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Amaç: Bu çalışmada pandemi döneminde; sosyal izolasyon, alınan önlemler ve hastane protokollerinin üçüncü basamak pediatrik yoğun bakım pratiğine etkisini araştırmak amaçlanmıştır. Gereç ve Yöntem: Çalışmamıza; 15 Mart 2020-1 Haziran 2020 tarihleri arasında çocuk yoğun bakım ünitemize kabul edilen çocuk hastalar dahil edildi. Hastaların demografik özellikleri, yatış tanıları, mekanik ventilatöre bağlanma oranları, mekanik ventilatörde kalış süreleri, ÇYBÜ ve hastane yatış süreleri, PRİSM III skorları ve mortalite durumları medikal dosya verilerinden retrospektif olarak kaydedildi. Elde edilen veriler pandemiden önceki yılın aynı dönemiyle (15 Mart 2019 – 1 Haziran 2019) karşılaştırıldı. Bulgular: Pandemi döneminde ÇYBÜ’ne kabül edilen hasta sayısı 200’dü. Pandemi öncesi (2019) dönemde 379 hasta yatışı olmuştu. ÇYBÜ’ne kabül edilen hasta sayısında pandemi döneminde bir önceki yıla göre %47 oranında bir düşüş saptadık. Pandemi öncesi dönem ile pandemi dönemi; hastaların yoğun bakıma yatış tanıları açısından karşılaştırıldığında, solunum yolu hastalıkları (pnömoni, bronşiolit, astım vb.) ve post-op hasta yatışlarında azalma, diabetik ketoasidoz nedeni ile yatışlarda artış saptandı ve istatistiksel olarak anlamlı farklılık vardı. Ayrıca hastaların pandemi döneminde mekanik ventilatörde kalış süreleri, hastanede kalış süreleri ve yoğun bakımda kalış sürelerinde azalma saptadık ve bu durum istatistiksel olarak da anlamlıydı. Sonuç: Sosyal mesafenin, maske kullanmanın ve hijyen kurallarına uyumun enfeksiyon bulaş riskini azalttığını ve bu durumun yoğun bakım yatış sayısında azalmaya neden olduğu tahmin etmekteyiz. Buradan yola çıkarak; sosyal mesafeye ve el hijyenine uyumu belki de hayatımızın bir parçası olarak kabul edip, bulaş riskinin yüksek olduğu kreş ve okullarda ileriki dönemlerde buna yönelik düzenlemelerin yapılması gerektiğini vurgulamak istiyoruz.
Purpose: This study is aimed at investigating the impact of social isolation, measures taken and hospital protocols on the third stage pediatric intensive care practice. Tools and Methods: Our study included children's patients who were accepted in our child intensive care unit between 15 March 2020 and 1 June 2020. The demographic characteristics of the patients, the diagnosis of residence, the connectivity rates to the mechanical ventilator, the duration of residence in the mechanical ventilator, the CYBU and hospital residence periods, the PRISM III scores and mortality cases were recorded retrospective from the medical file data. The data were compared to the same period of the year before the pandemic (15 March 2019 - 1 June 2019). The number of patients who were admitted to CYBU during the pandemic period was 200. In the period before the pandemic (2019) there were 379 hospitalizations. The number of patients admitted to the CYBU in the pandemic period was reduced by 47% compared to the previous year. The pre-pandemic period and the pandemic period; when compared with the diagnoses of the patient’s intense care, respiratory diseases (pneumonia, bronchiolitis, asthma, etc.) and a decrease in post-op patients' stages, an increase in stages with the cause of diabetic ketoacidosis was observed, and there was statistically significant difference. In the period of the pandemic of patients, we also found a decrease in the duration of staying in the mechanical ventilator, the duration of staying in the hospital and the duration of staying in intensive care, and this was statistically significant. The social distance, the use of masks and compliance with the hygiene rules are estimated to reduce the risk of infection and this situation causes a decrease in the number of intensive care deposits. From here, we want to emphasize that adaptation to social distances and hand hygiene may be a part of our lives and that there should be arrangements for this in future periods in schools where the risk of infection is high.
Aim: This study aimed to investigate the effects of social isolation, precautions, and hospital protocols on tertiary pediatric intensive care (PICU) during the pandemic period. Material and Method: Patients who were admitted to our PICU between March 15 and 1 June 01 2020, were included in this retrospective study. The demographic characteristics of the patients like hospitalization diagnoses, mechanical ventilation rates, duration of stay in mechanical ventilation, length of stay (LOS) in the PICU and hospitalization, PRISM III scores, and mortality status were recorded retrospectively. The data obtained were compared with the same period of the year before the pandemic (15 March and 1 June 2019). Result: During the pandemic period, the number of patients admitted to the PICU was 200 while the pre-pandemic (2019) period was 379 patients. We found a 47% decrease in the number of admitted patients during the pandemic period compared to the previous year. When the patients were compared in terms of the diagnoses of PICU admission, a decrease in respiratory tract diseases (pneumonia, bronchiolitis, asthma, etc.) and post-op patient admissions, an increase in hospitalizations due to diabetic ketoacidosis were found, and there was a statistically significant difference pre-pandemic period and pandemic period. In addition, we found a statistically significant decrease in the duration of stay in the mechanical ventilation during the pandemic period, LOS in PICU, and hospitalization. Conclusion: We think that social distance, wearing masks, and compliance with hygiene rules reduce the risk of infection and this situation causes a decrease in the number of intensive care hospitalizations. In the light of this data, we would like to accept compliance with social distance and hand hygiene as a part of our lives and emphasize that arrangements should be made in the future in kindergartens and schools where the risk of contamination is high.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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