WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY

KARİP ŞANLI, Ceren; AR, Arzu Yıldırım; KUPLAY, Yıldız Yiğit; Abitağaoğlu, Süheyla; Turan, Güldem; ÖKSÜZ, Murat

WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY

Güldem TURAN, (Sağlık Bilimleri Üniversitesi, Fatih Sultan Mehmet Sağlık Araştırma ve Uygulama Merkezi, Yoğun Bakım Ünitesi, İstanbul, Türkiye)

Arzu YILDIRIM AR, (1 University of Health Sciences Fatih Sultan Mehmet Health Research and Application Center Intensive Care Unit)

Yıldız Yiğit KUPLAY, (1 University of Health Sciences Fatih Sultan Mehmet Health Research and Application Center Intensive Care Unit)

Süheyla ABİTAĞAOĞLU, (Sağlık Bilimleri Üniversitesi, Fatih Sultan Mehmet Sağlık Araştırma ve Uygulama Merkezi, Yoğun Bakım Ünitesi, İstanbul, Türkiye)

Ceren KARİP ŞANLI, (1 University of Health Sciences Fatih Sultan Mehmet Health Research and Application Center Intensive Care Unit)

Murat ÖKSÜZ (Sağlık Bilimleri Üniversitesi, Fatih Sultan Mehmet Sağlık Araştırma ve Uygulama Merkezi, Yoğun Bakım Ünitesi, İstanbul, Türkiye)

Türk Geriatri Dergisi

4 0

Yıl: 2017 Cilt: 20 Sayı: 4 Sayfa Aralığı: 264 - 270 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY

Öz:

With the growth of the geriatric population in the society, the number of geriatric patients followed up at intensive care units has also increased. Weaning in geriatric patients is a long and necessary process. In our study, we evaluated the weaning process in a geriatric patient group. Materials and Method: The relationship between the weaning process and mortality rates in 814 patients aged>65 years who were hospitalised in our intensive care unit between 1 January 2015 and 31 December 2016 was retrospectively analysed. Our geriatric patients were divided into three age groups: young (65–74), middle (75–84) and advance (>85). Results: The mean Acute Physiology and Chronic Health Enquiry II score was 21.8±9.2 and Simplified Acute Physiology Score 2 was 43.2±20.9. Mechanical ventilation was provided to 615 patients. The mean duration of the weaning process onset was 6±13.4, 5.85±7.87 and 6.5±7.1 days in the three groups, respectively. Weaning was successful in 286 (46%) of the 615 geriatric patients, and 20 patients were discharged with a home ventilator. Conclusion: The weaning process in geriatric patients may be extended with age-related pulmonary dysfunction. The number of weaning trials in this process also increased. Our results indicate that the mean number of weaning trials in successfully weaned patients is higher. We consider that given the increase in geriatric patient follow-up rates in intensive care units, it will be possible to ensure successful weaning and lower mortality rates, along with successful management of such patient groups, by increasing the number of weaning trials.

Anahtar Kelime:

Konular: Cerrahi

GERİATRİ YAŞ GRUBU HASTALARDA VENTİLATÖRDEN AYIRMA: RETROSPEKTİF KLİNİK ÇALIŞMA

Öz:

Giriş: Toplumda yaşlı hasta sayısının artmasıyla birlikte yoğun bakımda takip edilen yaşlı hasta sayısı da artmaktadır. Yaşlı hastaların mekanik ventilatörden ayırma süreci uzun ve zorludur. Bu çalışmada yaşlı hasta grubunda ventilatörden ayırma süreci değerlendirilmiştir. Gereç ve Yöntem: Yoğun Bakım Ünitesinde Ocak 2015-Aralık 2016 tarihleri arasında yatan 65 yaş üstü 814 hastanın ventilatörden ayırma süreçleri ve mortalite değerleri arasındaki ilişkileri retrospektif olarak incelendi. Yaşlı hastalar ile ilgili veriler genç yaşlı (65-74 yaş), orta yaşlı (75-84 yaş) ve ileri yaşlı (85 yaş ve üstü) olarak üç yaş grubunda yorumlandı. Bulgular: Hastaların akut fizyoloji ve kronik sağlık değerlendirme II skor ortalaması; 21.8±9.2 idi. 615 hastaya mekanik ventilasyon uygulanmıştır. Ventilatörden ayrılma başlangıç zamanı ortalamaları gruplara göre sırasıyla; 6±13.4, 5.85±7.87 ve 6.5±7.1 gün olarak gözlenmiştir. 615 geriatrik hastadan 286'sı başarılı şekilde ventilatörden ayrılma uygulanmıştır (%46) ve 20 hasta eve homevent ile taburcu edilmiştir. Sonuç: Yaşlı hasta grubunda ventilatörden ayrılma süreci yaşa bağlı pulmoner disfonksiyonun artmasına paralel olarak uzayabilmektedir. Bu süreç içinde ventilatörden ayrılma deneme sayısı da artmaktadır. Çalışma sonucu başarılı ventilatörden ayrılma gerçekleşen hastalarda deneme sayısı ortalamasının fazla olduğunu işaret etmektedir. Yoğun bakım ünitelerinde yaşlı hasta takip yüzdeleri gözönüne alındığında, bu hastaların başarılı bir şekilde yönetilmesiyle, deneme sayıları arttırılarak başarılı ventilatörden ayrılma ve daha düşük mortalite değerleri elde etmek mümkün olacaktır.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Turan G, AR A, KUPLAY Y, Abitağaoğlu S, KARİP ŞANLI C, ÖKSÜZ M (2017). WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. , 264 - 270.
Chicago	Turan Güldem,AR Arzu Yıldırım,KUPLAY Yıldız Yiğit,Abitağaoğlu Süheyla,KARİP ŞANLI Ceren,ÖKSÜZ Murat WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. (2017): 264 - 270.
MLA	Turan Güldem,AR Arzu Yıldırım,KUPLAY Yıldız Yiğit,Abitağaoğlu Süheyla,KARİP ŞANLI Ceren,ÖKSÜZ Murat WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. , 2017, ss.264 - 270.
AMA	Turan G,AR A,KUPLAY Y,Abitağaoğlu S,KARİP ŞANLI C,ÖKSÜZ M WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. . 2017; 264 - 270.
Vancouver	Turan G,AR A,KUPLAY Y,Abitağaoğlu S,KARİP ŞANLI C,ÖKSÜZ M WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. . 2017; 264 - 270.
IEEE	Turan G,AR A,KUPLAY Y,Abitağaoğlu S,KARİP ŞANLI C,ÖKSÜZ M "WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY." , ss.264 - 270, 2017.
ISNAD	Turan, Güldem vd. "WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY". (2017), 264-270.

APA	Turan G, AR A, KUPLAY Y, Abitağaoğlu S, KARİP ŞANLI C, ÖKSÜZ M (2017). WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. Türk Geriatri Dergisi, 20(4), 264 - 270.
Chicago	Turan Güldem,AR Arzu Yıldırım,KUPLAY Yıldız Yiğit,Abitağaoğlu Süheyla,KARİP ŞANLI Ceren,ÖKSÜZ Murat WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. Türk Geriatri Dergisi 20, no.4 (2017): 264 - 270.
MLA	Turan Güldem,AR Arzu Yıldırım,KUPLAY Yıldız Yiğit,Abitağaoğlu Süheyla,KARİP ŞANLI Ceren,ÖKSÜZ Murat WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. Türk Geriatri Dergisi, vol.20, no.4, 2017, ss.264 - 270.
AMA	Turan G,AR A,KUPLAY Y,Abitağaoğlu S,KARİP ŞANLI C,ÖKSÜZ M WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. Türk Geriatri Dergisi. 2017; 20(4): 264 - 270.
Vancouver	Turan G,AR A,KUPLAY Y,Abitağaoğlu S,KARİP ŞANLI C,ÖKSÜZ M WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY. Türk Geriatri Dergisi. 2017; 20(4): 264 - 270.
IEEE	Turan G,AR A,KUPLAY Y,Abitağaoğlu S,KARİP ŞANLI C,ÖKSÜZ M "WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY." Türk Geriatri Dergisi, 20, ss.264 - 270, 2017.
ISNAD	Turan, Güldem vd. "WEANING IN GERIATRIC PATIENTS: A RETROSPECTIVE CLINICAL STUDY". Türk Geriatri Dergisi 20/4 (2017), 264-270.