Acil serviste mekanik ventilatöre bağlanan hastaların değerlendirilmesi
Küçük Resim Yok
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
Attribution-NonCommercial-NoDerivs 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı; acil serviste mekanik ventilatörde takip edilen hastaların demografik verilerini ve acil servisteki klinik seyirlerini incelemektir. Materyal ve Metodlar: İleriye dönük özellikteki bu çalışma üçüncü basamak bir üniversite hastanesinin acil servisinde 1 Haziran 2015 ve 30 Kasım 2015 tarihleri arasında yapılmıştır. Mekanik ventilatöre bağlandıktan sonra hastalar çalışmaya alınmıştır. Çalışmaya alınan hastaların klinik özellikleri, ne kadar süre ventilatörde takip edildiği ve takiplerin ne şekilde sonlandığı not edilmiştir. Hastaların verileri daha önce hazırlanan formlar doldurularak kaydedilip istatistiksel değerlendirme yapılmıştır. Bulgular: Çalışmaya dâhil edilen ve ventilatörde takip edilen 212 hastanın; 42’ si ( % 19,8 ) acil serviste eksitus oldu, 4’ ü ( % 1,9 ) acil serviste ekstübe edildi, 166’ sı ( % 78,3 ) entübe vaziyette yoğun bakım ünitelerine yatırıldı. Çalışmaya dâhil edilen hastaların yaklaşık % 10’ u 8 saatten fazla acil serviste kaldı. En fazla entübasyon sebebi olan sisteme bakıldığında 103 hasta ( % 48,6 ) ile respiratuvar sistem olduğu saptandı. Acil serviste eksitus olan hastaların apache II skoru diğer hasta gruplarına göre anlamlı olarak yüksek bulundu (p<0,05). Sonuç: Hastanelerdeki yoğun bakım ünitelerinde yatak kapasitesindeki yetersizlik; acil serviste ventilatörde hasta takip edilmesinin en önemli etkenlerindendir. Acil tıp hekimleri de yoğun bakım hekimleri gibi uzun süreli kritik bakım hastası takip etmektedirler. Bu nedenle acil tıp hekimleri bu konuyla ilgili yeterli tecrübe sahip olmalıdırlar.
Aim: The aim of this study was to investigate the demographic data and clinical course of the patients who were followed up in mechanical ventilator in emergency department. Material and Methods: This study was conducted prospectively between June 1, 2015 and November 30, 2015 in the emergency department of a tertiary care university hospital. Patients were included in the study after mechanical ventilation procedure. Data of the study included clinical characteristics of the patients, how long they were followed on the ventilator and how the followup ended. Results: Of the 212 patients included in the study and followed in the ventilator; 42 (19.8%) died in the emergency department, 4 (1.9%) were extubated in the emergency department, and 166 (78.3%) were admitted to the intensive care units as intubated. Approximately 10% of the patients included in the study stayed in the emergency department for more than 8 hours. Respiratory system was the most common cause of intubation in 103 patients (48.6%). Apache II scores of the patients who died in the emergency department were significantly higher than those of other patient groups (p <0.05). Conclusion: Inadequate bed capacity in intensive care units in hospitals is one of the most important factors in patient follow-up in ventilator in emergency department. Emergency medicine physicians follow up long-term critical care patients like the intensive care physicians. Therefore, emergency physicians should have sufficient experience on this subject.
Aim: The aim of this study was to investigate the demographic data and clinical course of the patients who were followed up in mechanical ventilator in emergency department. Material and Methods: This study was conducted prospectively between June 1, 2015 and November 30, 2015 in the emergency department of a tertiary care university hospital. Patients were included in the study after mechanical ventilation procedure. Data of the study included clinical characteristics of the patients, how long they were followed on the ventilator and how the followup ended. Results: Of the 212 patients included in the study and followed in the ventilator; 42 (19.8%) died in the emergency department, 4 (1.9%) were extubated in the emergency department, and 166 (78.3%) were admitted to the intensive care units as intubated. Approximately 10% of the patients included in the study stayed in the emergency department for more than 8 hours. Respiratory system was the most common cause of intubation in 103 patients (48.6%). Apache II scores of the patients who died in the emergency department were significantly higher than those of other patient groups (p <0.05). Conclusion: Inadequate bed capacity in intensive care units in hospitals is one of the most important factors in patient follow-up in ventilator in emergency department. Emergency medicine physicians follow up long-term critical care patients like the intensive care physicians. Therefore, emergency physicians should have sufficient experience on this subject.
Açıklama
Anahtar Kelimeler
Acil servis, kritik bakım, mekanik ventilasyon, Critical care, emergency department, mechanical ventilation
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
13
Sayı
3
Künye
Baykan, N., Bol, O., Yakar, Ş., Karabulut, H. ve Günay, N. (2021) Acil serviste mekanik ventilatöre bağlanan hastaların değerlendirilmesi / Evaluation of mechanical ventilated patients in emergency department. Maltepe Tıp Dergisi, Maltepe Üniversitesi. 13(3), s. 82-85.
