img
img
Relationship with serum bilirubin levels and mortality in critically ill patients   
Yazarlar (4)
Belgin Akan
Türkiye
Derya Gökçınar
Türkiye
Dr. Öğr. Üyesi Güzin CERAN Dr. Öğr. Üyesi Güzin CERAN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Işıl Özkoçak Turan
Türkiye
Devamını Göster
Özet
Objectives: To examine associated factors of bilirubin levels at admission to general intensive care unit (ICU) and their effects on outcomes Design: Retrospective, observational study Setting: Medical records of patients older than 18 years who were hospitalized during one year (2016-2017) at the general ICU in Ankara Numune Training and Research Hospital, Turkey were reviewed. Subjects: Identifying the change of serum bilirubin level is important for determination of diagnostic and prognostic strategies in critically ill patients. Intervention: The study group data was obtained from hospital medical records. Main Outcome Measure: SOFA and APACHE II scores, total blood bilirubin levels, need for mechanical ventilation and renal replacement therapy, length of hospital and ICU stay, and mortality at ICU were evaluated. Results: Patients with normal bilirubin levels constituted 79.3% of the study population, whereas those with mild elevation and high levels were found to be less common (14% and 6.7%, respectively). Among patients in the high bilirubin group, 40.9% of patients were admitted to the ICU with primary diagnosis of infection, which was detected as 13% and 21.7% in normal and mildly elevated group (P <.01). Mortality rate was the same in all groups (P >.05). Conclusions: Patients who were admitted to ICU due to infection were likely to have more elevated bilirubin levels and higher APACHE II and SOFA scores. High levels of bilirubin did not change mortality in ICU patients despite prolonged ICU stay.
Anahtar Kelimeler
bilirubin | critical illness | infection | intensive care | mortality
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Kuwait Medical Journal 2021; 53 (4): 436 - 440
Dergi ISSN 0023-5776
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 12-2021
Cilt No 53
Sayı 4
Sayfalar 436 / 440
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları

Paylaş