| Yazarlar |
Eylem Tunçay
Sağlık Bilimleri Üniversitesi, Türkiye |
|
Özlem Yazıcıoğlu Moçin
Türkiye |
|
Sinem Güngör
Sağlık Bilimleri Üniversitesi, Türkiye |
|
Nezihe Çiftaslan Gökşenoğlu
Türkiye |
|
İlim Irmak
Türkiye |
|
Cüneyt Saltürk
İstanbul Yeni Yüzyıl Üniversitesi, Türkiye |
|
Feyza Kargın
Türkiye |
|
Huriye Berk Takır
Sağlık Bilimleri Üniversitesi, Türkiye |
|
Mustafa Ay
|
Doç. Dr. Veysel Garani SOYLU
Kastamonu Üniversitesi, Türkiye |
|
Emine Aksoy
Türkiye |
|
Gökay Güngör
Türkiye |
|
Nalan Adıgüzel
Türkiye |
|
Zühal Karakurt
Türkiye |
| Özet |
| Tracheostomy is life-saving procedure in critical care patients which require long-term mechanical ventilation (MV) and an alternative to endotracheal intubation.(1,2) The factors affecting the survival of tracheostomized patients are not clearly known. The aim of this study was to investigate the factors affecting intensive care unit (ICU) and long-term mortality in the tracheostomized patients due to respiratory failure. A retrospective observational cohort study was planned between January 2016-2019 in tertiary ICU. Each patient underwent percutaneous and surgical tracheostomy was included. Demographic characteristics, diagnoses, causes of tracheostomy, comorbidities, Charlson and APACHE 2 scores, culture antibiogram results, ICU day and mortality (1-3and 12 months) were recorded. In the analysis of the data, appropriate statistical tests and analyzes were used. 115 of 3620 patients admitted to tertiaryICU and underwent percutaneous and surgical tracheostomydue to respiratory failure between January 2016-2019 were included. 75 (65%) of the patients were male and median age was 68±14 years. Hospital mortality was higher in the group with Acinetobacter baumannii growth (p=0.04). According to Kaplan-Meier survival analysis, long-term follow-up of Acinetobacter baumanii growth did not affect survival (p=0.938). Patients with cerebro-vascular accident (CVA) had lower survival in long-term follow-up (p <0.039). It was determined that presence of tracheal resistant Acinetobacter baumanii increases the ICU mortality in tracheostomized patients and existing CVA as a comorbidity increased the long term mortality. In conclusion, rational antibiotic therapy and CVA prophylaxis-physiotherapy could contribute to short and long term survival in these patient groups. |
| Anahtar Kelimeler |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayımlanan tam makale |
| Dergi Adı | Medicine Science |
| Dergi ISSN | 2147-0634 |
| Dergi Tarandığı Indeksler | TR DİZİN |
| Makale Dili | İngilizce |
| Basım Tarihi | 01-2020 |
| Cilt No | 9 |
| Sayı | 1 |
| Sayfalar | 1 / 5 |
| Doi Numarası | 10.5455/medscience.2019.08.9126 |
| Makale Linki | http://dx.doi.org/10.5455/medscience.2019.08.9126 |
| Atıf Sayıları |
