Evaluation of risk factors and comorbities of the orthopedic patients treated in intensive care unit

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dc.authorid0000-0002-3339-4195
dc.contributor.authorCihangir, Doğu
dc.contributor.authorMutlu, Nevzai Mehmet
dc.contributor.authorTuran, Sualp
dc.contributor.authorKaraca, Onur
dc.contributor.authorKayır, Selçuk
dc.contributor.authorTuran, Işıl Özkoçak
dc.date.accessioned2019-10-30T12:31:55Z
dc.date.available2019-10-30T12:31:55Z
dc.date.issued2019
dc.departmentTıp Fakültesi
dc.description*Karaca, Onur ( Aksaray, Yazar )
dc.description.abstractIntroduction: The aim of this study is to investigate the comorbidities of orthopedic patients followed up in intensive care unit and to investigate the comorbid relationship of complications requiring intensive care. Material and methods: Ankara Numune Research Hospital Intensive care patients over the age of 18 admitted from the operating room and from orthopedic service were reviewed retrospectively between January 2010-December 2014. Results: 69 males and 98 females were postoperative patients in a total of 283 patients.28% of these patients were trauma patients and 62.3% were accepted after total hip prosthesis operations.The average age of postoperatively accepted patients was 73.5 years and preoperative was 61.5 years.The mean APACHE II score was similar.21% of postoperative patients have chronic obstructive pulmonary disease (COPD),while 18% of those without surgery had COPD(p=0.024).The need of close monitoring for intensive care admission was 62% in preoperative patients and 47% in postoperative patients(p=0.014).Symptomatic electrolyte imbalance was higher in preoperativ patients(p=0.027). The rate of vasopressors required hypotension was 11% in postoperative patients and 3% in non-operated patients (p=0.021).Charlson scores of postoperative patients were higher than those without surgery (p=0.001). Conclusion: Orthopedic patients who have high risk factors and comorbidities, we think that the consultation of the relevant branches and the initiation of treatment follow-ups in the early period may be useful in preventing intensive care requirement in the preoperative period.
dc.description.abstract...
dc.identifier.doi10.19193/0393-6384_2019_5_405
dc.identifier.endpage2588en_US
dc.identifier.issue5en_US
dc.identifier.scopusqualityN/A
dc.identifier.startpage2583en_US
dc.identifier.urihttps://dx.doi.org/10.19193/0393-6384_2019_5_405
dc.identifier.urihttps://hdl.handle.net/20.500.12451/6928
dc.identifier.volume35en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherEditore Carbone
dc.relation.ispartofActa Medica Mediterranea
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCharlson Comorbidity Index
dc.subjectIntensive Care
dc.subjectOrthopedics
dc.subjectHip Prosthesis
dc.titleEvaluation of risk factors and comorbities of the orthopedic patients treated in intensive care unit
dc.typeArticle

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