Abstract Severity of illness, age, malnutrition, and infection are the important factors determin... more Abstract Severity of illness, age, malnutrition, and infection are the important factors determining intensive care unit (ICU) survival. The aim of the study is to determine the relations between Geriatric Nutritional Risk Index (GNRI), C-reactive protein/albumin (CAR), and prognosis-mortality of geriatric patients (age of ≥65 years) admitted to intensive care unit. The study with 10/15/2020, 697 approval date, and number retrospectively registered. Between January 1, 2018 and December 31, 2019, 413 geriatric patients admitted to ICU. The patients were divided into three groups according to their age. The age group, gender, Charlson comorbidity index, intensive care scores (Acute Physiology And Chronic Health Evaluation II and Sequential Organ Failure Assessment), the infection markers (white blood cell, procalcitonin, CAR levels), malnutrition tools for each patient (body mass index, Nutrition Risk in Critically ill score, and GNRI scores) were analyzed retrospectively. Also length of stay (LOS) ICU, length of stay hospital, and 30-day mortality were recorded. Geriatric patients number of 403 was included in the study. Forty-nine (12.3%) patients had a history of malignancy, 272 (67.5%) patients had Chronic Obstructive Pulmonary Disease comorbidity. There was no difference in mortality between age groups. In patients with mortality, body mass index, had being Chronic Obstructive Pulmonary Disease history, GNRI, length of stay hospital, and albumin were significantly lower; malignancy comorbidity rate, inotrope use, modified Nutrition Risk in Critically ill score, mechanical ventilation duration, LOS ICU, Sequential Organ Failure Assessment, Acute Physiology And Chronic Health Evaluation II, Charlson comorbidity index, C-reactive protein, procalcitonin, and CAR were significantly higher. Both malnutrition and infection affect mortality in geriatric patients in intensive care. The GNRI is better than CAR at predicting mortality.
Aim: It is known that disease severity and nutritional status are determinants of prognosis in pa... more Aim: It is known that disease severity and nutritional status are determinants of prognosis in patients hospitalized in the intensive care unit (ICU). Different scoring systems are used to evaluate the nutritional status and disease severity of intensive care patients. It will be very useful in clinical practice to determine the intensive care scores that are in harmony with the nutritional parameters and affect the length of stay in the ICU in patients hospitalized with the diagnosis of chronic obstructive pulmonary disease (COPD). It was aimed to determine the relationship between acute physiology and chronic health evaluation-II (Apache-II), sequential organ failure assessment (SOFA), and Charlson comorbidity index (CCI) with nutritional scores in intensive care patients with a diagnosis of COPD. Also, it was aimed to determine the scoring systems that affect the length of stay in the ICU. Material and Method: Nutritional risk score-2002 (NRS-2002), prognostic nutritional index (...
Aim: Platelet activation and consumption indicate worse prognosis in critical ill patients. Resea... more Aim: Platelet activation and consumption indicate worse prognosis in critical ill patients. Researchers found that the lungs play an important role in the production of mature platelets. Chronic obstructive pulmonary disease(COPD) is a respiratory disease affects the lungs and also has systemic effects due to inflammation. This study was conducted to examine prognosis and mortality with Platelet indices in COPD and lung cancer patients in intensive care. Methods: We extracted clinical datas including patient demographics, Charlson Comorbidite Index, Acute Physiology and Chronic Health Evaluation II, Sequential Organ Failure Assessment scores, length of stay in ICU, length of stay in hospital, duration of mechanical ventilation, inotrope use, Plt count, MPV, PDW, and PCT values and 30-day mortality retrospectively. Results: This study was conducted with the 344 COPD and 84 lung cancer patients’ data analysis admitted to ICU .In this study we found that Plt count, PDW, and MPV are als...
Abstract Severity of illness, age, malnutrition, and infection are the important factors determin... more Abstract Severity of illness, age, malnutrition, and infection are the important factors determining intensive care unit (ICU) survival. The aim of the study is to determine the relations between Geriatric Nutritional Risk Index (GNRI), C-reactive protein/albumin (CAR), and prognosis-mortality of geriatric patients (age of ≥65 years) admitted to intensive care unit. The study with 10/15/2020, 697 approval date, and number retrospectively registered. Between January 1, 2018 and December 31, 2019, 413 geriatric patients admitted to ICU. The patients were divided into three groups according to their age. The age group, gender, Charlson comorbidity index, intensive care scores (Acute Physiology And Chronic Health Evaluation II and Sequential Organ Failure Assessment), the infection markers (white blood cell, procalcitonin, CAR levels), malnutrition tools for each patient (body mass index, Nutrition Risk in Critically ill score, and GNRI scores) were analyzed retrospectively. Also length of stay (LOS) ICU, length of stay hospital, and 30-day mortality were recorded. Geriatric patients number of 403 was included in the study. Forty-nine (12.3%) patients had a history of malignancy, 272 (67.5%) patients had Chronic Obstructive Pulmonary Disease comorbidity. There was no difference in mortality between age groups. In patients with mortality, body mass index, had being Chronic Obstructive Pulmonary Disease history, GNRI, length of stay hospital, and albumin were significantly lower; malignancy comorbidity rate, inotrope use, modified Nutrition Risk in Critically ill score, mechanical ventilation duration, LOS ICU, Sequential Organ Failure Assessment, Acute Physiology And Chronic Health Evaluation II, Charlson comorbidity index, C-reactive protein, procalcitonin, and CAR were significantly higher. Both malnutrition and infection affect mortality in geriatric patients in intensive care. The GNRI is better than CAR at predicting mortality.
Aim: It is known that disease severity and nutritional status are determinants of prognosis in pa... more Aim: It is known that disease severity and nutritional status are determinants of prognosis in patients hospitalized in the intensive care unit (ICU). Different scoring systems are used to evaluate the nutritional status and disease severity of intensive care patients. It will be very useful in clinical practice to determine the intensive care scores that are in harmony with the nutritional parameters and affect the length of stay in the ICU in patients hospitalized with the diagnosis of chronic obstructive pulmonary disease (COPD). It was aimed to determine the relationship between acute physiology and chronic health evaluation-II (Apache-II), sequential organ failure assessment (SOFA), and Charlson comorbidity index (CCI) with nutritional scores in intensive care patients with a diagnosis of COPD. Also, it was aimed to determine the scoring systems that affect the length of stay in the ICU. Material and Method: Nutritional risk score-2002 (NRS-2002), prognostic nutritional index (...
Aim: Platelet activation and consumption indicate worse prognosis in critical ill patients. Resea... more Aim: Platelet activation and consumption indicate worse prognosis in critical ill patients. Researchers found that the lungs play an important role in the production of mature platelets. Chronic obstructive pulmonary disease(COPD) is a respiratory disease affects the lungs and also has systemic effects due to inflammation. This study was conducted to examine prognosis and mortality with Platelet indices in COPD and lung cancer patients in intensive care. Methods: We extracted clinical datas including patient demographics, Charlson Comorbidite Index, Acute Physiology and Chronic Health Evaluation II, Sequential Organ Failure Assessment scores, length of stay in ICU, length of stay in hospital, duration of mechanical ventilation, inotrope use, Plt count, MPV, PDW, and PCT values and 30-day mortality retrospectively. Results: This study was conducted with the 344 COPD and 84 lung cancer patients’ data analysis admitted to ICU .In this study we found that Plt count, PDW, and MPV are als...
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