The Factors Which Effect Mortality and Morbidity Rate In Patients During Postoperative Period
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH - Year 2018, Vol 10, Issue 7
Abstract
Background: Parallel to the advanced surgical techniques, the critically ill postoperative surgical patients are increasing in intensive care units (ICU). Mortality and morbidity of these patients in ICU are multifactorial. However, which of them is most effective is not clearly understood. Objective: The aim of this study is to evaluate the factors, which more frequently affect mortality and morbidity of the critically ill patients in postoperative period. Methods: Between 2011-2012, 121 patients were included in this study. Postoperative surgical patients, who followed-up in our ICU during one year period, were evaluated in respect of demographic characteristics, “American Society of Anesthesiologists” (ASA) physical status, preexisting co-morbidities, data about surgical procedures, “Acute Physiology and Chronic Health Evaluation” (APACHE) II scores, hemoglobin and hematocrit levels, the amount of transfusion, duration of mechanical ventilation, length of stay in ICU, vasopressor agent requirements and the effects of these parameters on mortality and morbidity of the patients were examined. Results: We found that age, gender, ASA physical status, co-morbidities, hemoglobin and hematocrit levels on admission, blood loss in the intraoperative period and operation time were not predictive factors on mortality. However, APACHE II≥25, the amount of transfusion, co-morbidities developed in ICU, mechanical ventilation more than 3 days, length of stay more than 6 days, need of vasopressor agents were risk factors on mortality. Logistic regression analysis showed blood transfusion, co-morbidities developed in ICU and prolonged length of stay were independent risk factors for mortality. Conclusions: In conclusion, we want to emphasize the importance of preventive strategies and precision of blood transfusion in critically ill surgical patients because of the deteriorated effects of co-morbidities developed in ICU resulted in prolonged length of stay and mortality.
Authors and Affiliations
SeldaTekin and Elif Bombaci
Keywords
Related Articles
- EP ID EP403598
- DOI -
- Views 91
- Downloads 0
Acinic cell carcinoma of parotid gland- A case report
The Acinic cell carcinoma represents about 1% of all salivary gland tumors. Between 90 and 95% of these tumors are found in the parotid gland. Clinically if the site is parotid gland, it may resemble a pleomorphic adeno...
Esthetic Norms For Udaipur Population In India
Aim: The aim of the study was to establish Soft Tissue Cephalometric Norms for skeletal and dental relationships amongst local Udaipur population in Rajasthan state of India. Materials and Methods: Sixty subjects (30 Mal...
“Blood”: Prevalence of blood borne infectious diseases in a large population observed over blood donors
Aim: To determine the prevalence of Rh positivity, distribution of blood groups, Blood Borne Infectious Diseases (BBID), age and weight related to blood donors, test validation and post donation counseling among the Sout...
Prevalence of clinically observable dental anomalies in qassim, saudi arabia
The objective: The aim of this study was to determine the prevalence of developmental dental anomalies among the intermediate schools' Saudi students in Qassim region of Saudi Arabia. Subjects and Methods: The study was...
An echocardiographic study of left ventricular function disturbances in chronic severe anemia
Background and Objectives: Anemia is a serious health problem in India. Anemia which is often untreated or inadequately treated is emerging as a potential contributor to the development and progression of cardiovascular...