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Original Research

BMB. 2020; 5(1): 13-20


EVALUATION OF LONG-TERM INTENSIVE CARE PATIENTS IN A CARDIAC SURGERY CENTER

bedih balkan, hatice dilek özcanoğlu.




Abstract

ABSTRACT
Aim: This study aimed to evaluate the clinical and demographic characteristics of patients in a chronic intensive care unit in a cardiac surgery center and to research the effect of these characteristics on scoring systems used.

Methods: From 1 September 2014 to 1 September 2019, the study was completed retrospectively with cases admitted to the chronic intensive care unit due to lengthened intensive care requirements after monitoring in the cardiovascular surgery intensive care or coronary intensive care units. Each case had study forms created containing information like age, sex, comorbid diseases, acute physiology and chronic health evaluation-II (APACHE II) scores, Glasgow coma scale (GCS), etc. The results were statistically assessed.
Results: The study included 263 patients. The mean age of patients was 64.6±6 years, with 61% male and 39% female. Of cases, 46% had coronary bypass surgery (n=122), 25% had valve + aorta dissection (n=67), 19% had acute coronary artery (n=51) and 7% had peripheral artery disease (n=17). The mean follow-up duration for patients was identified as 44.2± 96.38 days. Cases developing mortality had significantly higher APACHE II scores compared to cases without mortality (p

Key words: chronic intensive care, cardiac center, APACHE-II, prolonged mechanical ventilation






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