Yazarlar |
Mehtap Pehlivanlar Küçük
Karadeniz Teknik Üniversitesi, Türkiye |
Tevfik Özlü
Karadeniz Teknik Üniversitesi, Türkiye |
Ahmet Oğuzhan Küçük
Türkiye |
Akın Kaya
Ankara Üniversitesi, Türkiye |
Sami Cenk Kıraklı
Sağlık Bilimleri Üniversitesi, Türkiye |
Özlem Şengören Dikiş
Türkiye |
Hale Kefeli Çelik
Türkiye |
Serdar Özkan
Türkiye |
Hayriye Bektaş Aksoy
Türkiye |
Onur Palabıyık
Türkiye |
Mustafa Çörtük
Türkiye |
Recai Ergün
Türkiye |
Betül Kozanhan
Türkiye |
Özlem Erçen Diken
Türkiye |
Feza Bacakoğlu
Türkiye |
Süheyla Uzun
Türkiye |
İskender Aksoy
Türkiye |
Hakan Cinemre
Türkiye |
Avşar Zerman
Türkiye |
Işıl Özkoçak Turan
Türkiye |
Nevin Fazlıoğlu
Türkiye |
Fatma Yıldırım
Türkiye |
Ersin Günay
Türkiye |
Belgin Akan
Türkiye |
Hüseyin Arpağ
Türkiye |
Cengizhan Sezgi
Türkiye |
Atilla Can
Türkiye |
Murat Yalçınsoy
Türkiye |
Selen Karaoğlanoğlu
Türkiye |
Abidin Şehitoğulları
Türkiye |
Sertaç Arslan
Türkiye |
Yusuf Aydemir
Türkiye |
Ayperi Öztürk
Türkiye |
İclal Hocanlı
Türkiye |
Musa Salmanoğlu
Türkiye |
Aydanur Ekici
Türkiye |
Sena Ataman
|
Özlem Edipoğlu
|
Tekin Yıldız
Türkiye |
Prof. Dr. Zahide DOĞANAY
Kastamonu Üniversitesi, Türkiye |
Celalettin Dağlı
|
Esra Arslan Aksu
Türkiye |
Burcak Zitounı
Türkiye |
Ayşe İlksen Eğilmez
Türkiye |
Yeliz Şahiner
Türkiye |
Pervin Korkmaz
Türkiye |
Handan İnönü Köseoğlu
Türkiye |
Ahmet Baydın
Türkiye |
Ahmet Nalbant
Türkiye |
Davut Aydın
Türkiye |
Ahmet Bindal
Türkiye |
Şener Balas
Türkiye |
Şule Esen Karamişe
|
Ömer Araz
Türkiye |
Türkan Acar
Türkiye |
Hasan Kahraman
Türkiye |
Melike Demir
Türkiye |
Cengiz Burnik
|
Ebru Çanakçı
Türkiye |
Cahit Bilgin
Türkiye |
Özgür Yağan
Türkiye |
Semih Aydemir
Türkiye |
Yalçın Önem
Türkiye |
Zerrin Gürel Durmuş
Türkiye |
Özet |
Introduction: Intensive care physicians are increasingly involved in decision making about the prognosis of intensive care unit ICU patients. With this study; we aimed to evaluate the power of clinician foresight at prediction of mortality in patient at triage to intensive care and patient follow-up. Materials and Methods: This study was conducted in ICUs located in various geographical regions of Turkey between January 1, 2017-April 30, 2017.The clinical research was planned as observational, multicenter, cross-sectional. Results: A total of 1169 intubated patients were followed in 37 different ICU. At the beginning of the follow-up we asked the physician who will follow the patient in the ICU to give a score for the probability of survival of the patients. Scoring included a total of 6 scores from 0 to 5, with the “0” the worst probability “5” being the best. According to this distribution, only 1 (0.9%) of 113 patients who were given 0 points survived. Three (6.1%) of 49 with the best score of 5 died. Survival rates were significantly different in each score group (r:-0.488; p< 0.001). After the combined mortality estimation scores based on the clinical observations of the physicians (0 and 1 point score was combined as non-survive, 4 and 5 score was combined as survived) 320 of the 545 patients were estimated to be dead and 225 were predicted survival. Sensitivity and spesifity of scoring system to predict mortality was 91.56% (95% CI: 87.96-94.37), 76.89% (95% CI: 70.82-82.23) respectively. Conclusion: In this study, we concluded that the physicians who follow the patients in the ICU can predict the poor prognosis at the time of admission and the high mortality rate. The physician’s opinion on mortality estimation should be considered in intensive care mortality scoring in addition to other laboratory and clinical parameters. |
Anahtar Kelimeler |
Intensive care unit | Mechanical ventilation | Mortality | Prediction |
Makale Türü | Özgün Makale |
Makale Alt Türü | ESCI dergilerinde yayımlanan tam makale |
Dergi Adı | Tüberküloz ve Toraks |
Dergi ISSN | 0494-1373 |
Dergi Tarandığı Indeksler | ESCI, EMBASE, SCOPUS, Pubmed |
Makale Dili | Türkçe |
Basım Tarihi | 09-2020 |
Cilt No | 68 |
Sayı | 3 |
Sayfalar | 205 / 217 |
Doi Numarası | 10.5578/tt.70135 |
Makale Linki | http://dx.doi.org/10.5578/tt.70135 |
Atıf Sayıları |