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    Importance of the National Early Warning Score (NEWS) at the time of discharge from the intensive care unit
    (Tubitak Scientific & Technical Research Council Turkey, 2020) Dogu, Cihangir; Dogan, Guvenc; Kayir, Selcuk; Yagan, Ozgur
    Backround/aim: To identify, at an early stage of intensive care, patients who will require readmission to the intensive care unit (ICU) based on their National Early Warning Score (NEWS-d) at discharge. Materials and methods: Overall, 536 patients aged >18 years who stayed at a tertiary ICU for >24 h were included. Patients who readmitted and not readmitted to the intensive care within 48 h after discharge were compared. Results: Mean patient age was 64.26 +/- 18.50 years and 252 (44.7%) patients were male. Mean Acute Physiology and Chronic Health Evaluation II (APACHE II) score was 21.86 +/- 8.74; mean NEWS-d was 4.48 +/- 2.53. Forty-nine (9.1%) were readmitted to ICU. The reasons for initial admission, age, and NEWS-d vvalues were significantly different between the 2 groups. The NEWS-d values of the readmitted group were significantly higher (9.16 +/- 1.05) than nonreadmitted group (4.01 +/- 2.13). Based on receiver operation curve analysis, sensitivity and specificity were 98% and 95%, respectively, considering a NEWS-d cut-off value of 7.5 as the limit value for estimating readmission. Conclusion : A NEWS-d value of >7.5 demonstrated high sensitivity and specificity in identifying the risk of readmission for patients being discharged from ICU.
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    TRACHEOTOMY AMONG PATIENTS IN GERIATRIC AGE GROUP TREATED IN INTENSIVE CARE UNITS
    (Gunes Kitabevi Ltd Sti, 2019) Dogu, Cihangir; Kayir, Selcuk; Dogan, Guvenc; Ekici Akdagli, Arzu; Ozciftci, Serhat; Yagan, Ozgur
    Introduction: In intensive care units, numerous geriatric patients are mechanically ventilated, and those with prolonged mechanical ventilation show high mortality. Such geriatric patients may greatly benefit from tracheotomy because it facilitates pulmonary care, increases patient comfort and helps wean them off mechanical ventilation. Materials and Method: A total of 70 mechanically ventilated geriatric patients were includ-ed. Patients' electronic data, file records, age, sex, mechanical ventilation requirement, Acute Physiology and Chronic Health Evaluation II score, intubation and intensive care unit stay durations, discharge status and complications were examined. Results: The mean patient age was 78.6 +/- 7.4 years, and the mean Acute Physiology and Chronic Health Evaluation II score was 27.0 +/- 5.9. Tracheotomy was performed after a mean duration of 34.8 +/- 17 days, and the mean intensive care unit stay duration was 94 +/- 54 days. Major and minor haemorrhage were observed in 1 (1.4%) and 3 (4.2%) patients, respectively. Total 53 (76%) patients died, 8 (11%) patients were discharged and 9 (13%) patients are still hospitalized. Conclusion: The reluctance of geriatric patients' relatives to perform tracheotomy affects the time of procedure and duration of intensive care unit stay.