Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi最新文献

{"title":"Mortality in Non-COVID-19 Intensive Care Unit During the Pandemic","authors":"Ö. Kömürcü, Muzeyyen Beldagli, Fatma Ülger","doi":"10.4274/tybd.galenos.2021.40085","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2021.40085","url":null,"abstract":"Objective: The coronavirus disease-2019 (COVID-19) pandemic has had a negative impact on all healthcare services. We investigated how the intensive care mortality rate, an important quality indicator of intensive care units, was affected during the pandemic at our center. Materials and Methods: In a retrospective single-center internal surgery setting with a 20-bed intensive care unit, patients without COVID-19 were admitted. The mortality rates over a 6-month time period pre- and postpandemic were compared. Results: During the pandemic, the mortality rate at our intensive care unit has increased. We also observed that there was a significant relationship between mortality and the indication for admission to the intensive care unit (postsurgical admission, postadmission for medical reasons, and post-traumatic) and the place of admission to the intensive care unit (emergency department, different hospital) (p<0.05). Conclusion: During the pandemic period, disruptions in routine health services can cause significant health problems in patients who do not have COVID-19 infection. (English) [ FROM AUTHOR] Amaç: Koronavirüs hastalığı-2019 (COVÍD-19) pandemisi tüm sağlık hizmetlerini olumsuz etkilemektedir. Bu çalışmada pandemi döneminde merkezimizde, yoğun bakım ünitelerinin önemli kalite göstergesi olan yoğun bakım mortalite oranının nasıl etkilendiğini araştırdık. Gereç ve Yöntem: Bu retrospektif tek merkezli çalışmada, dahili cerrahi non-COVÍD-19 hastaların kabul edildiği 20 yataklı yoğun bakım ünitesinde mortalite oranları, pandemi öncesi ve sonrası 6 aylık zaman periyotlarında karşılaştırıldı. Bulgular: Pandemi döneminde yoğun bakım ünitemizde takip edilen hastalarda mortalite oranı artmıştır. Mortalite ile yoğun bakım ünitesine kabul endikasyonu (cerrahi nedenle kabul sonrası, medikal nedenle kabul sonrası, travma sonrası) ve yoğun bakım ünitesine kabul yeri (acil servis, farklı hastane) arasında anlamlı bir ilişki olduğu görülmüştür (p<0,05). Sonuç: Rutin sağlık hizmetlerindeki aksamalar, pandemi döneminde COVÍD-19 enfeksiyonu taşımayan hastalarda önemli sağlık sorunlarını beraberinde getirecektir. (Turkish) [ FROM AUTHOR] Copyright of Turkish Journal of Intensive Care is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82244535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Care Bundle Approach in Preventing Central Line-associated Bloodstream Infections in Surgical Intensive Care Units","authors":"Eda Akyol, I. Cavdar","doi":"10.4274/tybd.galenos.2021.44154","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2021.44154","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82056248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lactate/Albumin Ratio as a Prognostic Factor for Short-time Mortality in Critically Ill Patients with Coronavirus Disease-2019","authors":"Abdullah Gök, U. Kasapoğlu, L. Delen, F. Özmen, Susen Banazili","doi":"10.4274/tybd.galenos.2021.37167","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2021.37167","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83660643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Encephalitis and Toxic Hepatitis Caused by Bee Sting: An Unusual Case Report","authors":"Özlem Önder, A. Aktan","doi":"10.4274/tybd.galenos.2021.86548","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2021.86548","url":null,"abstract":"A bee sting can be a serious problem that affects people all over the world. Several clinical manifestations of bee sting have been described elsewhere. Furthermore, local allergic reactions are more common, causing pain, redness, and swelling of soft tissue within a few hours. In some cases, severe neurological deficits that can lead to death have been reported. According to the literature, the onset of neurological symptoms can range from 30 seconds to 96 hours. Herein, we present the case of a 48-year-old man who developed allergic encephalitis and toxic hepatitis as a result of multiple bee stings.","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82396373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Follow-up of a Patient with Muscle Weakness During the Postoperative Intensive Care Period","authors":"M. Deniz, Ali Kağnıcı, B. Taşdemir, İ. Kurt","doi":"10.4274/tybd.galenos.2021.25633","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2021.25633","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76977589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sepsis and Fibroblast Growth Factor 21: A New Acute Phase Reactant?","authors":"S. Deveci, A. Koca, D. Ertuğrul, T. Akkan, E. Beyan","doi":"10.4274/TYBD.GALENOS.2021.13008","DOIUrl":"https://doi.org/10.4274/TYBD.GALENOS.2021.13008","url":null,"abstract":"Objective: This study aimed to compare the levels of fibroblast growth factor 21 (FGF 21) in patients with acute metabolic decompensation, sepsis and non-infectious inflammatory status using infection parameters and scoring systems. Materials and Methods: This cross-sectional study included 46 patients with sepsis and 29 patients with non-infectious inflammatory conditions in the case group. A total of 39 healthy volunteers were included in the control group. C-reactive protein, procalcitonin (PCT), sedimentation and FGF 21 levels were measured in all patients. Acute physiology and chronic health evaluation II and sequential organ failure assessment scores were also calculated. Results: FGF 21 levels in the patients in the case group were significantly higher than those in the patients in the control group (p ˂ 0.001). A weak positive correlation was found between the FGF 21 and PCT levels (r = 0.292, p = 0.011). It was estimated that FGF 21 levels of 492.4 pg/mL and higher could predict the diagnosis of sepsis and non-infectious inflammatory status with 82.4% sensitivity and 80% specificity. Conclusion: FGF 21 can be considered an acute phase reactant in cases of infection, rising like PCT but not increasing in every acute condition.","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83693008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Impact of Airway Management Training on the Moral Distress and Compassion Fatigue of Nurses Working in Intensive Care Units","authors":"Mohamad Golitaleb, Behnam Masmouei, A. Jadidi, F. Majdabadi, Mehdi Harorani","doi":"10.4274/TYBD.GALENOS.2021.03521","DOIUrl":"https://doi.org/10.4274/TYBD.GALENOS.2021.03521","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72740961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of in-hospital Mortality After Rapid Response System Activation in a Newly Established Tertiary Hospital","authors":"B. Tezcan, Müçteba Can, Çilem Bayındır Dicle, I. Mungan, Derya Ademoğlu","doi":"10.4274/tybd.galenos.2021.76598","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2021.76598","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77189711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cedecea Davisae Bacteraemia After Tocilizumab Usage for Coronavirus Disease 2019 Treatment","authors":"I. Sen, Cem Şen","doi":"10.4274/TYBD.GALENOS.2021.46330","DOIUrl":"https://doi.org/10.4274/TYBD.GALENOS.2021.46330","url":null,"abstract":"Cedecea davisae (C. davisae) is a Gram-negative, non-sporulating, motile rod-shaped bacterium of the Enterobacteriaceae family. Cedecea are new members of the Enterobacteriaceae family. Because of their inherent resistance to some antibiotics, the clinical response could be unpredictable, making the management of Cedecea infection challenging in immunocompromised patients. They have rarely been reported as causes of invasive infection. Cedecea can cause opportunistic infections in elderly patients. To the best of our knowledge, only 13 cases of C. davisae bacteraemia have been reported in literature. In this article, we report a case of C. davisae bacteraemia developed after the usage of tocilizumab for coronavirus disease-2019 treatment. A brief review of the literature is also presented in this article. (English) [ABSTRACT FROM AUTHOR] Cedecea davisae (C. davisae) Gram-negatif, sporsuz, haraketli, çubuk şeklinde Enterobacteriaceae ailesine ait bir bakteridir. Cedecea, Enterobacteriaceae ailesinin yeni üyelerindendir. Bazı antibiyotiklere karşı doğal dirençleri nedeniyle, klinik cevap öngörülemez olabilir, bu da immünosüprese hastalarda Cedecea enfeksiyonunun yönetimini zorlaştırır. Nadiren invaziv enfeksiyonun nedeni olarak bildirilmiştir. Íleri yaştaki hastalarda fırsatçı enfeksiyonlara neden olabilir. Bildiğimiz kadarıyla literatürde sadece 13 C. davisae bakteriyemi olgusu bildirilmiştir. Bu makalede, koronavirüs hastalığı-2019 tedavisinde kullanılan tosiluzumab sonrası gelişen C. davisae bakteriyemi olgusu ve ardından literatürün kısa bir derlemesi sunulmaktadır. (Turkish) [ABSTRACT FROM AUTHOR] Copyright of Turkish Journal of Intensive Care is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84064686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu patients) delirium prediction model in intensive care units in Turkey","authors":"Samet Sayılan, V. Ozen, Betül Tosun, Aylin Aydin Sayilan, N. Ozen","doi":"10.22541/AU.161064534.48080106/V1","DOIUrl":"https://doi.org/10.22541/AU.161064534.48080106/V1","url":null,"abstract":"Purpose: This methodological study was aimed to the Turkish adaptation\u0000and validation of the “PRE-DELIRIC Score” delirium prediction model in\u0000patients hospitalized in the ICU. Method: The study was conducted with\u0000patients who were treated in the ICUs of a training and research\u0000hospital between October 2019 and April 2020. The data were collected\u0000with (1) the Data Collection Form for the Descriptive Characteristics of\u0000the Subjects, (2) the PRE-DELIRIC Score, and (3) the Confusion\u0000Assessment Method for the ICU (CAM-ICU). The ROC analysis and diagnosis\u0000screening tests were used to determine the cut-off point according to\u0000the groups. The sensitivity and specificity characteristic of the score\u0000were calculated. Significance was evaluated at the p<0.05\u0000level. Results: The study was completed with 172 patients. A\u0000statistically significant relationship was found between the cut-off\u0000point obtained for the PRE-DELIRIC Score (≥7.58%) and the groups (p=\u00000.003). The risk of being CAM-ICU positive was 7.404 times higher in\u0000patients with a PRE-DELIRIC Score of 7.58 or more (OR:7.404; 95%\u0000CI:1.638-33.469). Conclusion: The PRE-DELIRIC Score was evaluated in\u0000this study and the PRE-DELIRIC Score was found to be easy to administer\u0000with reliable results.","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75564693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}