ABSTRACT
Aslaner M.A., Emergency department visits of critically ill patients and evaluation of intensive care unit admissions. Hacettepe University Faculty of Medicine, Thesis of Emergency Medicine, Ankara 2014. The number of critically ill, elderly patients with multiple comorbidities and oncological problems who present to Emergency department (ED) are increasing and due to the fact that patients who are in need of critical care are growing in number. Between April 15th and September 14th 2013, 400 patients (2.86% of ED visits) were consulted for intensive care unit (ICU) admission from Hacettepe University Emergency Department. Inappropriate consultations for ICU admissions were 8%; priority model, 7.8%; diagnosis model, and 37.9%; objective parameters model. Admissions of critically ill patients were 269 (67.3%) to intensive care unit, 48 (12%) to palliative service, and 22 (5.4%) to acute care services. Also, inappropriate admissions for ICU were 11.9%; priority model, 11.4%; diagnosis model, and 58%; objective parameters model. 61 patients (15.3%) had to be treated in the ED because admissions to other departments were not possible. Patients who were treated in the ED had higher scores compared to the patients who were admitted to intensive care units, for ages (mean 67 (28 97) v 60 (18 94)), priority model 3 (82% v 11.9%), sepsis (49.2% v 5.9%), diagnosis of pulmonary system diseases (50.8% v 14.5%), diagnosis of gastrointestinal system diseases (13.2% v 3.7%), malignancies (60.7% v 21.2%) and mortalities (75.4% v 20.4%). Mortality of patients, who were admitted to ICUs in 24-72 hours, was 2.4 times higher than the mortality of patients who were admitted in 24 hours. ED physicians should be careful about critically ill patient triage and manage those patients properly for required critical care areas (ICU, acute care, palliative care unit). Hospital managements should develop policies for growing population of critically ill patients who present to EDs. Developing palliative care for homes and health centers, may help reduce ED visits and crowdings.
Key words: Critically ill patients, priority model, intensive care unit admissions, palliative care, emergence department crowding
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5. SAYFAYA BENZER SAYFALAR

Ventilatör ilişkili pnömonide mortaliteyi belirlemede CPIS, APACHE II ve MPM II sistemlerinin karşılaştırılması Ventilatör ilişkili pnömonide mortaliteyi belirlemede CPIS, APACHE II ve MPM II skorlama sistemlerinin karşilaştirilmasi - Sayfa 9
ABSTRACT Comparison of APACHE II, MPM and CPIS scoring systems with regard to determining of mortality at ventilator-associated pnuemonia Ismail Sırıt, MD Invasive interventions increase morbidity and mortality in ICU. It has been important that development of scoring system intended for diagnosis of VAP, the most observed infectious disease. Accuracy of CPIS model, which was developed for this ...
Acil servisten kliniklere ya da yoğun bakımlara yapılan yatışlarda hasta transport uygunluğunun değerlendirilmesi - Sayfa 5
SUMMARY Evaluation of the Transport Convenience in Emergency Patients who were Admitted to the Clinical Wards or Intensive Care Unit We aimed to define the most common complications and possible shortcomings in the emergency patients who were admitted to the clinical wards or intensive care unit. 1000 patients were included in our study. The patients's complication rates were compared with the ...
Acil servise başvuran dahili grup hastaların değerlendirmesinde ve kritik hasta seçiminde skorlama sistemlerinin rolü - Sayfa 5
SUMMARY Increasing patient population and refunds for hospital based health services lead over admissions to hospitals and emergency departments (ED). Increased patient ED admissions thus increased time-spend in ED and over-crowded ED, raised importance of differentiating more critical patients in ED’s. Our study was planned to preclude mortality rates and length of intensive care unit (ICU) sta...

5. SAYFADAKI ANAHTAR KELIMELER

patient
patients
intensive
care
system
emergency


5. SAYFA ICERIGI

ABSTRACT
Aslaner M.A., Emergency department visits of critically ill patients and evaluation of intensive care unit admissions. Hacettepe University Faculty of Medicine, Thesis of Emergency Medicine, Ankara 2014. The number of critically ill, elderly patients with multiple comorbidities and oncological problems who present to Emergency department (ED) are increasing and due to the fact that patients who are in need of critical care are growing in number. Between April 15th and September 14th 2013, 400 patients (2.86% of ED visits) were consulted for intensive care unit (ICU) admission from Hacettepe University Emergency Department. Inappropriate consultations for ICU admissions were 8%; priority model, 7.8%; diagnosis model, and 37.9%; objective parameters model. Admissions of critically ill patients were 269 (67.3%) to intensive care unit, 48 (12%) to palliative service, and 22 (5.4%) to acute care services. Also, inappropriate admissions for ICU were 11.9%; priority model, 11.4%; diagnosis model, and 58%; objective parameters model. 61 patients (15.3%) had to be treated in the ED because admissions to other departments were not possible. Patients who were treated in the ED had higher scores compared to the patients who were admitted to intensive care units, for ages (mean 67 (28 97) v 60 (18 94)), priority model 3 (82% v 11.9%), sepsis (49.2% v 5.9%), diagnosis of pulmonary system diseases (50.8% v 14.5%), diagnosis of gastrointestinal system diseases (13.2% v 3.7%), malignancies (60.7% v 21.2%) and mortalities (75.4% v 20.4%). Mortality of patients, who were admitted to ICUs in 24-72 hours, was 2.4 times higher than the mortality of patients who were admitted in 24 hours. ED physicians should be careful about critically ill patient triage and manage those patients properly for required critical care areas (ICU, acute care, palliative care unit). Hospital managements should develop policies for growing population of critically ill patients who present to EDs. Developing palliative care for homes and health centers, may help reduce ED visits and crowdings.
Key words: Critically ill patients, priority model, intensive care unit admissions, palliative care, emergence department crowding
v

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