Travma hastalarının yoğun bakıma kabulündeki laktat, albumin, C-reaktif Protein, PaO2/FiO2 ve glukoz düzeylerinin mortaliteye etkisi
Küçük Resim Yok
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
ÖZET Amaç: Travma hastalarının yoğun bakım gözleminde kan analizlerinin kullanımı tercih edilir. Bu çalışmanın amacı travma hastalarının yoğun bakıma kabulündeki albumin, C-reaktif protein (CRP), PaO2/FiO2 ve glukoz düzeylerinin mortalite ile ilişkisinin araştırılmasıdır. Gereç ve Yöntem: 2010-2012 yılları arasında travma sonucu yoğun bakıma kabul edilen hastalar retrospektif olarak araştırıldı. Çalışmaya 200 travma hastası dahil edildi. Demografik verileri, APACHE II skoru, Glasgow Koma Skoru (GKS), arteriyel kan gazındaki laktat ve PaO 2/FiO2 oranı, CRP, glukoz ve albumin düzeyleri yanında torakal, kardiyak, renal, abdominal ve kraniyal travması, yoğun bakım yatış süresi ve mortalitesi kaydedildi. Bulgular: Çalışmaya alınan hastaların %84’ü erkek, ortalama yaş 38,3 yıl ve APACHE II skoru ortalaması 16,6’dı. Hastaların %64’ünde kraniyal travma mevcut olup GKS ortalaması 11,2 bulundu. Hastalar yoğun bakımda ortalama 18,7 gün izlendi ve mortalite oranı %33,5 olarak saptandı. GKS, PaO2/FiO2, yaş ve artmış laktat düzeyinin bağımsız risk faktörü olarak mortaliteyi arttırdığı saptandı. Sonuç: Yaş ve ilk başvuruda saptanan GKS, laktat, glukoz, albumin ve PaO2/FiO2 düzeyleri mortalite ile ilişkilidir.
SUMMARY Objective: Blood analyses are preferred in the observation of cases requiring intensive care unit (ICU) following a trauma. the purpose of this study was to examine the relationship of albumin, C-reactive protein (CRP), PaO2/FiO2 and glucose levels of trauma patients at time of admission with mortality. Material and Method: the patients who were admitted into ICU following a trauma between the years of 2010 and 2012 were retrospectively evaluated. 200 trauma cases were included in the study. Their demographic data, APACHE II scores, Glasgow Coma Scales (GCS), and arterial blood gas in the lactate and PaO2/FiO 2 ratio, CRP, glucose and albumin levels in the first collected arterial blood gas, as well as, the presence of thoracic, cardiac, renal, abdominal and head trauma, length of ICU stay and mortality were recorded. Results: of the patients included in the study 84% were male, with an average age of 38.3 and an average APACHE II score of 16.6. 64% suffered from head trauma and the average GCS was calculated to be 11.2. the patients were observed in the ICU for an average of 18.7 days and the rate of mortality was 33.5%. GCS, PaO2/FiO2, age and elevated lactate levels increased mortality as independent risk factors. Conclusion: It has been concluded that parameters like age and the first GCS, lactate, glucose, albumin and PaO2/FiO2 at time of acceptance into the ICU were found to be related with mortality.
SUMMARY Objective: Blood analyses are preferred in the observation of cases requiring intensive care unit (ICU) following a trauma. the purpose of this study was to examine the relationship of albumin, C-reactive protein (CRP), PaO2/FiO2 and glucose levels of trauma patients at time of admission with mortality. Material and Method: the patients who were admitted into ICU following a trauma between the years of 2010 and 2012 were retrospectively evaluated. 200 trauma cases were included in the study. Their demographic data, APACHE II scores, Glasgow Coma Scales (GCS), and arterial blood gas in the lactate and PaO2/FiO 2 ratio, CRP, glucose and albumin levels in the first collected arterial blood gas, as well as, the presence of thoracic, cardiac, renal, abdominal and head trauma, length of ICU stay and mortality were recorded. Results: of the patients included in the study 84% were male, with an average age of 38.3 and an average APACHE II score of 16.6. 64% suffered from head trauma and the average GCS was calculated to be 11.2. the patients were observed in the ICU for an average of 18.7 days and the rate of mortality was 33.5%. GCS, PaO2/FiO2, age and elevated lactate levels increased mortality as independent risk factors. Conclusion: It has been concluded that parameters like age and the first GCS, lactate, glucose, albumin and PaO2/FiO2 at time of acceptance into the ICU were found to be related with mortality.
Açıklama
Anahtar Kelimeler
Yoğun Bakım, Tıp
Kaynak
Türk Yoğun Bakım Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
3
