EN | TR
E-ISSN: 2602-2974
Investigation of the Factors Affecting Prolonged Intensive Care Unit
PDF
Cite
Share
Request
Original Research
VOLUME: 18 ISSUE: 2
P: 84-90
June 2020

Investigation of the Factors Affecting Prolonged Intensive Care Unit

J Turk Soc Intens Care 2020;18(2):84-90
DOI: 10.4274/tybd.galenos.2019.86619
Güven Kıray 1
Mehmet Turan İnal 2
Dilek Memiş 2
Fatma Nesrin Turan 3
1. Sinop Devlet Hastanesi
2. Trakya Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon AD, Yoğun Bakım Bilim Dalı, Edirne
3. Trakya Üniversitesi Tıp Fakültesi, Biyoistatistik Bilim Dalı, Edirne
4. Trakya Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, Edirne, Türkiye
5. Trakya Üniversitesi Tıp Fakültesi, Biyoistatistik Bilim Dalı, Edirne, Türkiye
6. Sinop Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Kliniği, Sinop, Türkiye
7. Sinop Devlet Hastanesi, Sinop, Türkiye
8. Trakya Üniversitesi Tıp Fakültesi, Biyoistatistik Bilim Dalı, Edirne, Türkiye
9. Trakya Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, Edirne, Türkiye
10. Trakya Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, Edirne, Türkiye
11. Trakya Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, Edirne, Türkiye
12. Trakya Üniversitesi Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Edirne, Türkiye
No information available.
No information available
Received Date: 11.04.2019
Accepted Date: 07.08.2019
Publish Date: 05.06.2020
PDF
Cite
Share
Request

ABSTRACT

Objective:

As a result of advanced mechanical ventilation and hemodynamic support applications, the duration of intensive care stay is prolonged. Investigation of effective causes of prolonged ICU stay is important in terms of effective use of intensive care units.

Materials and Methods:

Patients who were hospitalized for more than 24 hours in the ICU during one year were included into the study. Age, gender, Body Mass index, hospitalization, location (emergency, operating room, service), presence of operation, presence of emergency / elective operation, need for vasopressor, Glaskow coma score (GCS), Full Outline of Unresponsiveness score (FOUR), Acute Physiology and Chronic Health Evaluation score, simplified acute physiology (SAPS III) score, hemogram profile, biochemical profile and coagulation profile values were recorded. All patients were classified as stay in the intensive care unit for shorter than 14 days and 14 days and more. We tried to investigate factors affecting prolonged admission by comparing these values.

Results:

Advanced age, high urea value, low GCS, low FOUR score, high SAPS III value, need for MV and need for vasoactive agent were found to be effective factors in prolonged intensive care hospitalization.

Conclusion:

We think that extensive studies should be done in this area as more effective use of intensive care units may be possible as a result of trying to reveal the factors affecting prolonged intensive care.

Keywords: Prolonged intensive care, affective factors, intensive care unit

References

1
Çelik S, Sahin D, Korkmaz C, Kuzulu B, Cabar S, Bahadir F, et al. Potential risk factors for patient mortality during admission to the intensive care units. Saudi Med J 2014;35:159-64.
2
Altıntaş ND, İzdeş S, Şen P. Retrospective evaluation of surgical and medical patients admitted to a mixed ıntensive care unit. Turkish Journal of Intensive Care Journal 2012;1:5-8.
3
Williams TA, Ho KM, Dobb GJ, Finn JC, Knuiman M, Webb SA, et al. Effect of length of stay in intensive care unit on hospital and long-term mortality of critically ill adult patients. Br J Anaesth 2010;104:459-64.
4
Crozier T. Long stay patients in Australian/New Zealand ICUs: Demographics and outcomes. Anaesth Intensive Care 2007;35:132-7.
5
Zampieri FG, Colombar F, Deb LC, Santoro C, Haib D. Factors associated with prolonged stay in the Intensive Care Unit: A retrospective analysis. Crit Care Med 2013;17:1186.
6
Tobi KU, Amadasun FE. Prolonged stay in the Intensive Care Unit of a tertiary hospital in Nigeria: Predisposing factors and outcome. Afr J Med Health Sci 2015;14:56-60.
7
Laupland KB, Kirkpatrick AW, Kortbeek JB, Zuege DJ. Long-term mortality outcome associated with prolonged admission to the ICU. Chest 2006;129:954-9.
8
Wozniak DR, Lasserson TJ, Smith I. Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea. Cochrane Database Syst Rev 2014;8:CD007736.
9
Arabi Y, Venkatesh S, Haddad S, Al Shimemeri A, Al Malik S. A prospective study of prolonged stay in the intensive care unit: Predictors and impact on resource utilization. Int J Qual Health Care 2002;14:403-10.
10
Rapoport J, Teres D, Lemeshow S, Avrunun JS, Haber R.  Explaining variability of cost using a severity of illness measure for ICU patients. Med Care 1990;28:338-48.
11
Aygencel G,Türkoğlu M. Characteristics, Outcomes and Costs of Prolonged Stay ICU Patients. Turkish Journal of Intensive Care Journal 2011;3:53-8.
12
Özkan F, Şahinoğlu AH. A retrospective analysis of the 967 patients who admitted to the Ondokuz Mayıs University Faculty of Medicine surgical intensive care unit. J Exp Clin Med 2009;26:62-67.
13
Wijdicks EF, Bamlet WR, Maramattom BV, Manno EM, McClelland RL. Validation of a new coma scale: the FOUR score. Ann Neurol  2005;58:585-93.
14
Iyer VN, Mandrekar JN, Danielson RD, Zubkov AY, Elmer JL, Wijdicks EF. Validity of the FOUR score coma scale in the medical intensive care unit. Mayo Clin Proc 2009;84:694-701.
15
Martin CM, Hill AD, Burns K, Chen LM. Characteristics and outcomes for critically ill patients with prolonged intensive care stays. Crit Care Med 2005;33:1922-7.
16
Higgins TL, McGee WT, Steingrub JS, Rapoport J, Lemeshow S, Teres D. Early indicators of prolonged intensive care unit stay: impact of illness severity, physician staffing, and pre-intensive care unit length of stay. Crit Care Me. 2003;31:45-51.
17
Rapoport J, Teres D, Lemeshow S, Avrunun JS, Haber R. Explaining variability of cost using a severity of illness measure for ICU patients. Med Care 1990;28:338-48.
18
Abelha FJ, Castro MA, Landeiro NM, Neves AM, Santos CC. Mortality and Length of Stay in a Surgical Intensive Care Unit. Revista Brasileira de Anestesiol 2006;56:34-45.
19
Isil K, Ciler Z, Yasemin K, Nimet Ş, Rıza H. Characteristics and outcomes of patients with prolonged stays in an ıntensive care unit. Eur J Gen Med 2016;13:127-33.
20
Kundakçı A, Pirat A, Kömürcü Ö, Torgay A, Karakayalı H, Arslan G, et al. Erişkin ortotopik karaciğer transplantasyonu sonrası uzamış yoğun bakım gereksiniminin ön belirleyicileri. J Turk Soc Intens Care 2011;9:14-8.
21
Case É, Khan S, Khalid R, Khan A. Epidemiology of acute kidney ınjury in the ıntensive care unit. Crit Care Res Pract 2013;4:479730.
2024 ©️ Galenos Publishing House