Özet:

Introduction: People with neurological illness may need intensive care support due to respiratory failure that develops for a variety of reasons. Some benefit from intensive care support treatments, while some continue to live as a care patient or need rehabilitation programs. The guidance to palliative care or rehabilitation centers when necessary and the proper management of the processes of home-out is important for the reasonable use of intensive care beds. Method:XXXXXXXXXXXXXXXX of the Council of Scientific Studies 17073117-050. With the permission of Decision No. 06 from January 2017 to May 2018, we evaluated the data of our patients who were deposited in the clinic of intensive care with a preliminary diagnosis of primary neurological diseases and ended with exitus or directed home/palyative care as retrospective. Patients transferred to other clinics were not included in the study. Patients' APACHE II, SAPS II scores, residence days, mechanical ventilation times, tracheostomy and percutaneous endoscopic gastrostomy requirements, home-type ventilator supplies and intensive care output forms were recorded. Results: A total of 942 patients file scanned 74 of the patients were patients who were missing while sleeping due to neurological diseases or who were transferred directly to home/paliative care. In 74 patients caused by neurological diseases, 30 (40.5%) of them had severe dementia 21 (28. 3) In the ischemic infection of 23(68,8) percent, there were other neurological problems. These 74 patients were missing while sleeping at 60 (81.1%), while the number of patients directed to palliative care was 5 (6.8%). The result: Increasing the timely transition rates for intensive palliative care is important for the effective use of intensive care beds. Therefore, it is recommended that patients with intensive care be assessed at certain intervals in terms of directing them to palliative care if necessary.