ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT

Melike KORKMAZ TOKER, (Muğla Sıtkı Koçman Üniversitesi, Eğitim ve Araştırma Hastanesi Anestezi ve Reanimasyon Kliniği, Muğla, Türkiye)
Başak ALTIPARMAK, (Muğla Sıtkı Koçman Üniversitesi Eğitim ve Araştırma Hastanesi, Anestezi ve Reanimasyon Anabilim Dalı, Muğla)
Canan GÜRSOY, (Muğla Sıtkı Koçman Üniversitesi, Eğitim ve Araştırma Hastanesi Anestezi ve Reanimasyon Kliniği, Muğla, Türkiye)
Ali İhsan UYSAL, (Muğla Sıtkı Koçman Üniversitesi, Eğitim ve Araştırma Hastanesi Anestezi ve Reanimasyon Kliniği, Muğla, Türkiye)
Semra GÜMÜŞ DEMİRBİLEK (Muğla Sıtkı Koçman Üniversitesi, Eğitim ve Araştırma Hastanesi Anestezi ve Reanimasyon Kliniği, Muğla, Türkiye)
Türk Geriatri Dergisi
8 4
Yıl: 2018 Cilt: 21 Sayı: 4 Sayfa Aralığı: 522 - 528 Metin Dili: İngilizce DOI: 10.31086/tjgeri.2018.57 İndeks Tarihi: 05-07-2019

ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT

Öz:
Introduction: As the world’s population is ageing, accurate prognostic prediction incritically ill elderly patients is becoming increasingly important. We aimed to assess theperformance of the Acute Physiology and Chronic Health Evaluation IV and Simplified AcutePhysiology Score 3 scores in predicting outcome in elderly patients admitted to the intensivecare unit.Materials and Method: In this study, we retrospectively evaluated the patients over 65years who were followed in the intensive care unit between 2016 and 2018. Acute Physiologyand Chronic Health Evaluation IV, Simplified Acute Physiology Score 3 and predicted mortalityrate were calculated using a web-based calculator and the predictive mortality performance ofthese scores were evaluated.Results: Total mortality was 37% (n=74). Mean Acute Physiology and Chronic HealthEvaluation IV and Simplified Acute Physiology Score 3 scores were 87.73±41.24 and54.87±25.44, respectively. Mean predicted mortality rate according to Acute Physiology andChronic Health Evaluation IV and Simplified Acute Physiology Score 3 was 41.82±32.76 and34.60±34.57, respectively. The area under the curve was 0.89 for Acute Physiology and ChronicHealth Evaluation IV and 0.91 for Simplified Acute Physiology Score 3. The Hosmer–Lemeshowstatistics showed poor calibration for Simplified Acute Physiology Score 3 (p<0.01) and strongcalibration for Acute Physiology and Chronic Health Evaluation IV (p> 0.05).Conclusion: Simplified Acute Physiology Score 3 had better performance in predictingmortality than The Acute Physiology and Chronic Health Evaluation IV in the elderly population.
Anahtar Kelime:

Konular: Cerrahi

YOĞUN BAKIM ÜNİTESİNE BAŞVURAN GERİATRİK HASTALARDA APACHE IV VE SAPS 3’ÜN DOĞRULUK VE PERFORMANS DEĞERLENDİRMESİ

Öz:
Giriş: Dünya populasyonu yaşlandıkça, yoğun bakımdaki yaşlı hastalarda prognozun doğruluğunu tahmin etmek daha önemli hale gelmektedir. Bu çalışmadaki amacımız, Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi IV ve Basitleştirilmiş Akut Fizyoloji Skoru 3 performansının, yoğun bakım ünitesine yatırılan yaşlı hastalarda sonuçları tahmin etmedeki performansını değerlendirmektir. Gereç ve Yöntem: Bu çalışmada 2016-2018 yılları arasında yoğun bakım ünitesinde takip edilen 65 yaş üstü hastalar retrospektif olarak inceledi. Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi IV, Basitleştirilmiş Akut Fizyoloji Skoru 3 ve tahmini mortalite oranı web tabanlı bir hesap makinesi kullanılarak hesaplanıp, bu skorların mortaliteyi öngörme performansı değerlendirildi. Bulgular: Toplam mortalite %37’dir (s=74). Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi IV ve Basitleştirilmiş Akut Fizyoloji Skoru 3 puan ortalaması sırasıyla 87.73±41.24 ve 54.87±25.44 idi. Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi IV ve Basitleştirilmiş Akut Fizyoloji Skoru 3’e göre ortalama tahmini mortalite oranı sırasıyla 41.82±32.76 ve 34.60±34.57 idi. Eğri altındaki alan Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi IV için 0.89 ve Basitleştirilmiş Akut Fizyoloji Skoru 3 için 0.91 idi. Hosmer – Lemeshow istatistikleri ve Basitleştirilmiş Akut Fizyoloji Skoru 3 için zayıf kalibrasyon gösterirken (p<0.01) Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi IV için güçlü kalibrasyon gösterdi (p>0.05). Sonuç: Basitleştirilmiş Akut Fizyoloji Skoru 3 yaşlı popülasyonda Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi IV’e göre mortaliteyi tahmin etmede daha iyi bir performansa sahiptir.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KORKMAZ TOKER M, Altıparmak B, Gursoy c, uysal a, GÜMÜŞ DEMİRBİLEK S (2018). ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. , 522 - 528. 10.31086/tjgeri.2018.57
Chicago KORKMAZ TOKER MELİKE,Altıparmak Başak,Gursoy canan,uysal ali ihsan,GÜMÜŞ DEMİRBİLEK Semra ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. (2018): 522 - 528. 10.31086/tjgeri.2018.57
MLA KORKMAZ TOKER MELİKE,Altıparmak Başak,Gursoy canan,uysal ali ihsan,GÜMÜŞ DEMİRBİLEK Semra ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. , 2018, ss.522 - 528. 10.31086/tjgeri.2018.57
AMA KORKMAZ TOKER M,Altıparmak B,Gursoy c,uysal a,GÜMÜŞ DEMİRBİLEK S ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. . 2018; 522 - 528. 10.31086/tjgeri.2018.57
Vancouver KORKMAZ TOKER M,Altıparmak B,Gursoy c,uysal a,GÜMÜŞ DEMİRBİLEK S ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. . 2018; 522 - 528. 10.31086/tjgeri.2018.57
IEEE KORKMAZ TOKER M,Altıparmak B,Gursoy c,uysal a,GÜMÜŞ DEMİRBİLEK S "ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT." , ss.522 - 528, 2018. 10.31086/tjgeri.2018.57
ISNAD KORKMAZ TOKER, MELİKE vd. "ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT". (2018), 522-528. https://doi.org/10.31086/tjgeri.2018.57
APA KORKMAZ TOKER M, Altıparmak B, Gursoy c, uysal a, GÜMÜŞ DEMİRBİLEK S (2018). ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. Türk Geriatri Dergisi, 21(4), 522 - 528. 10.31086/tjgeri.2018.57
Chicago KORKMAZ TOKER MELİKE,Altıparmak Başak,Gursoy canan,uysal ali ihsan,GÜMÜŞ DEMİRBİLEK Semra ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. Türk Geriatri Dergisi 21, no.4 (2018): 522 - 528. 10.31086/tjgeri.2018.57
MLA KORKMAZ TOKER MELİKE,Altıparmak Başak,Gursoy canan,uysal ali ihsan,GÜMÜŞ DEMİRBİLEK Semra ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. Türk Geriatri Dergisi, vol.21, no.4, 2018, ss.522 - 528. 10.31086/tjgeri.2018.57
AMA KORKMAZ TOKER M,Altıparmak B,Gursoy c,uysal a,GÜMÜŞ DEMİRBİLEK S ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. Türk Geriatri Dergisi. 2018; 21(4): 522 - 528. 10.31086/tjgeri.2018.57
Vancouver KORKMAZ TOKER M,Altıparmak B,Gursoy c,uysal a,GÜMÜŞ DEMİRBİLEK S ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT. Türk Geriatri Dergisi. 2018; 21(4): 522 - 528. 10.31086/tjgeri.2018.57
IEEE KORKMAZ TOKER M,Altıparmak B,Gursoy c,uysal a,GÜMÜŞ DEMİRBİLEK S "ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT." Türk Geriatri Dergisi, 21, ss.522 - 528, 2018. 10.31086/tjgeri.2018.57
ISNAD KORKMAZ TOKER, MELİKE vd. "ACCURACY AND PERFORMANCE ASSESSMENT OF APACHE IV AND SAPS 3 IN GERIATRIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT". Türk Geriatri Dergisi 21/4 (2018), 522-528. https://doi.org/10.31086/tjgeri.2018.57
Sayfa Oluşturulma Tarihi
25-04-2024 0:27

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