Factors Affecting Mortality in Respiratory Intensive Care Patients

Abstract

INTRODUCTION: Mortality rate is high in patients who are hospitalized in the Intensive Care Unit (ICU). Knowing the risk factors affecting mortality is important in determining the prognosis of the patient. This work; It was planned to compare the first and third day laboratory values with the scoring systems in determining the prognosis of the patients admitted to the YBU. METHODS: From November 2013 to April 2014, 86 patients from respiratory intensive care unit were included in the retrospective study. Sequential Organ Failure Assesment (SOFA), Acute Pysiology And Chronic Health Assessment (APACHE II), GCS (Glaskow Coma Score) and SAPS II (Simplified Acute Physilogy Score) scores were calculated during hospitalization. Laboratory parameters were studied at the first hours and at the end of 72 hours for all patients. The results were compared between the dead and the living. RESULTS: In the patients who died, SOFA, APACHE II and SAPS II scores were statistically significantly higher than patients who did not die. GCS was statistically lower (p <0.001). Significant differences were found in the phosphorus levels of the patients at the time of admission and at the third day (p <0,05). There was no significant change in mortality for other parameters. DISCUSSION AND CONCLUSION: In conclusion, scoring systems have an important role in determining the prognosis in patients admitted to YBU. On the other hand, the decrease in phosphorus level in the change of laboratory values observed on the third day was statistically significant for mortality.

Keywords

• mortality
• scoring systems
• i̇ntensive care unit
• laboratory parameters