % of them was trauma. The rate of head trauma patients was 15.2 % and the trauma patients was 31,6 % among all of the patients. The main necessity of patients admittance to ICU was postoperative observation (58,5 %). Close observation and treatment in any illness was the second by the rate of 34,6 %. The sum of these two indication rates was 93,1 % of all indications. Length of stay in ICU was between 1 and 77 days. Total staying period of the 967 patients was 7500 days. While 14,2 % of the patients stayed in ICU 14 or over 14 days, the rest 42,4 % of patients stayed in ICU between 1 and 3 days. It was found that the length of staying period in ICU was the longest in Emergency Department Patients (9,5 days) and in Neurosurgery patients (7 days). VIINo statistical relationship was found between the ages and the length of staying period of patients. The length of staying period was compared to years, and there was no statistical significant among. 42,8 % of the patients were admitted to ICU with endotracheal intubation. All these patients were considered as to be supported by mechanical ventilation. 40,7 % of these patients was male and 46,8 % female. The patients were assessed according to type of discharge condition from the ICU. 2,6 % of them was sent to home in recovery, 51,5 % of them were sent to other clinical departments for further treatments and 45,9 % of them died. Antibiotics was the most frequently used drugs (93,1 %). Analgesics and anesthetics drugs (66,4 %) and steroids (57,9 %) followed the antibiotics. The most often used analgesic and anesthetics drugs were opioids (40,4 %). The other drugs such as antihypertensive drugs, diuretics, sypathomimetics, etc were used in 95,4 % of the patients. The frequency of cardiac, respiratory, renal, septic complications were 63.5 %, 52 %, 23.6 %, 21,8 %, respectively. The distribution of frequency of complication according to years were not different. There were no complications occurred in 23,8 % of the patients. Cardiac and respiratory complications were the most frequent complications (15,7 %). The rate of Multiple Organ Failure which was defined as the dysfunction in more than two organ was 38,2 %. The complications were seen at least between the ages 1 1 and 20, but mostly at the ages 70 and over 70. Parenteral, enteral or combined (parenteral + enteral) nutritional support was used with the aim of feeding and treatment in 99,4 % of all the patients. The rate of parenteral nutritional support was 66,2 % and enteral nutrition support 33,2 %. While the rate of administering solely parenteral nutrition was 66,2 %, enteral nutrition 0,6 %. The Glasgow Coma Scale (GCS) was used for predicting the prognosis. The average of GCS was 7,7 ±0.1 at the admittance and 7,1 ± 0.2 at the discharge. The GCS of the patients who were admitted for postoperative observation was 8.1 ±0.1 at the admittance and 8,.9 ± 0.2 at the discharge. The GCS of the patients who were admitted for close observation with any severe illness was 6.8 ±0.1 at the admittance and 4.1 ± 0.3 at the discharge. When the GCS values at the admittance compared with the discharge and the length of stay in ICU, there were a significant statistical differences (p
Benzer Tezler
- 2000-2010 yılları arasında OMÜ Tıp Fakültesi Anesteziyoloji ve Reanimasyon Anabilim Dalı Algoloji Bilim Dalı'na ağrı nedeni ile başvuran hastaların retrospektif analizi
Retrospective analysis of patients referred to OMU Medikal Faculty Hospital Algology Department with pain between 2000-2010
SEVDA AKDENİZ
Tıpta Uzmanlık
Türkçe
2012
Anestezi ve ReanimasyonOndokuz Mayıs ÜniversitesiAnesteziyoloji ve Reanimasyon Ana Bilim Dalı
DOÇ. DR. EBRU KELSAKA
- Bir barış süreci örneği olarak Oslo
Oslo as an example of a peace process
BORA BAYRAKTAR
Doktora
Türkçe
2012
Uluslararası İlişkilerMarmara ÜniversitesiOrtadoğu Siyasi Tarihi ve Uluslararası İlişkiler Ana Bilim Dalı
DOÇ. DR. GÜLDEN AYMAN
- 1980-2000 yılları arası Kazakistan'daki tarih eğitimi
History education in Kazakhstan between 1980 and 2000
KARLYGASH ZHYLKYSHYBAYEVA
Doktora
Türkçe
2021
TarihNiğde Ömer Halisdemir ÜniversitesiAvrasya Araştırmaları Ana Bilim Dalı
DOÇ. DR. İBRAHİM ÖZTÜRK
- Patoloji arşivindeki 10 yıllık kanser (1991-2000) olgularının genel değerlendirilmesi
General evoluation of cancer cases in pathology archieve between (1991-2000) years
SELVER ÖZEKİNCİ