Yıl: 2019 Cilt: 22 Sayı: 2 Sayfa Aralığı: 172 - 180 Metin Dili: İngilizce

TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS

Öz:
Introduction: In intensive care units, numerous geriatric patients are mechanicallyventilated, and those with prolonged mechanical ventilation show high mortality. Suchgeriatric patients may greatly benefit from tracheotomy because it facilitates pulmonary care,increases patient comfort and helps wean them off mechanical ventilation.Materials and Method: A total of 70 mechanically ventilated geriatric patients wereinclud-ed. Patients’ electronic data, file records, age, sex, mechanical ventilation requirement,Acute Physiology and Chronic Health Evaluation II score, intubation and intensive care unit staydurations, discharge status and complications were examined.Results: The mean patient age was 78.6±7.4 years, and the mean Acute Physiology andChronic Health Evaluation II score was 27.0±5.9. Tracheotomy was performed after a meanduration of 34.8±17 days, and the mean intensive care unit stay duration was 94±54 days.Major and minor haemorrhage were observed in 1 (1.4%) and 3 (4.2%) patients, respectively.Total 53 (76%) patients died, 8 (11%) patients were discharged and 9 (13%) patients are stillhospitalized.Conclusion: The reluctance of geriatric patients’ relatives to perform tracheotomy affectsthe time of procedure and duration of intensive care unit stay.
Anahtar Kelime:

YOĞUN BAKIMDA TAKİP EDİLEN GERİATRİ YAŞ GRUBU HASTALARDA TRAKEOTOMİ

Öz:
Giriş: Yoğun bakım ünitelerinde, çok sayıda geriatri hastalarının mekanik ventilasyona bağlanmaktadır. Uzun süreli mekanik ventilasyonu bağlı hastalar yüksek mortalite göstermektedir. Bu geriatri yaş grubu hastalar, trakeotomiden büyük ölçüde faydalanabilir çünkü trakeotomi akciğer bakımını kolaylaştırır, hasta konforunu arttırır ve mekanik ventilasyondan kurtulmalarına yardımcı olur. Gereç ve Yöntem: Çalışmada mekanik ventilasyona bağlı toplam 70 geriatri yaş grubunda hasta alındı. Hastaların elektronik verileri, dosya kayıtları, yaş, cinsiyet, mekanik ventilasyon gereksinimi, Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi II skoru, entübasyon ve yoğun bakım ünitesinde kalma süresi, taburculuk durumu ve komplikasyonları incelendi. Bulgular: Ortalama hasta yaşı 78.6±7.4 yıl ve ortalama Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi II skoru 27.0±5.9 idi. Ortalama 34.8±17 gün sonra trakeotomi yapıldı ve yoğun bakımda kalış süresi ortalama 94±54 gündü. Hastaların 1’inde majör (%1.4), üçünde (%4.2) minör kanama izlendi. Toplam 53 (%76) hasta öldü, 8 (%11) hasta taburcu edildi ve 9 (%13) hasta hala hastanede kaldı. Sonuç: Geriatri yaş grubundaki hastaların yakınlarının trakeotomi yapma konusundaki isteksizliği, işlem süresini ve yoğun bakım ünitesinde kalma süresini etkilemektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA DOĞU C, KAYIR S, DOĞAN G, EKİCİ AKDAĞLI A, ÖZÇİFTÇİ S, YAĞAN Ö (2019). TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. , 172 - 180.
Chicago DOĞU Cihangir,KAYIR SELÇUK,DOĞAN GÜVENÇ,EKİCİ AKDAĞLI Arzu,ÖZÇİFTÇİ Serhat,YAĞAN ÖZGÜR TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. (2019): 172 - 180.
MLA DOĞU Cihangir,KAYIR SELÇUK,DOĞAN GÜVENÇ,EKİCİ AKDAĞLI Arzu,ÖZÇİFTÇİ Serhat,YAĞAN ÖZGÜR TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. , 2019, ss.172 - 180.
AMA DOĞU C,KAYIR S,DOĞAN G,EKİCİ AKDAĞLI A,ÖZÇİFTÇİ S,YAĞAN Ö TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. . 2019; 172 - 180.
Vancouver DOĞU C,KAYIR S,DOĞAN G,EKİCİ AKDAĞLI A,ÖZÇİFTÇİ S,YAĞAN Ö TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. . 2019; 172 - 180.
IEEE DOĞU C,KAYIR S,DOĞAN G,EKİCİ AKDAĞLI A,ÖZÇİFTÇİ S,YAĞAN Ö "TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS." , ss.172 - 180, 2019.
ISNAD DOĞU, Cihangir vd. "TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS". (2019), 172-180.
APA DOĞU C, KAYIR S, DOĞAN G, EKİCİ AKDAĞLI A, ÖZÇİFTÇİ S, YAĞAN Ö (2019). TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. Türk Geriatri Dergisi, 22(2), 172 - 180.
Chicago DOĞU Cihangir,KAYIR SELÇUK,DOĞAN GÜVENÇ,EKİCİ AKDAĞLI Arzu,ÖZÇİFTÇİ Serhat,YAĞAN ÖZGÜR TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. Türk Geriatri Dergisi 22, no.2 (2019): 172 - 180.
MLA DOĞU Cihangir,KAYIR SELÇUK,DOĞAN GÜVENÇ,EKİCİ AKDAĞLI Arzu,ÖZÇİFTÇİ Serhat,YAĞAN ÖZGÜR TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. Türk Geriatri Dergisi, vol.22, no.2, 2019, ss.172 - 180.
AMA DOĞU C,KAYIR S,DOĞAN G,EKİCİ AKDAĞLI A,ÖZÇİFTÇİ S,YAĞAN Ö TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. Türk Geriatri Dergisi. 2019; 22(2): 172 - 180.
Vancouver DOĞU C,KAYIR S,DOĞAN G,EKİCİ AKDAĞLI A,ÖZÇİFTÇİ S,YAĞAN Ö TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS. Türk Geriatri Dergisi. 2019; 22(2): 172 - 180.
IEEE DOĞU C,KAYIR S,DOĞAN G,EKİCİ AKDAĞLI A,ÖZÇİFTÇİ S,YAĞAN Ö "TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS." Türk Geriatri Dergisi, 22, ss.172 - 180, 2019.
ISNAD DOĞU, Cihangir vd. "TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS". Türk Geriatri Dergisi 22/2 (2019), 172-180.