Wos İndeksli Açık & Kapalı Erişimli Yayınlar

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search.filters.applied.f.language: search.filters.language.turSubject: search.filters.subject.mortality

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    Mortality prediction ability of phycians in intensive care units of Turkey (MOPAP)
    (2020) Can, Atilla; 33295718
    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% Cl: 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.
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    Early period hospital mortality after orthopedic surgery and affecting factors By:Beyaz, S (Beyaz, Salih)[ 1 ]
    (2019) Beyaz, Salih; 000-0002-5788-5116; M-2609-2013
    Purpose: The aim of this study was to determine the factors affecting the mortality and the orthopedic surgical procedure with the highest hospital mortality. Materials and Methods: 19,727 patients who had undergone orthopedic surgery between 1998-2016 were included in the study. Of these patients, 370 patients who died in the hospital within the first 30 days were screened. Surgical procedures for patients with a higher than average mortality, age, gender, presence of malignancy, history of coronary artery disease, diabetes, hemodialysis, cerebrovascular event history, presence of hypertension, The American Society of Anesthesiologists (ASA) assessment score and anesthesia patterns were recorded. Results: Of 19,727 patients undergoing orthopedic surgery, 237 (1.23%) patients died early in the hospital after surgery. 4 surgical procedures with the highest mortality rate; It was found 6.35% in amputation surgery, 5.2% in femoral neck fracture, 4.2% in intertrochanteric hip fracture and 2.6% in vertabra surgery. Factors affecting the mortality were age, male gender, hypertension, having general anesthesia, having amputation surgery and having hemodialysis. ASA score was statistically significant in mortality all surgical types. Conclusion: Amputation is the most deadly orthopedic surgery in the early period. comorbid chronic diseases are the most important factors affecting mortality in orthopedic surgery.