Analysis of Prolonged Hospitalizations in Tertiary Intensive Care Units

Cankar Dal, Hayriye; Emir, Hasan Oktay; Bayar, Alper; Aysel, Abdulaziz; �irin, H�lya; Bay�nd�r Dicle, �ilem; Do�u, Cihangir; Turan, Sema

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Analysis of Prolonged Hospitalizations in Tertiary Intensive Care Units [GKD Anest Yo� Bak Dern Derg]

GKD Anest Yo� Bak Dern Derg. 2022; 28(3): 269-275 | DOI: 10.14744/GKDAD.2022.67984

Analysis of Prolonged Hospitalizations in Tertiary Intensive Care Units

Hayriye Cankar Dal¹, Hasan Oktay Emir¹, Alper Bayar¹, Abdulaziz Aysel², H�lya �irin³, �ilem Bay�nd�r Dicle¹, Cihangir Do�u¹, Sema Turan¹
¹Department of Intensive Care Unit, University of Health Sciences, Ankara City Hospital, Ankara, T�rkiye
²Department of Anesthesiology and Reanimation, University of Health Sciences, Ankara City Hospital, Ankara, T�rkiye
³Department of Public Health, University of Health Sciences, Gulhane Faculty of Medicine, Ankara, T�rkiye

Objectives: It is aimed to define the characteristics of patients with pro-longed hospitalization in intensive care units (ICU), which has an important place in health expenditures, to determine the treatment modalities applied, and to determine patient outcomes.
Methods: The single-center, retrospective, and observational study included patients hospitalized for 30 days or more between January 2021 and January 2022 in a tertiary ICU. Demographic and clinical characteristics of the patients, hospitalization diagnoses, mechanical ventilation and other treatment modalities, ICU stay, discharge patterns, and mortality rates were recorded.
Results: Between the study dates, 1961 patients were hospitalized in the tertiary ICU. One hundred and sixty-eight patients with ICU hospitalization for 30 days or more were included in the evaluation. The mean age is 66.93�19.85 years. The median ICU stay was 45.00 (30�328) days, the most common ICU admission etiology was a respiratory failure (38.7%), and the mortality rate was 51.20%. The non-survivor group was shown to have considerably higher rates of APACHE-II score, intubation, use of inotropic or vasopressor support, blood product replacement, and renal replacement therapy.
Conclusion: In our study, in which patients with ICU hospitalization for 30 days or more were evaluated, mortality was found in half of the patients. We believe that our research will shed light on future studies on defining the characteristics of prolonged ICU patients, identifying the resources used during the hospitalization process, and determining patient outcomes and may be a guide in terms of the organization of ICU and effective use of resources.

Keywords: Intensive care, length of stay, mortality, prolonged intensive care

��nc� Basamak Yo�un Bak�m �nitelerinde Uzam�� Yat��lar�n Analizi

Hayriye Cankar Dal¹, Hasan Oktay Emir¹, Alper Bayar¹, Abdulaziz Aysel², H�lya �irin³, �ilem Bay�nd�r Dicle¹, Cihangir Do�u¹, Sema Turan¹
¹Sa�l�k Bilimleri �niversitesi, Ankara �ehir Hastanesi, Yo�un Bak�m Klini�i, Ankara, T�rkiye
²Sa�l�k Bilimleri �niversitesi, Ankara �ehir Hastanesi, Anesteziyoloji ve Reanimasyon Klini�i, Ankara, T�rkiye
³Sa�l�k Bilimleri �niversitesi, G�lhane T�p Fak�ltesi, Halk Sa�l�� Klini�i, Ankara, T�rkiye

Ama�: �al��mada, sa�l�k harcamalar�nda �nemli yer tutan yo�un bak�mlarda yat�� s�resi uzam�� hastalar�n �zelliklerinin tan�mlanmas�, uygulanan tedavi modalitelerinin tespiti ve hasta sonlan�mlar�n�n belirlenmesi ama�land�.
Y�ntem: Tek merkezli, retrospektif ve g�zlemsel olarak dizayn edilen �al��maya, Ankara'da ��nc� basamak bir yo�un bak�m �nitesinde 01 Ocak 2021 ile 01 Ocak 2022 tarihleri aras�nda 30 g�n ve �zeri yat�� olan hastalar dahil edildi. Hastalar�n demografik ve klinik �zellikleri, yat�� tan�lar�, mekanik ventilasyon ve di�er uygulanan tedavi modaliteleri, yo�un bak�mda kal�� s�releri, taburculuk �ekilleri ve mortalite oranlar� kaydedildi.
Bulgular: �al��ma tarihleri aras�nda 1961 hasta ��nc� basamak yo�un bak�mda hastaneye yat�r�ld�. Otuz g�n ve �zeri yo�un bak�m yat�� olan 168 hasta de�erlendirmeye al�nd�. Ya� ortalamas� 66,93�19,85 y�l idi. Medyan yo�un bak�mda yat�� s�resi 45,00 (30-328) g�n, en s�k yo�un bak�ma kabul nedeni solunum yetmezli�i (%38,7) olup mortalite oran� %51,20 olarak saptand�. �Acute Physiology and Chronic Health Evaluation-II� skoru, ent�basyon uygulanma oranlar�, inotrop veya vazopres�r destek kullan�m�, kan �r�n� replasman�, renal replasman tedavi uygulanma oranlar� sa� kalan olmayan grupta anlaml� olarak daha y�ksek bulundu.
Sonu�: �al��mada 30 g�n ve �zeri yat�� olan hastalar�n yar�s�nda mortalite geli�ti�i tespit edildi. �al��man�n, uzam�� yo�un bak�m hastalar�n�n �zelliklerinin tan�mlanmas�, yat�� s�recince kullan�lan kaynaklar�n tespiti ve hasta sonlan�mlar�n�n belirlenmesi konusunda ileride yap�lacak �al��malara ��k tutaca��, yo�un bak�m organizasyonu ve kaynaklar�n etkin kullan�m� a��s�ndan yol g�sterici olabilece�i kan�s�nday�z.

Anahtar Kelimeler: Mortalite, uzam�� yo�un bak�m, yat�� s�resi, yo�un bak�m

Corresponding Author: Hayriye Cankar Dal, T�rkiye
Manuscript Language: Turkish

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Analysis of Prolonged Hospitalizations in Tertiary Intensive Care Units

���nc� Basamak Yo�un Bak�m �nitelerinde Uzam�� Yat��lar�n Analizi

��nc� Basamak Yo�un Bak�m �nitelerinde Uzam�� Yat��lar�n Analizi