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Mortality prediction ability of phycians in intensive care units of Turkey (MOPAP)    
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
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Mortality prediction ability of phycians in intensive care units of Turkey (MOPAP)

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