Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients
Yıl: 2022 Cilt: 50 Sayı: 6 Sayfa Aralığı: 431 - 437 Metin Dili: İngilizce DOI: 10.5543/tkda.2022.22417 İndeks Tarihi: 25-09-2022
Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients
Öz: Objective: Parallel to the aging of the world population, the complexity of patients with car- diac problems has increased, especially in intensive cardiology care units, and the importance of multidisciplinary care has become more evident. The aim of this study was to analyze the clinical characteristics and gender-related differences of patients hospitalized in a large inten- sive cardiology care unit. Methods: This single-center, retrospective, cross-sectional study includes all hospitalizations in a large intensive cardiology care unit between January 2016 and March 2021. All data were obtained using data collection software and transferred to MEDULLA, Turkey’s general database system. Results: Of the 55 737 consecutive patients included in the analysis, 16 342 (29%) were women. The mean age of males was 59.71 ± 12 years, and the mean age of females was 63.3 ± 14 years (P < .001). Over a period of 5 years, the most common reason for hospital- ization in the intensive cardiac care unit was acute coronary syndrome. The number of acute coronary syndrome patients who underwent coronary angiography was found to be 17 478 (31%), of which 12 878 were males and 26.3% were female. The number of patients who underwent at least 1 stent implantation was 13 952 (80% of coronary angiography proce- dures), and 2960 (21%) were women. The second cause of hospitalization in the intensive cardiology care unit was arrhythmias (5654 patients [10%]) followed by advanced heart failure (932 patients [1.7%]). During follow-up in the intensive cardiology care unit, the percent- age of development of multiorgan failure was found to be approximately 18%. The mortality rate was 7% in women, which was higher than in men (4%). While the most common cause of death was acute coronary syndrome, the highest rate of death was found in patients with advanced heart failure. Among the patients who died, the mean age of females was higher than that of males, and the length of hospital stay was longer. Conclusion: Although numerically the highest death rate was observed in male acute coro- nary syndrome patients, the highest mortality rate was found in patients with advanced heart failure. Due to the elderly population and the increase in the number of patients requiring multidisciplinary treatment, the development of multiorgan failure in intensive cardiology care units seems to be one of the most important causes of death. Although the number of females hospitalized in the intensive cardiology care unit is lower than that of males, the mean age and mortality rate were found to be higher than males.
Anahtar Kelime: Büyük Bir Kardiyoloji Yoğun Bakım Ünitesine Kabul Edilen Hastaların Özellikleri ve Cinsiyete Bağlı Farklılıkları: 55 000’den Fazla Hasta ile Tek Merkez Deneyimi
Öz: Amaç: Dünya nüfusunun yaşlanmasına paralel olarak kalp hastalıklarının karmaşıklığı artmış ve özellikle kardiyoloji yoğun bakım ünitelerinde multidisipliner bakımın önemi daha da belirgin hale gelmiştir. Bu çalışmanın amacı, büyük bir kardiyoloji yoğun bakım ünitesine yatırılan has- taların klinik özelliklerini ve cinsiyete bağlı farklılıklarını analiz etmektir. Yöntemler: Bu tek merkezli, geriye dönük, kesitsel çalışma, Ocak 2016 ile Mart 2021 tarih- leri arasında merkezimizin kardiyoloji yoğun bakım ünitesine yapılan tüm yatışları içermektedir. Tüm veriler veri toplama yazılımı kullanılarak elde edilmiş ve Türkiye’nin genel veri tabanı sistemi olan MEDULLA’ya aktarılmıştır. Bulgular: Yaklaşık 5 yıllık bir süre boyunca toplam 55 737 hasta analiz edildi. Bu hastaların 39 395’i erkek ve 16 342’si (%29) kadındı. Erkek has- taların yaş ortalaması 59,71 ± 12 yıl, kadın hastaların yaş ortalaması 63,3 ± 14 yıldı (P < ,001). Yoğun bakım ünitesine en sık yatırılma sebebi akut koroner sendrom olarak tespit edildi ve koroner anjiyografi yapılan hasta sayısı 12 878 tanesi erkek hasta olmak üzere toplam 17 478 (%31) olarak bulundu. Kardiyoloji yoğun bakım ünitesine yatırılan hastaların ikinci sıklıkta 5654 hasta ile aritmi hastaları olduğu gözlendi. Kardiyoloji yoğun bakım ünitesinde takip esnasında çoklu organ yetersizliği gelişme yüzdesi yaklaşık %18 olarak saptandı. Erkek hastalarda ölüm oranı %4 iken, kadın hastalarda ölüm oranı daha yüksekti (%7). En fazla ölüm sebebi akut koroner sendrom olarak karşımıza çıkarken, en yüksek ölüm sıklığı akut kalp yetersizliği hastalarında saptandı. Ölen hastalar arasında kadın bireylerin yaş ortalaması erkek hastalara göre daha yüksek ve hastanede yatış süreleri daha uzun olarak bulundu. Sonuç: Yoğun bakım ünitemizde en fazla ölüm akut koroner sendrom ile başvuran erkek hastalarda olmasına rağmen, en yüksek ölüm oranı ileri kalp yetersizliği mevcut olan hastalarda saptanmıştır. Ayrıca yaşlı nüfus ve buna paralel multidisipliner tedavi gereken hasta sayısındaki artış sebe- biyle, kardiyoloji yoğun bakım ünitesinde çoklu organ yetersizliği gelişimi en önemli ölüm nedenlerinden biri olarak görünmektedir. Kardiyoloji yoğun bakım ünitesinde yatan kadın hasta sayısı erkek bireylere göre daha düşük olmasına rağmen yaş ortalaması ve ölüm oranı erkeklere göre daha yüksek bulunmuştur.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Külahcioglu S, Acar R, İzci S, Demir D, KAYA S, Gürcü M, GÜCÜN M, Kirali K (2022). Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. , 431 - 437. 10.5543/tkda.2022.22417 |
| Chicago | Külahcioglu Seyhmus,Acar Rezzan Deniz,İzci Servet,Demir Durmus,KAYA Sibel DOĞAN,Gürcü Mustafa emre,GÜCÜN MURAT,Kirali Kaan Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. (2022): 431 - 437. 10.5543/tkda.2022.22417 |
| MLA | Külahcioglu Seyhmus,Acar Rezzan Deniz,İzci Servet,Demir Durmus,KAYA Sibel DOĞAN,Gürcü Mustafa emre,GÜCÜN MURAT,Kirali Kaan Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. , 2022, ss.431 - 437. 10.5543/tkda.2022.22417 |
| AMA | Külahcioglu S,Acar R,İzci S,Demir D,KAYA S,Gürcü M,GÜCÜN M,Kirali K Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. . 2022; 431 - 437. 10.5543/tkda.2022.22417 |
| Vancouver | Külahcioglu S,Acar R,İzci S,Demir D,KAYA S,Gürcü M,GÜCÜN M,Kirali K Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. . 2022; 431 - 437. 10.5543/tkda.2022.22417 |
| IEEE | Külahcioglu S,Acar R,İzci S,Demir D,KAYA S,Gürcü M,GÜCÜN M,Kirali K "Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients." , ss.431 - 437, 2022. 10.5543/tkda.2022.22417 |
| ISNAD | Külahcioglu, Seyhmus vd. "Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients". (2022), 431-437. https://doi.org/10.5543/tkda.2022.22417 |
| APA | Külahcioglu S, Acar R, İzci S, Demir D, KAYA S, Gürcü M, GÜCÜN M, Kirali K (2022). Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. Türk Kardiyoloji Derneği Arşivi, 50(6), 431 - 437. 10.5543/tkda.2022.22417 |
| Chicago | Külahcioglu Seyhmus,Acar Rezzan Deniz,İzci Servet,Demir Durmus,KAYA Sibel DOĞAN,Gürcü Mustafa emre,GÜCÜN MURAT,Kirali Kaan Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. Türk Kardiyoloji Derneği Arşivi 50, no.6 (2022): 431 - 437. 10.5543/tkda.2022.22417 |
| MLA | Külahcioglu Seyhmus,Acar Rezzan Deniz,İzci Servet,Demir Durmus,KAYA Sibel DOĞAN,Gürcü Mustafa emre,GÜCÜN MURAT,Kirali Kaan Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. Türk Kardiyoloji Derneği Arşivi, vol.50, no.6, 2022, ss.431 - 437. 10.5543/tkda.2022.22417 |
| AMA | Külahcioglu S,Acar R,İzci S,Demir D,KAYA S,Gürcü M,GÜCÜN M,Kirali K Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. Türk Kardiyoloji Derneği Arşivi. 2022; 50(6): 431 - 437. 10.5543/tkda.2022.22417 |
| Vancouver | Külahcioglu S,Acar R,İzci S,Demir D,KAYA S,Gürcü M,GÜCÜN M,Kirali K Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients. Türk Kardiyoloji Derneği Arşivi. 2022; 50(6): 431 - 437. 10.5543/tkda.2022.22417 |
| IEEE | Külahcioglu S,Acar R,İzci S,Demir D,KAYA S,Gürcü M,GÜCÜN M,Kirali K "Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients." Türk Kardiyoloji Derneği Arşivi, 50, ss.431 - 437, 2022. 10.5543/tkda.2022.22417 |
| ISNAD | Külahcioglu, Seyhmus vd. "Characteristics and Gender-Related Differences of Patients Admitted to a Large Intensive Cardiac Care Unit: A Single-Center Experience with over 55 000 Patients". Türk Kardiyoloji Derneği Arşivi 50/6 (2022), 431-437. https://doi.org/10.5543/tkda.2022.22417 |
