scholarly journals Investigation of acute intoxication cases followed-up in the intensive care unit: A retrospective study

2020 ◽  
Vol 7 (6) ◽  
pp. 532-534
Author(s):  
Orhan Binici ◽  
Evren Büyükfırat ◽  
Erdoğan Duran ◽  
Veli Fahri Pehlivan ◽  
Ahmet Atlas ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Psychiatric Treatment ◽  
Demographic Data ◽  
Acute Intoxication ◽  
Single Drug ◽  
The People ◽  
Ventilation Support ◽  
Mechanical Ventilation Support ◽  
Day By Day

Objective: Intoxication cases are increasing in societies day by day. Intoxication cases are followed-up and treated in Intensive Care Units (ICU). In our study, the intoxication cases followed in the intensive care unit; it is aimed to evaluate demographic data, prognosis, causing agents, mortality rates retrospectively. Material and Methods: In the intensive care unit between the dates of January 1, 2016 and March 10, 2020, the patients who were admitted with the diagnosis of acute intoxication, age, gender, the drug is taken for poisoning or the substance they are exposed to, Glasgow Coma Scale (GCS), the number of days hospitalized, mechanical ventilation support day and the number and mortality status were evaluated retrospectively. Results: The 88 patients applied to ICU with the diagnosis of acute intoxication, 55(62%)  of them are female and 33(37%) of them are male. According to all gender data, the intoxication was found to be the highest between the ages of 17 and 30 (n: 69) and the least under 17 age (n: 2). Half of the patients (n: 44 50%) were treated in less than 2 days. With a single drug, intoxication was seen as the highest with antidepressants. Conclusion: Intoxications occur mostly with medications and among these drugs, they are mostly seen with anti-depressive medications for psychiatric treatment. When treatment is started quickly after the poisoning, the duration of hospital stay is shortened and the prognosis is better. Since poisoning varieties differ by region, this information should be known and updated by the people who treat it.

Retrospective evaluation of critical geriatric and adult COVID-19 patients

2021 ◽  
pp. 79-82
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Geriatric Patients ◽  
Invasive Mechanical Ventilation ◽  
Adult Patients ◽  
Retrospective Evaluation ◽  
Intensive Care Patients ◽  
Significant Difference ◽  
Ventilation Support ◽  
Mechanical Ventilation Support

Background: 5% of cases in COVID 19 disease require hospitalization in an intensive care unit. COVID -19 has a high mortality rate in the intensive care unit (ICU). There are many factors that affect this. There is no study on whether aging is one of these factors for intensive care patients. Objective: With this study, the data of critical geriatric and adult COVID-19 patients we followed up in the covid intensive care unit were evaluated and it was aimed to recognize the characteristics of critically ill patients. Material and Method: The files of 70 geriatric and 67 adult patients followed in the COVID-19 ICU were scanned and evaluated. Results: When evaluated in terms of developing organ dysfunction, cardiac arrhythmia was found to be statistically significant in adult patients (P=.01). 53 (75%) of 70 geriatric patients and 45 (67.1%) of 67 adult patients required invasive mechanical ventilation support. Intensive care mortality was 74.2% (52) in geriatric patients and 67.1% (45) in adult patients. There was no significant difference between the two groups in terms of mortality. Conclusion: It turned out that old age and being an adult are not important in terms of mortality in COVID-19 patients who need to be followed up in the intensive care unit.

scholarly journals Does Gender Impact Intensity of Care Provided to Older Medical Intensive Care Unit Patients?

2010 ◽  
Vol 2010 ◽  
pp. 1-8
Author(s):  
Kathleen M. Akgün ◽  
Terrence E. Murphy ◽  
Katy L. B. Araujo ◽  
Peter H. Van Ness ◽  
Margaret Pisani
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Medical Intensive Care Unit ◽  
Demographic Data ◽  
University Teaching ◽  
Explanatory Variables ◽  
Health Differences ◽  
Medical Intensive Care ◽  
Gender Based

Introduction. Women receive less aggressive critical care than men based on prior studies. No documented studies evaluate whether men and women are treated equally in the medical intensive care unit (MICU). The Therapeutic Intervention Scoring System-28 (TISS-28) has been used to examine gender differences in mixed ICU studies. However, it has not been used to evaluate equivalence of care in older MICU patients. We hypothesize that given nonsignificant, baseline health differences between genders at MICU admission, the level of care provided would be equivalent.Methods. Prospective cohort of 309 patients≥60 years old in the MICU of an urban university teaching hospital. Explanatory variables were demographic data and baseline measures. Primary outcomes were TISS-28 scores and MICU interventions. We compare TISS-28 scores by gender using a statistical test of equivalence.Results. Women were older and had more chronic respiratory failure at MICU admission. Using equivalence limits of±15% on gender-based scores of TISS-28, MICU interventions were equivalent. Supplementary analysis showed no statistically significant association between gender and mortality.Conclusions. In contrast with other reports from the cardiac critical care literature, as measured by the TISS-28, gender-based care delivered to older MICU patients in this cohort was equivalent.

scholarly journals The Effects of Neutrophil-Lymphocyte Ratio, Platelet-Lymphocyte Ratio and Prognostic Markers in Determining the Mortality in Patients Diagnosed With Pneumonia in Intensive Care

2021 ◽  
Author(s):  
Ömer Faruk Altaş ◽  
Mehmet Kızılkaya
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Risk ◽  
Demographic Data ◽  
Apache Ii ◽  
Prognostic Scores ◽  
Characteristic Analysis ◽  
Neutrophil Lymphocyte Ratio ◽  
Lymphocyte Ratio ◽  
Point Increase

Objective: In this study, we aimed to reveal the level of predicting mortality of the Neutrophil/Lymphocyte (NLR) and Platelet/Lymphocyte Ratios (TLR) calculated in patients hospitalized with the diagnosis of pneumonia in the intensive care unit when compared with other prognostic scores. Method: The hospital records of 112 patients who were admitted to the intensive care unit between January 2015 and January 2018 and met the inclusion criteria were retrospectively reviewed. The patients’ demographic data, the NLR and PLR levels, and the APACHE II (Acute Physiology and Chronic Health Evaluation II) and SOFA (Sequential Organ Failure Assessment) scores were calculated from the patient files. Results: Of the 112 patients examined, 70 were males. The risk analysis showed that the male gender had 2.7 times higher risk of mortality. The NLR, PLR, APACHE II, and SOFA values were found statistically significant in predicting mortality (p<0.001). An evaluation of the risk ratios demonstrated that each one point increase in the NLR increased the mortality risk by 5%, and each one point increase in the SOFA score increased the mortality risk by 13% (p<0.05). In the ROC (receiver operating characteristic) analysis, the NLR assessment proved to be the most powerful, most specific, and sensitive test. The cut-off values were 11.3 for the NLR, 227 for the PLR, 29.8 for the APACHE II scores, and 5.5 for the SOFA scores. Conclusion: We believe that NLR and PLR are strong and independent predictors of mortality that can be easily and cost-effectively tested.

scholarly journals Anxiety and depression symptoms in family members of icu patients

2015 ◽  
Vol 33 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Maria Kourti ◽  
Efstathia Christofilou ◽  
George Kallergis
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Demographic Data ◽  
Family Members ◽  
Depression Scale ◽  
Self Report ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Hospital Anxiety ◽  
Icu Patients

<p><strong>Objective:</strong> This study investigated symptoms of anxiety and depression in relatives of patients admitted in the Intensive Care Unit and determined whether these symptoms were associated to the seriousness of the patients’ condition.</p><p><strong>Metodology:</strong> A total of 102 patients’ relatives were surveyed<br />during the study. They were given a self-report questionnaire in order to assess demographic data, anxiety and depression symptoms. The symptoms of anxiety and depression were evaluated with the Hospital Anxiety and Depression Scale (hads). Patient’s condition was evaluated with a.p.a.ch.e ii Score.</p><p><strong>Results:</strong> More than 60% of patients’ relatives presented severe symptoms of anxiety and depression. No relation was found between symptoms of anxiety and depression of the relatives of patients and patients’ condition of health. On the<br />contrary, these feelings used to exist regardless of the seriousness of patient’s condition.</p><p><strong>Conclusions:</strong> The assessment of these patients is recommended in order serious problems of anxiety<br />and depression to be prevented. </p>

scholarly journals Management of Anesthesia and Complications in Pulmonary Endarterectomy Operations

2021 ◽  
Author(s):  
Atakan Erkılınç ◽  
Pınar Karaca Baysal
Keyword(s):  
Intensive Care Unit ◽  
Pulmonary Hypertension ◽  
Intensive Care ◽  
Pulmonary Function Tests ◽  
Demographic Data ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Pulmonary Endarterectomy ◽  
Output Measurement ◽  
Mean Values ◽  
Patients Âgés

Objective: Chronic thromboembolic pulmonary hypertension is a chronic progressive disease developing obstruction ocurring in pulmonary vascular bed. Pulmonary endarterectomy is the surgical procedure described in the management of chronic pulmonary hypertension which excises, and removes the obstructing thromboembolic material from the affected vascular structures. Our aim is to share our approaches to the management of anesthesia and complications in pulomanry endarterectomy operations performed in our center. Methods: The data of 200 PEA cases conducted in June 2017-2020 were retrospectively analyzed. The demographic data of the patients, preoperative pulmonary function tests, cardiac catheterization findings, peroperative cardiac output measurement values, aortic cross clamp, extubation, intensive care unit, and hospital stay times and complications were recorded. Results: Average age of the patients’ ages was 50.8 years, and female/male ratio was 108/92. In the thermodilution measurements of the patients after induction, mean values of CO, PVR and mPAP were determined as 4.4 l/min, 594 dyn/s/cm-5, 40 mmHg, respectively. The corresponding measurements made after the sternal closure were stated as 6 l/min, 241 dyn/s/cm-5 and 28 mmHg, respectively. The patients were hospitalized in the intensive care unit for 4 days. In our patient group residual pulmonary hypertension occurred in 21%, reperfusion pulmonary edema in 10% and pulmonary bleeding in 4% of the cases. Conclusion: Only a very few centers in the world are experienced in PEA surgery. Anesthesia management and treatment of the complications of PEA surgery are quite difficult. Therefore, PEA surgery shl be performed in experienced centers.

Serum Biomarkers for Risk Assessment of Intrahospital Transports in Mechanically Ventilated Neurosurgical Intensive Care Unit Patients

2019 ◽  
pp. 088506661989106
Author(s):  
Michael Bender ◽  
Marco Stein ◽  
Seong Woong Kim ◽  
Eberhard Uhl ◽  
Karsten Schöller
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intracranial Pressure ◽  
Demographic Data ◽  
Simplified Acute Physiology Score ◽  
Serum Biomarkers ◽  
Secondary Brain Injury ◽  
Mechanically Ventilated ◽  
Neurosurgical Intensive Care ◽  
Neurosurgical Intensive Care Unit

Objective: Intrahospital transports (IHTs) of neurosurgical intensive care unit (NICU) patients can be hazardous. Increasing intracranial pressure (ICP) and/or decreasing cerebral perfusion pressure (CPP) as well as cardiopulmonary alterations are common complications of an IHTs, which can lead to secondary brain injury. This study was performed to assess several serum biomarkers concerning their potential to improve safety of IHTs in mechanically ventilated NICU patients. Methods: All IHTs of mechanically ventilated and sedated NICU patients from 03/2017 to 01/2018 were retrospectively analyzed. Intracranial pressure and CPP measurements were performed in all patients. Serum hemoglobin, hematocrit, and serum sodium were defined as serum biomarkers. Demographic data, computed tomography scan on admission, Simplified Acute Physiology Score and Acute Physiology and Chronic Health Evaluation II, modified Rankin Scale, indication and consequence of IHTs were analyzed. Alteration of ICP/CPP, hemodynamic and pulmonary events were defined as complications. The study population was stratified into patients with the occurrence of a complication and absence of a complication. Results: We analyzed a total number of 184 IHTs in 70 NICU patients with an overall complication rate of 57.6%. Of all, 32.1% IHTs had no direct therapeutic consequence. In patients with higher hemoglobin values prior to IHT less complications occurred, concerning ICP ( P = .001), CPP ( P = .001), hemodynamic ( P = .005), and pulmonary ( P < .0001) events. In addition, complications concerning ICP ( P = .001), CPP ( P = .001), hemodynamic ( P = .005), and pulmonary problems ( P = .002) were significantly lower in patients with higher hematocrit values before IHT. Conclusion: Intrahospital transports of mechanically ventilated NICU patients carry a high risk of increased ICP and hemodynamic complications and should be performed restrictively. Higher values of hemoglobin and hematocrit prior to IHT were associated with less complications with regard to ICP, CPP as well as hemodynamic and pulmonary events and could be helpful to assess the potential risk of complications prior to IHTs.

scholarly journals Sons and daughters with a parent hospitalized in an Intensive Care Unit

2013 ◽  
Vol 30 (2) ◽  
pp. 199-209
Author(s):  
Fernanda de Azevedo Lima ◽  
Maria Cristina Lopes de Almeida Amazonas ◽  
Carmem Lúcia Brito Tavares Barreto ◽  
Walfrido Nunes de Menezes
Keyword(s):  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Professional Growth ◽  
Structured Interview ◽  
Healthcare Team ◽  
Effective Care ◽  
Demographic Questionnaire ◽  
The Family ◽  
Day By Day

The aim of this study, in the area of Hospital Psychology, was to comprehend the experience of sons and daughters whose mother or father was hospitalized in an Intensive Care Unit. Participants were 10 sons and daughters who responded to a socio-demographic questionnaire and a semi-structured interview, which were submitted to Content Analysis. The following were verified in the interviews: feelings of suffering and fear; concerns regarding the fact that the patient spends most of the time alone; lack of trust regarding the treatment offered by the healthcare team for the patient; lack of motivation to continue day by day routines; positive reappraisal such as personal, spiritual and professional growth, and satisfaction with the hospital team's care to the family. This data highlights the needs of these sons and daughters during their parent's hospitalization in an Intensive Care Unit and may support more effective care from the healthcare team for this population.

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