Özet:

Purpose: This study was aimed at determining the factors affecting the duration of staying in the intensive care unit (YBU) by determining the clinical characteristics and results of patients who stayed for a very long time (≥90 days). In the study, the data of patients (n=98) under 90 days and over in the UAH between January 2015 and December 2018 were retrospective. With demographic data of patients, the clinical characteristics, results and the advanced treatments and procedures applied, electrolyte disorders, infectious characteristics were recorded. The predictors that influence the patient's infestation period in the YBU were determined by the regression model. The average age of patients was 70,10±18,55 years and 77,6% of them died. In patients with tracheostomy and percutaneous endoscopic gastrostomy, the average stay period was significantly high (p<0,001). The most frequent attacks of pneumonia (41.82) and blood circulation infection (31.67%) were observed in patients. Acute Physiology and Chronic Health Assessment-II (APACHE-II) scores were determined as predictors affecting the long stagnation period in the mechanical ventilator time, the number of blood transfusions and the multi-variant regression model of hypomagnesemia. The result: in patients with a very long period (≥90 days) of infestation; high APACHE-II score, long mechanical ventilation time, number of blood transfusions and the presence of hypomagnesemia were identified as independent risk factors for a long period of infestation in infestation. More comprehensive research is needed to show the best possible effects of these predictors.

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