Kalın Burhan Sami, Özçaylak Süleyman, Solmaz İhsan, Kılıç Jehat
Gazi Yaşargil Training and Research Hospital, Department of Internal Medicine, Division of Critical Care, Diyarbakır, Turkey.
Gazi Yaşargil Training and Research Hospital, Department of Internal Medicine, Diyarbakır, Turkey.
Indian J Crit Care Med. 2022 Jan;26(1):49-52. doi: 10.5005/jp-journals-10071-24092.
Knowing the risk factors for patients in intensive care units (ICUs) facilitates patient's management. The goal of this study was to determine the risk agents that influence our medical ICU mortality.
This 11-month retrospective trial was managed in the medical ICU. In this study, 340 patients who were followed up for at least 24 hours in ICUs were accepted. The clinical data on patients were recorded retrospectively, and the mortality-related factors were analyzed. A regression analysis was also performed to determine the independent risk factors for ICU mortality.
The median age was 73 (53-82) years. The death rate was 23.8%. Length of stay (LOS) in ICU was 3 (2-5) days, and APACHE-II (acute physiologic and chronic health evaluation) score was 19 (13-25). The prevalence of chronic diseases was not dissimilar except acute and chronic renal failures among survivors and deceased patients ( >0.05). Acute and chronic renal failures were higher in deceased patients than in survivors and were statistically important [107 (41.3%) vs 47 (58%), = 0.008] and 38 (14.7%) vs 22 (27.2%), = 0.01], respectively. In the binary logistic regression analysis, age, APACHE II score, need for invasive mechanical ventilation (IMV), decreased serum albumin levels, and increased creatinine levels were established to be independent risk factors for death [(OR (odds ratio): 1.045 (1.009-1.081), = 0.013, OR: 1.076 (21.008-1.150), = 0.029, OR: 19.655 (6.337-60.963), = 0.001), OR: 2.673 (1.191-6.024), = 0.017, OR: 1.422 (1.106-1.831), = 0.006)], respectively.
The most significant risk agents of death were determined through high APACHE II score, decreased serum albumin levels, and increased creatinine levels.
Kalın BS, Özçaylak S, Solmaz İ, Kılıç J. Assessment of Risk Factors for Mortality in Patients in Medical Intensive Care Unit of a Tertiary Hospital. Indian J Crit Care Med 2022;26(1):49-52.
了解重症监护病房（ICU）患者的风险因素有助于患者的管理。本研究的目的是确定影响我院内科ICU死亡率的风险因素。
本为期11个月的回顾性试验在内科ICU进行。本研究纳入了340例在ICU至少随访24小时的患者。回顾性记录患者的临床资料，并分析与死亡率相关的因素。还进行了回归分析以确定ICU死亡率的独立风险因素。
中位年龄为73（53 - 82）岁。死亡率为23.8%。ICU住院时间（LOS）为3（2 - 5）天，急性生理与慢性健康状况评分系统（APACHE-II）评分为19（13 - 25）。除急性和慢性肾衰竭外，幸存者和死亡患者的慢性病患病率无差异（>0.05）。死亡患者的急性和慢性肾衰竭发生率高于幸存者，且具有统计学意义[分别为107例（41.3%）对47例（58%），P = 0.008]和38例（14.7%）对22例（27.2%），P = 0.01]。在二元逻辑回归分析中，年龄、APACHE II评分、有创机械通气（IMV）需求、血清白蛋白水平降低和肌酐水平升高被确定为死亡的独立风险因素[比值比（OR）：1.045（1.009 - 1.081），P = 0.013，OR：1.076（1.008 - 1.150），P = 0.029，OR：19.655（6.337 - 60.963），P = 0.001），OR：2.673（1.191 - 6.024），P =
