Yazar "Kara, İskender" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • Küçük Resim
    Öğe
    Can clinical frailty scale be used routinely in patients aged 50 years and older in intensive care units?
    (2019) Kara, İskender; Cicekci, Faruk; Undar, Hasan Nabi; Seven, Filiz; Sizer, Çiğdem
    Aim: Frailty can be defined as reduced resistance capacity against the environmental stresses due to a cumulative decline in the physiological reserves of the subject. Clinical Frailty Scale (CFS) can be used to measure frailty. We aimed to calculate the prevalence of frailty in patients admitted to intensive care unit (ICU) and analyze some general features of those patients.Material and Methods: The study was conducted in general ICUs of a state hospital. Patients who were admitted between January 2016 and March 2018 were analyzed retrospectively. Demographic characteristics, “Clinical Frailty Scale” (CFS) score, clinical data and other patient results were recorded. Subsequently, patients were divided into two groups as frail (CFS5) and non-frail (CFS5) and then statistically compared.Results: A total of 1139 patients were included in the study. The frailty rate of patients aged 50 years and over was 54.7%. The median age of the frail group was significantly higher (78 vs 69 year; p0,0001). APACHE II, mechanical ventilation rate, and length of ICU stay were significantly higher in the frail group (25 vs 22; p0,0001 ve 69,8% vs 52%; p0,0001 ve 14 vs 11days; p0,007, respectively). Intensive care costs were also significantly higher in the frail group (1540 vs 1242 US Dollar; p0,019). The total mortality rate was 39.9%; in frail group. This rate was significantly higher than non-frail group (48,6% vs 29,3%; p0,0001). Frailty (CFS5) were shown to be an independent risk factor for mortality (p0.014, OR 1.464, 95% CI 1.081-1.982)Conclusion: We recommend the routine use of CFS, which is especially useful in predicting frailty and mortality in intensive care unit.
  • Küçük Resim
    Öğe
    Cost analysis in intensive care units of a university hospital
    (CUKUROVA UNIV, FAC MEDICINE, 2019) Kara, İskender; Kara, İnci; Bayraktar, Yeşim Şerife; Çicekçi, Faruk; Yılmaz, Hüseyin; Duman, Ateş; Çelik, Jale Bengi
    Purpose: Intensive care units have an important place among the units of hospitals with high cost problems. In order to ensure the quality and continuity of the service provided in these units, hospitals should perform cost analysis in certain periods. In this study, we aimed to present some general characteristics and income-expense conditions of intensive care units in our third level hospital. Materials and Methods: Demographic data, features of intensive care units and income-expenditure status of 5722 patients who stayed in 11 intensive care units between May 2017 and May 2018 were recorded and compared. Expenses for intensive care units were calculated by grouping as first, second and third parts. Results: Cardiology, internal diseases, pediatric diseases, neurosurgery and anesthesia intensive care units had higher occupancy rates. Mean duration of intensive care unit hospitalization was higher in pediatric diseases, newborn, anesthesia and neurology intensive care units. Mortality rates were found to be the lowest in neonatal and cardiology intensive care units, while the highest rate was found in pulmonary diseases intensive care unit (1%, 4.5% and 51.2%, respectively). After the income was calculated according to the intensive care unit levels, the difference between the incomes and expenses was found. Total expenses of intensive care units amounted to TL 30.498.563,49, while income was TL 30.555.040,35. A difference of TL 56.476,86 was obtained. Conclusion: Intensive care payments based on the level system by the Social Insurance Institution were found to be sufficient for the costs of the hospitals in this area.
  • Küçük Resim
    Öğe
    Successive cardiac arrest due to polysulfone hemodialysis membranes
    (2019) Kara, İskender
    [Abstract not Available]
  • Küçük Resim
    Öğe
    Yoğun Bakımdaki Kritik Hastalarda Akut Böbrek Hasarında Renal Replasman Tedavisi Kararı ve Zamanlaması
    (Selçuk Üniversitesi, 2019 Ocak) Kara, İskender; Yıldırım, Fatma; Türkoğlu, Melda; Aygencel, Gülbin
    Yoğun bakım ünitelerinde (YBÜ) takip edilen kritik hastalarda gelişen akut böbrek hasarı (ABH) önemli bir morbidite ve mortalite nedenidir. Bu hastalarda yapılan renal replasman tedavilerinin (RRT) başlatılmasında hangi kriterlerin kullanılacağı ve tedavinin ne zaman başlatılacağı soruları net olarak cevaplanmış değildir. Bu derlemede YBÜ’de RRT başlangıcını belirleyen faktörler incelendi. Ayrıca hastaların üre-kreatinin seviyeleri, idrar çıkışı-sıvı yükü, YBÜ yatışı ile RRT başlangıcı arasında geçen süre, prognostik faktörler ve bazı belirteçlere göre başlatılan erken ve geç RRT çalışmaları incelendi. Sonuçta YBÜ’de kritik hastalarda RRT başlangıcını belirleyen kriterler ve bu kriterlerin eşik değerlerinin kişiselleştirilmesi gerektiği düşünüldü.