Özet:

Introduction: The aim of this study is to determine the reasons of non-discharge from intensive care unit and to calculate the cost in patients whose intensive care treatments are completed but not transferred to the wards. Materials and Methods: This study was conducted prospectively in 12-bed general intensive care unit between 2017 and 2018. Patient data from the hospital data system were analyzed. Accordingly, demographic data, hospitalization diagnoses, intensive care unit hospitalization days, ventilation, vasopressor and antibiotic requirement, presence of infection and nutritional status were recorded. The reasons for not being discharged from the intensive care unit, the number of days of hospitalization and the costs were calculated. Results: 20 patients were included in the study. The average age of the patients was 71 ± 14 years (min: 43, max: 99) and the average hospitalization time was 37.9 ± 77.58 days (min: 1 day, max: 354 days). 50% of the patients could not be transferred to the intensive care units due to lack of service, 35% did not accept the consultant doctor and 15% did not accept the care of their relatives. A total cost of 868.17€±1.817,7626€ (min:22.94€-max:8.424,35€) was calculated to be on the days when the treatment was completed and the patients were left over. Conclusion: Difficulties in not being able to remove patients in the intensive care unit increase the length of stay in the intensive care unit and cause the cost of ICU not to be used effectively and correctly. "Intensive Care Admission and Discharge Criteria" should be determined and connected to the protocol in order to make the exits from the intensive care unit on time.

Anahtar Kelimeler: