UÜ SUAM acil servise kritik hasta başvurusu ve yoğun bakım yatışları: 3 aylık inceleme
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Date
2016
Authors
Yılmaz, Pınar Uygun
Journal Title
Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
Bu çalışmada; objektif risk belirleme skorlama sistemleri olarak kullanılan; APACHEII ( Acute Physiology and Chronic Health Evaluation), SOFA (Sequential Organ Failure Assessment Score), qSOFA (Quick Sequential Organ Failure Assessment Score), FOUR(Full Outline of UnResponsiveness), GKS (Glasgow Koma Skalası), MEWS (Modifiye Erken Uyarı Skoru) sistemleri kullanılarak; acil servise başvuran dahili grup hastalar arasındaki kritik bakım hastalarının erken belirlenmesi, hastaların acil serviste kalış sürelerini ve acil servis ve yatıştaki mortalite oranlarının belirlenmesi hedeflenmiştir. Elde edilen veriler ile kritik hasta bakım kalitesini arttırmak amaçlanmıştır. Uludağ Üniversitesi Tıp Fakültesi Hastanesi Acil Servis’ine başvuran, 250 kritik hasta başvurusu bu çalışmaya dahil edildi. APACHEII, SOFA, qSOFA, FOUR, GKS, MEWS skorları hesaplandı. ROC eğrisine göre mortaliteyi öngörmede APACHEII, qSOFA, CVP(Santral Venöz Basınç) skorlarının anlamlı ve bağımsız [(p<0,05)] etkileri gözlenmiştir. Sonuç olarak kritik hastaların belirlenmesi ve hastaneye yatışları için verilecek karar açısından yine bu sistemlerin kullanışlı olabileceği bulundu.
In this study; used as an objective risk assessment scoring systems; with APACHE II (Acute Physiology and Chronic Health Evaluation), the SOFA (Acute Physiology and Chronic Health Evaluation), the qSOFA (quick Sequential Organ Failure Assessment Score), FOUR (Full Outline of UnResponsiveness), GCS (Glasgow Coma Scale), using MEWS (Modified Early Warning Score) systems. We tend to early identification of critical care patients among internal group patients in our emergency department. The target at this study is to determine patients emergency hospital stay and emergency room and hospital mortality rates. It is aimed to increase the quality of patient care with the obtained data. Uludag University Medical Faculty admitted to the hospital emergency room, contact 250 critically ill patients were included in this study. With APACHE II, SOFA, qSOFA, FOUR, GCS, MEWS scores were calculated. According to the ROC curve for prediction of mortality APACHEII, qSOFA, CVP (Central Venous Pressure) scores significantly and independently [(p<0.05)] effects were observed. As a result, the identification of critical illness and hospitalization for the decision to be made for these systems still found can be useful.
In this study; used as an objective risk assessment scoring systems; with APACHE II (Acute Physiology and Chronic Health Evaluation), the SOFA (Acute Physiology and Chronic Health Evaluation), the qSOFA (quick Sequential Organ Failure Assessment Score), FOUR (Full Outline of UnResponsiveness), GCS (Glasgow Coma Scale), using MEWS (Modified Early Warning Score) systems. We tend to early identification of critical care patients among internal group patients in our emergency department. The target at this study is to determine patients emergency hospital stay and emergency room and hospital mortality rates. It is aimed to increase the quality of patient care with the obtained data. Uludag University Medical Faculty admitted to the hospital emergency room, contact 250 critically ill patients were included in this study. With APACHE II, SOFA, qSOFA, FOUR, GCS, MEWS scores were calculated. According to the ROC curve for prediction of mortality APACHEII, qSOFA, CVP (Central Venous Pressure) scores significantly and independently [(p<0.05)] effects were observed. As a result, the identification of critical illness and hospitalization for the decision to be made for these systems still found can be useful.
Description
Keywords
Acil servis, Skorlama sistemleri, Yoğun bakım, Emergency department, Scoring systems, Intensive care
Citation
Yılmaz, P. U. (2016). UÜ SUAM acil servise kritik hasta başvurusu ve yoğun bakım yatışları: 3 aylık inceleme. Yayınlanmamış uzmanlık tezi. Uludağ Üniversitesi Tıp Fakültesi.