Evalution of Geriatric Infections in Palliative Care Center

Akdoğan, Doğan; Kahveci, Kadriye

doi:10.31086/tjgeri.2018.55

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…In the study by Yuruyen et al, the rate of patients discharged was 52%, the rate of referral to intensive care was 15% and the mortality rate was 33% [5]. Akdogan et al found in their study that mortality rate in the PC center of a tertiary care hospital was 43.0%, referral to intensive care unit was 24.3%, and the discharge rate was 32.8% [13]. Mortality rates and intensive care referral rates of the patients included in our study were found to be consistent with the findings in literature.…”

Section: Discussionmentioning

confidence: 98%

Palyatif bakim merkezlerinde tedavi gören hastaların değerlendirilmesi

Aslaner

Benli

Gökçek

et al. 2020

Family Practice and Palliative Care

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Introduction: Palliative care centers (PC centers) provide multidisciplinary care for patients with multiple comorbid conditions. This study aimed to assess and compare patients' diagnoses, length of hospital stays, and demographic data and coordination with home health care services. Methods: This is a descriptive, cross-sectional and retrospective study. Patients who were hospitalized in PC centers of secondary and tertiary care hospitals between 01.08.2018 and 01.08.2018 were retrospectively assessed. Patients' demographic characteristics diagnoses of hospitalization, and length of hospital stays and centers where they received treatment were recorded. Results: Median age of 830 patients included in the study was 79 (24-102). Out of 830 patients, 48.9% were male and 51.1% were female. Mean length of hospital stay was 14 days and median length was 8.7 (0.6-112) days. The three most common comorbid diseases followed up were malignancy (21.8%), cerebrovascular disease (15.2%) and malaise-fatigue-senility (10.7%). The group with Alzheimer's disease was the oldest patient group. The group with nutritional deficiency-malnutrition was the patient group with the longest hospital stay (p=0.030). The number of patients who were hospitalized for cerebrovascular diseases was the highest in secondary care centers and the number of patients who were hospitalized for malignancy was the highest in tertiary care centers. Patients hospitalized in secondary PC center were older. The hospital stays were longer in tertiary PC center. Patients receiving treatment at a tertiary PC center had a significantly higher rate of mortality. The number of patients who were discharged was lower in the tertiary PC centers. Hospitalization to a secondary PC center through home care units was significantly higher. Conclusion:In this study, the rate and diagnoses of hospitalization and length of hospital stays were different in secondary and tertiary PC centers. Our study has made an assessment about palliative care centers at various levels of health care and can be considered as prior knowledge for other studies.

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Section: Discussionmentioning

confidence: 98%

Palyatif bakim merkezlerinde tedavi gören hastaların değerlendirilmesi

Aslaner

Benli

Gökçek

et al. 2020

Family Practice and Palliative Care

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Surveillance analysis and microbiological profiles of nosocomial infections in a palliative care center

Akdoğan¹

2021

Konuralp Tıp Dergisi

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Objective: Despite the wide availability of palliative care units in several countries, they have been founded in our country recently. This study aimed to contribute to the development of appropriate treatment protocols by determining the causes of hospitalizations, comorbidities, infection rates, and causative microorganisms in a palliative care center. Methods: Blood cultures were taken from the patients suspected to have developed nosocomial infections. Samples for cultures were taken from the foci that were thought to be the origin of infection. Identification of isolates was performed using automated systems and conventional methods. The numbers of patients and patient days, and the numbers and rates of nosocomial infections were retrieved from the infection control unit data records and were analyzed. The rates and incidences of nosocomial infections in our hospital and the palliative care unit were calculated. Results: Of the patients, 51% were men and 49% were women. The mean age was 72±12.6 years. Nosocomial infection rates were 6.3% in 2019, 9.1% in 2020, and 3.3% in the first six months of 2021. Urinary system infections ranked first with a rate of 58.6%. The most common cause of hospital admissions was malignancy with a rate of 25.9%. The most commonly isolated microorganism was Klebsiella spp with a rate of 27.5%. Conclusions: Palliative care aims to improve symptoms and the quality of life of patients. Our study has contributed to developing practical solutions by documenting prognostic factors, infections, causative microorganisms, and issues experienced in palliative care patients.

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Evde Sağlık Hizmeti Alan Geriatrik Hastalarda Mikrobiyolojik Kültür ve Antimikrobiyal Duyarlılık: 7 Yıllık Değerlendirme

Bahçeci

Arslan²,

Şentürk

et al. 2020

Geriatrik Bilimler Dergisi

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It is aimed to contribute to symptomatic treatment and geriatric epidemiology by reviewing the microorganisms and antimicrobial susceptibility results reproduced in samples taken within seven years in geriatric patients receiving home health care. Material and Methods: Retrospective evaluation of microbiological samples and antimicrobial susceptibility of geriatric patients sent to Training and Research Hospital Routine Microbiology Laboratory from the home health care outpatient clinic within seven years. Results: The samples evaluated were 87% urine, 7% wound swab and 1.4% catheter (catheter used for central vein and intravenous drug treatment). The microorganism produced in the first place was Escherichia coli with 40.5% and Pseudomonas aeruginosa in the second place with 13% and Klebsiella pneumoniae with 11.5%.In antimicrobial susceptibility, carbapenem resistance was approximately 13%, penicillin resistance 100%, ampicillin resistance 78.5%, ceftriaxone resistance 50.8%, ceftazidime resistance 37.5%, quinolone resistance 50.5%. Conclusions: While the most common type of infection among community-acquired infections is urinary tract and the agent Escherichia coli, similar findings were obtained in our study. Empirical treatment can be arranged according to these results until culture results. In addition, taking samples of geriatric patients who receive home health care services by experts in the field and delivering them to the laboratory at home will provide both comfort and economic contribution to the people and institutions that provide and receive services to speed up the work.

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Evalution of Geriatric Infections in Palliative Care Center

Cited by 3 publications

References 18 publications

Palyatif bakim merkezlerinde tedavi gören hastaların değerlendirilmesi

Palyatif bakim merkezlerinde tedavi gören hastaların değerlendirilmesi

Surveillance analysis and microbiological profiles of nosocomial infections in a palliative care center

Evde Sağlık Hizmeti Alan Geriatrik Hastalarda Mikrobiyolojik Kültür ve Antimikrobiyal Duyarlılık: 7 Yıllık Değerlendirme

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