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Dergiler / Medeniyet Medical Journal / 2016 / Cilt: 31 - Sayı: 3

Clinical outcomes and mortality analysis of patients with COPD admitted to an intensive care unit: Retrospective analyses of five-year data

Yoğun bakıma kabul edilen KOAH hastalarının klinik sonuçları ve mortalite analizi: Beş yıllık retrospektif inceleme

Özgür Osman KILINÇ
Nazım DOĞAN
Erkan Cem ÇELİK
Ali AHISKALIOĞLU
Ahmet Murat YAYIK
Mürsel EKİNCİ
Sayfa
192–198
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

In conclusion, despite the developments in the intensive care follow-up and treatments, the mortality rate in the patients with COPD still remains high related to multifactorial etiologies.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Chronic obstructive pulmonary disease (COPD); is a common, preventable and treatable disease which causes restriction of progressive and permanent air flow.
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Temel Bulgular & Veri:In this study, we retrospectively examined the data of 298 patients with COPD who had been treated in our intensive care clinics between 2008-2013 years.
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Sonuç & Katkı:In conclusion, despite the developments in the intensive care follow-up and treatments, the mortality rate in the patients with COPD still remains high related to multifactorial etiologies.
🔬Tür:Araştırma Makalesi
📍Kapsam:2008-2013 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Chronic obstructive pulmonary disease (COPD); is a common, preventable and treatable disease which causes restriction of progressive and permanent air flow. In this study, we retrospectively examined the data of 298 patients with COPD who had been treated in our intensive care clinics between 2008-2013 years. Demographic characteristics and clinical data of patients were recorded. The patients were divided into two groups as survivors and deceased. Mortality rates and factors effecting mortality were examined. In the study, the mortality rate was found to be 44.64%. The mean age of surviving patients was (n=165) 67.29±10.42 years while the mean age of exited patients was found to be (n=133) 70.54±11.25 years and a statistically significant difference was determined between the two groups (p 0.05). A statistically significant difference was detected between the PaCO2 , HCO3 , WBC, Hb, Cr, Na, Ca, Mg values of the survived, and exited patients (p<0.05). Tracheotomy was performed in 12 patients (4%). In conclusion, despite the developments in the intensive care follow-up and treatments, the mortality rate in the patients with COPD still remains high related to multifactorial etiologies.

Abstract

Kronik obstrüktif akciğer hastalığı (KOAH), ilerleyici ve kalıcı hava akımı kısıtlanmasına neden olan, yaygın, önlenebilir ve tedavi edilebilir bir hastalıktır. Bu çalışmada, 2008-2013 yılları arasında yoğun bakım kliniğimizde tedavi alan 298 KOAH hastasının verilerini retrospektif olarak inceledik. Hastaların demografik özellikleri ve klinik verileri kaydedildi. Hastalar yoğun bakım ünitesi sonuçlarına göre sağ kalanlar ve ölen hastalar olarak iki gruba ayrıldı. Mortalite oranı ve bu orana etki eden faktörler incelendi. Çalışmamızda mortalite oranı %44,64 olarak bulundu. Yaşayan hastaların yaş ortalaması 67,29±10,42 iken, ölen hastaların yaş ortalaması 70,54±11,25 olarak tespit edildi ve aralarında istatistiksel olarak anlamlı fark olduğu saptandı (p 0,05). Yaşayan ve ölen hastaların PaCO2 , HCO3 , WBC, Hb, Cr, Na, Ca, Mg değerleri arasında istatistiksel olarak anlamlı fark olduğu tespit edildi (p<0,05). Hastaların 12’sine (%4) trakeotomi uygulandı. Sonuç olarak, yoğun bakım takip ve tedavilerindeki gelişmelere rağmen, KOAH hastalarında mortalite oranı multifaktöriyel nedenlere bağlı olarak halen yüksek seyretmektedir

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Bu Makaleye Atıf Yap

KILINÇ, Ö. O., DOĞAN, N., ÇELİK, E. C., AHISKALIOĞLU, A., YAYIK, A. M., EKİNCİ, M. (2016). Clinical outcomes and mortality analysis of patients with COPD admitted to an intensive care unit: Retrospective analyses of five-year data. Medeniyet Medical Journal, Cilt: 31 - Sayı: 3, 192–198. https://ajindex.com/articles/283359

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