Prognosis of patients in a medical intensive care unit

Ünal, Ali; Köstek, Osman; Takır, Mümtaz; Çaklılı, Özge Telci; Uzunlulu, Mehmet; Oğuz, Aytekin

doi:10.14744/nci.2015.79188

Cited by 29 publications

(34 citation statements)

References 13 publications

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“…When we evaluated the 30-day mortality rates of geriatric intensive care patient groups, the mortality rate was the highest in all three geriatric age groups admitted to the ICU with the diagnoses of cardiac arrest, closely followed by sepsis, cardiovascular diseases and acute renal failure. In our study, the mortality rate was 40% (n = 2389), whereas other studies noted it to be 37% (16) and 52.3% (6) in patients in the critical intensive care. In a prospective study conducted on patients in the ICU with an average age of 84 years, the 30-day mortality rate was 41.9% (17).…”

Section: Discussioncontrasting

confidence: 72%

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Diagnosis and Mortality Outcomes of Three Different Geriatric Age Groups in the Intensive Care Unit: 10-Year Retrospective Analysis

Görgülü¹,

Koşar²

2020

tjgeri

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In addition to bringing many physiological changes with it, aging is a period in which morbidity and mortality rates increase due to the increase in the incidence of chronic diseases and malignant diseases. The aim of this study was to determine the prevalence of conditions requiring intensive care and the mortality incidence based on geriatric age groups followed-up in the intensive care unit. Materials and Method: Three different geriatric age groups were formed out of the 65 years old and older patients (n=5932) included in the study as young old (65-74 years), middle old (75-84 years) and oldest old (85 years and older). In each group, disease prevalence and mortality rate by diagnostic groups were analysed. Results: The resulting diagnostic groups were found to be at different rates in different age groups (p = 0.01 p <0.05). Malignancy was high in young elderly patients (p = 0.01 p <0.05), while cardiovascular diseases were higher in other groups (p = 0.01 p<0.05). Patients admitted to the intensive care unit with cardiac arrest had the highest mortality rate (p = 0.01 p<0.05). Conclusion: Geriatric patients constitute an important part of intensive care patients, therefore the mortality rate is high. In all three groups, 30-day mortality results were highest in patients with cardiac arrest followed by sepsis and cardiovascular diseases, respectively.

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Section: Discussioncontrasting

confidence: 72%

“…Notably, diabetes and hypertension are the two most common causes of chronic renal failure (5). The most common comorbidities observed in the intensive care unit (ICU) are hypertension, heart failure and diabetes mellitus (6). In addition, trauma is associated with increased morbidity and mortality rates in geriatric individuals (7,8).…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Mortality Outcomes of Three Different Geriatric Age Groups in the Intensive Care Unit: 10-Year Retrospective Analysis

Görgülü¹,

Koşar²

2020

tjgeri

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“…Other contributing factors may be a lack of neurological diagnostic training among emergency physicians, underestimation of urgency of patient's condition, or failure to order appropriate imaging studies for patients with equivocal diagnosis. Incorporating the concept of the conceptual model of saturation in emergencies 19 and the factors reported to affect the prognosis of patients in the ICU 23 , the current study investigated 10 parameters that may be associated with physician-related causes of ICU admission during patient revisits ( Table 2). In the present study, the finding of a significant association between a shortened stay of initial ED visits (< 2 h) (i.e., one of the "throughput" parameters) and physician-related causes of ICU admission (i.e., an odds ratio of 4.046) may partly be explained by the relatively non-urgent presentations in the majority of patients.…”

Section: Discussionmentioning

confidence: 99%

Physician-related factors associated with unscheduled revisits to the emergency department and admission to the intensive care unit within 72 h

Chang

Lee

et al. 2020

Sci Rep

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investigation of physician-related causes of unscheduled revisits to the emergency department (eD) within 72 h with subsequent admission to the intensive care unit (ICU) is an important parameter of emergency care quality. Between 2012 and 2017, medical records of all adult patients who visited the ED and returned within 72 h with subsequent ICU admission were retrospectively reviewed by three experienced emergency physicians. Study parameters were categorized into "input" (Patient characteristics), "throughput" (Time spent on first ED visit and seniority of emergency physicians, and "output" (Charlson Comorbidity Index). Of the 147 patients reviewed for the causes of ICU admission, 35 were physician-related (23.8%). Eight belonged to more urgent categories, whereas the majority (n = 27) were less urgent. Patients who spent less time on their first ED visits before discharge (< 2 h) were significantly associated with physician-related causes of ICU admission, whereas there was no significant difference in other "input," "throughput," and "output" parameters between the "physician-related" and "non-physician-related" groups. Short initial management time was associated with physician-related causes of ICU admission in patients with initial less urgent presentations, highlighting failure of the conventional triage system to identify potentially lifethreatening conditions and possibility of misjudgement because of the patients' apparently minor initial presentations. An unscheduled revisit to the emergency department (ED) within 72 h is an important parameter for the assessment of emergency medical care quality 1,2. There are myriad factors affecting the rate of 72-h ED revisit, including patient demography, ethnical and cultural differences, epidemiology of diseases, and the accessibility to medical care 3. For instance, children and the elderly have been reported to have higher rates of ED revisits compared with those of other demographic groups 1,4. From the perspective of emergency healthcare quality improvement, a number of studies have focused on preventable medical errors 5-7. A previous study has reported a rate of medical error-related 72-h ED revisit between 5 and 45% 8. In addition to the lack of physician experience and absence of standard operation guidelines for diagnosis, other reasons include ineffective communication, staff shortage,

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“…The mean and standard deviation values of demographical parameters (Age, sex and duration) of the patients who died and who survived.The mean MPV First , MPV Last , PDW First and PDW Last values of the patients who died and who survived were evaluated separately (Table 2). MPV and PDW results of the patients who survived were: MPV First =8 19. (1.07), MPV Last = 8.35 (1.24), PDW First =16.6 (1.29) and PDW Last = 16.28 (1.43).…”

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confidence: 99%

Yoğun bakım ünitesinde ortalama platelet hacmi ve platelet dağılım hacminin mortaliteye etkisi

Gençay

Büyükkoçak²,

Ateş³

et al. 2020

Journal of Health Sciences and Medicine

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Background and Aim: This study aimed to determine the mean platelet volume (MPV) and platelet distribution width (PDW) values of intensive care patients, and show the relationship between these parameters and mortality. Material and Method: In the present study, 284 patients who were hospitalized in the intensive care unit were retrospectively analyzed. MPV and PDW values of the patients when they first hospitalized, their last MPV and PDW values before they died or were discharged, their ages and duration of ICU period were recorded. Results: There was no statistically significant difference between the first and last values of MPV and PDW in the surviving patient group. Similarly, PDW values did not change in the group of patients who died (p> 0.05). However, the last MPV values were significantly higher in the deceased patient group than the first MPV values (p <0.05). In this study, when the age, length of stay in the intensive care unit, MPV and PDW values were compared, the most important factor was found to be an increase in MPV. Conclusion: This study showed that MPV increase in intensive care patients may be closely related to mortality.

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Prognosis of patients in a medical intensive care unit

Cited by 29 publications

References 13 publications

Diagnosis and Mortality Outcomes of Three Different Geriatric Age Groups in the Intensive Care Unit: 10-Year Retrospective Analysis

Diagnosis and Mortality Outcomes of Three Different Geriatric Age Groups in the Intensive Care Unit: 10-Year Retrospective Analysis

Physician-related factors associated with unscheduled revisits to the emergency department and admission to the intensive care unit within 72 h

Yoğun bakım ünitesinde ortalama platelet hacmi ve platelet dağılım hacminin mortaliteye etkisi

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