Browsing by Author "Soylu, V.G."

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Association Between Prognostic Nutrition Index, Geriatric Nutrition Risk Index and 28-Day Mortality in Critically Very Elderly Patients (≥85 Years)
(2023.01.01) Soylu, V.G.; Inan, F.Ç.; Yilmaz, A.; Taskin, Ö.; Demir, U.
ackground/Purpose: The aim of this study is to association the Prognostic Nutrition Index(PNI) and Geriatric Nutrition Risk Index(GNRI) with 28-day mortality in critically very elderly patients and compare these indexes with APACHE II and SAPS II scores. Methods: This study is a observational and retrospective study. A total of 189 patients aged 85 years and older who were followed up in the intensive care unit between 2017 and 2021 were included in the study. Demographic data of the patients included in the study, length of stay in the intensive care unit, comorbidities, laboratory data of hospitalization in the intensive care unit, neutrophil/lymphocyte ratios, thrombocyte/lymphocyte ratios, APACHE II, SAPS II, PNI and GNRI index values of intensive care admissions were recorded. Results: In the statistical analysis performed for PNI and GNRI between Survival and Non- survival groups, a statistically significant difference was found between the groups (p=0.022 for PNI, p=0.010 for GNRI). The optimal threshold values of PNI and GNRI were 33.8 and 92.6, respectively. Sensitivity and specificity were 56.1% and 56.9% for PNI, 60.6% and 60.2% for the GNRI. Conclusion: The prognostic nutrition index and geriatric nutrition risk index are associated with 28-day mortality and malnutrition in very elderly patients treated in the intensive care unit. However, these scorings are not as sensitive and specific as APACHE II and SAPS II scores in predicting 28-day mortality
Correlation between inferior vena cava collability index and malnutrition in critical patients: A prospective observational study
(Malawi Medical Journal, 2024) Soylu, V.G.; Yilmaz, A.; Taşkin, Ö.; Demir, U.; İnan, F.; Doğanay, Z.
Background We aimed to investigate the correlation between the inferior vena cava collability index(IVC-CI) used in the evaluation of fluid volume and the Nutrition Risk Index(NRI), Prognostic Nutrition Index(PNI), Geriatric Nutrition Risk Index(GNRI) and Controlling Nutritional Status Scoring(CONUT) used in the evaluation of malnutrition. Methods This study is a prospective observational study. Demographic data, laboratory data, Body Max Indexes(BMI), NRI, PNI, GNRI and CONUT in the first 24 hours of admission to the intensive care unit of 96 critically ill patients admitted to the tertiary intensive care unit with assisted invasive mechanical ventilator support and IVC-CI values were recorded. Patients with an IVC-CI >45% were evaluated as hypovolemia. Of the patients, 61 (63.5%) patients with an IVC-CI value of 45%≥ were group 1, and 35 (36.5%) patients with an IVC-CI value of >45% were determined as group 2. Correlation between the IVC-CI and malnutrition scores was investigated between the groups. Results As a result of the statistical analysis; there was a statistically significant difference between the two groups in terms of BMI, NRI, PNI, GNRI and CONUT (p<0.001). According to the correlation analysis results, NRI (rs=-0.716, p<0.001), PNI (rs=-0.743, p<0.001), GNRI (rs=-0.723, p<0.001), CONUT (rs=0.741, p<0.001) were significantly correlated with the IVC-CI. Conclusions This study shows that there is a correlation between the IVC-CI used in the evaluation of fluid volume and malnutrition.
Evaluation of Patients with COVID-19 Followed Up in Intensive Care Units in the Second Year of the Pandemic: A Multicenter Point Prevalence Study
(2024.01.01) Güngör, S.; Ediboglu, Ö.; Moçin, Ö.Y.; Adigüzel, N.; Tunçay, E.; Iscanli, I.G.E.; Er, B.; Karakurt, Z.; Turan, S.; Kosovali, B.D.; Mutlu, N.M.; Kayar, D.; Bektas, S.G.; Uysal, E.; Segmen, F.; Alp, G.; Erdem, D.; Selmi, N.H.; Güven, P.; Özçelik, Z.; Ocakcioglu, M.; Özgür, C.Y.; Yilmaz, R.; Özel, D.B.; Cebeci, H.; Güler, B.; Cansever, C.; Cakirca, M.; Inceöz, H.; Solmaz, I.; Sipahioglu, F.Ö.; Aydin, E.M.; Dayanir, H.; Öner, S.F.; Karatepe, U.; Özen, S.; Boran, M.; Ergül, D.F.; Kasapoglu, U.S.; Delen, L.A.; Toy, E.; Altun, K.; Albayrak, T.; Yanal, H.; Zaim, G.; Yarar, V.; Kilinç, G.; Deniz, M.; Özdemir, E.; Soylu, V.G.; Yilmaz, A.; Saygili, S.M.; Öztürk, E.K.; Ergan, B.; Eyüpoglu, S.; Sahin, Y.; Yüksel, B.; Bulut, A.; Saritas, A.; Yeniay, H.; Genç, M.; Kargin, F.; Özcan, O.; Karakoç, E.; Karaca, U.; Sözütek, D.; Sari, S.; Senoglu, N.; Aygün, H.; Yigit, A.C.; Kavruk, N.; Uzan, C.A.; Biçakcioglu, M.; Solak, S.; Özçelik, H.K.; Uluç, K.; Yildirim, I.; Arar, M.C.; Demirel, I.; Küver, S.U.; Özgür, E.S.; Aydin, K.; Dönmez, G.E.; Aygencel, G.; Esmaoglu, A.; Aydin, B.S.; Tokur, M.E.; Ekren, P.K.; Aydemir, Y.; Güney, B.Ç.; Erdil, Ö.Y.; Tünay, A.; Bahadir, T.; Uçkun, S.; Kocaoglu, N.; Pinar, H.U.; Karaca, N.K.; Gültekin, H.; Ayvat, P.; Özer, A.B.; Eroglu, A.; Kuyrukluyildiz, U.; Baytar, Ç.; Ayoglu, H.; Mizrakçi, S.; Metin, H.; Mutlu, O.P.Z.; Yilmaz, H.; Tüzüner, F.
OBJECTIVE: A 1 -day point prevalence study was planned to obtain country data by determining the clinical characteristics, follow-up and treatment methods of coronavirus disease 2019 (COVID-19) cases that required intensive care unit (ICU) treatment in the second year of the pandemic. MATERIAL AND METHODS: All patients who were hospitalized in the ICUs due to COVID-19 between March 11, 2022, 08.00 AM, and March 12, 2022, 08.00 AM, were included in the study. Demographic characteristics, intensive care and laboratory data, radiological characteristics, and follow-up results of the patients were recorded. RESULTS: A total of 811 patients from 59 centers were included in the study, 59% of the cases were male, and the mean age was 74 +/- 14 years. At least one comorbid disease was present in 94% of the cases, and hypertension was the most common. When ICU weight scores were examined, Acute Physiology and Chronic Health Evaluation -II: 19 (15-27) and Sequential Organ Failure Assessment: 7 (4-10) were seen. Sepsis was present in 37% (n = 298) of cases. PaO2/FiO2 ratios of the patients were 190 the highest and 150 the lowest and 51% of the cases were followed via invasive mechanical ventilation. On the study day, 73% bilateral involvement was seen on chest x-ray, and ground -glass opacities (52%) were the most common on chest tomography. There was growth in culture in 40% (n = 318) of the cases, and the most common growth was in the tracheal aspirate (42%). CONCLUSION: The clinical course of COVID-19 is variable, and ICU follow-up was required due to advanced age, comorbidity, presence of respiratory symptoms, and widespread radiological involvement. The need for respiratory support and the presence of secondary infection are important issues to be considered in the follow-up. Despite the end of the second year of the pandemic and vaccination, the high severity of the disease as well as the need for follow-up in ICUs has shown that COVID-19 is an important health problem.
Evaluation of Patients with COVID-19 Followed Up in Intensive Care Units in the Second Year of the Pandemic: A Multicenter Point Prevalence Study
(AVES, 2024) Güngör, S.; Ediboğlu, Ö.; Moçin, Ö.Y.; Adıgüzel, N.; Tunçay, E.; İşcanlı, İ.G.E.; Er, B.; Karakurt, Z.; Turan, S.; Kosavalı, B.H.; Mutlu, N.M.; Kayar, D.; Bektaş, Ş.G.; Uysal, E.; Seğmen, F.; Gürayalp, A.; Erdem, D.; Selmi, N.H.; Güven, P.; Özçelik, Z.; Ocakcıoğlu, M.; Özgür, C.Y.; Yılmaz, R.; Özel, D.B.; Cebeci, H.; Güler, B.; Cansever, C.; Çakırca, M.; İnceöz, H.; Solmaz, İ.; Sipahioğlu, F.H.; Aydın, E.M.; Dayanır, H.; Öner, S.F.; Karatepe, U.; Özen, S.; Boran, M.; Ergül, D.F.; Kasapoğlu, U.S.; Delen, L.A.; Toy, E.; Altun, K.; Albayrak, T.; Yanal, H.; Zaim, G.; Yarar, V.; Kılınç, G.; Deniz, M.; Özdemir, E.; Soylu, V.G.; Yılmaz, A.; Saygılı, S.B.; Öztürk, E.K.; Ergan, B.; Eyüpoğlu, S.; Şahin, Y.; Yüksel, B.; Bulut, A.; Sarıtaş, A.; Yeniay, H.; Genç, M.; Kargın, F.; Özcan, O.; Karakoç, E.; Karaca, Ü.; Sözütek, D.; Sarı, S.; Şenoğlu, N.; Aygün, H.; Yiğit, A.C.; Kavruk, N.; Uzan, Ç.A.; Bıçakçıoğlu, M.; Solak, S.; Özçelik, H.K.; Uluç, K.; Yıldırım, İ.; Arar, M.C.; Demirel, İ.; Küver, S.U.; Özgür, E.S.; Aydın, K.; Dönmez, G.E.; Aygencel, G.; Esmaoğlu, A.; Aydın, B.S.; Tokur, M.E.; Ekren, P.K.; Aydemir, Y.; Güney, B.Ç.; Erdil, Ö.Y.; Tünay, A.; Bahadır, T.; Uçkun, S.; Kocaoğlu, N.; Pınar, H.U.; Karaca, N.K.; Gültekin, H.; Ayvat, P.; Özer, A.B.; Eroğlu, A.; Kuyrukluyıldız, U.; Baytar, Ç.; Ayoğlu, H.; Mızrakçı, S.; Metin, H.; Mutlu, Ö.P.Z.; Yılmaz, H.; Tüzüner, F.
OBJECTIVE: A 1-day point prevalence study was planned to obtain country data by determining the clinical characteristics, follow-up and treatment methods of coronavirus disease 2019 (COVID-19) cases that required intensive care unit (ICU) treatment in the second year of the pandemic. MATERIAL AND METHODS: All patients who were hospitalized in the ICUs due to COVID-19 between March 11, 2022, 08.00 am, and March 12, 2022, 08.00 am, were included in the study. Demographic characteristics, intensive care and laboratory data, radiological characteristics, and follow-up results of the patients were recorded. RESULTS: A total of 811 patients from 59 centers were included in the study, 59% of the cases were male, and the mean age was 74 ± 14 years. At least one comorbid disease was present in 94% of the cases, and hypertension was the most common. When ICU weight scores were examined, Acute Physiology and Chronic Health Evaluation-II: 19 (15-27) and Sequential Organ Failure Assessment: 7 (4-10) were seen. Sepsis was present in 37% (n = 298) of cases. PaO2 /FiO2 ratios of the patients were 190 the highest and 150 the lowest and 51% of the cases were followed via invasive mechanical ventilation. On the study day, 73% bilateral involvement was seen on chest x-ray, and ground-glass opacities (52%) were the most common on chest tomography. There was growth in culture in 40% (n = 318) of the cases, and the most common growth was in the tracheal aspirate (42%). CONCLUSION: The clinical course of COVID-19 is variable, and ICU follow-up was required due to advanced age, comorbidity, presence of respiratory symptoms, and widespread radiological involvement. The need for respiratory support and the presence of secondary infection are important issues to be considered in the follow-up. Despite the end of the second year of the pandemic and vaccination, the high severity of the disease as well as the need for follow-up in ICUs has shown that COVID-19 is an important health problem.
Evaluation of Patients with COVID-19 Followed Up in Intensive Care Units in the Second Year of the Pandemic: A Multicenter Point Prevalence Study.
(2023) Güngör, S.; Ediboğlu, Ö.; Moçin, Ö.Y.; Adıgüzel, N.; Tuncay, E.; İşcanlı, İ. G. E.; Er, B.; Karakurt, Z.; Turan, S.; Kosovalı, B.D.; Mutlu, N.M.; Kayar, D.; Gökbulut B.Ş.; Uysal, E.; Seğmen, F.; Alp, G.; Erdem, D.; Has, N.S.; Güven, P.; Özçelik, Z.; Ocakcıoğlu, M.; Özgür, C.Y.; Yılmaz, R.; Özel, D.B.; Cebeci, H.; Güler, B.; Cansever, C.; Çakırca, M.; İnceöz, H.; Solmaz, İ.; Sipahioğlu, F.Ö.; Aydın, E.M.; Dayanır, H.; Öner, S.F.; Karatepe, U.; Özen, S.; Boran, M.; Ergül, D.F.; Kasapoğlu, U.S.; Delen, L.A.; Toy, E.; Altun, K.; Albayrak, T.; Yanal, H.; Zaim, G.; Yarar, V.; Kılınç, G.; Deniz, M.; Özdemir, E.; Soylu, V.G.; Yılmaz, A.; Saygılı, S.M.; Öztürk, E.K.; Ergan, B.; Eyüpoğlu, S.; Şahin, Y.; Yüksel, B.; Bulut, A.; Sarıtaş, A.; Yeniay, H.; Genç, M.; Kargın, F.; Özcan, O.; Karakoç, E.; Karaca, Ü.; Sözütek, D.; Sarı, S.; Şenoğlu, N.; Aygün, H.; Yiğit, A.C.; Kavruk, N.; Uzan, Ç.A.; Bıçakcıoğlu, M.; Solak, S.; Özçelik, H.K.; Uluç, K.; Yıldırım, İ.; Arar, M.C.; Demirel, İ.; Küver, S.U.; Özgür, E.S.; Aydın, K.; Dönmez, G.E.; Aygencel, G.; Esmaoğlu, A.; Aydın, B.S.; Tokur, M.E.; Ekren, P.K.; Aydemir, Y.; Güney, B.Ç.; Erdil, Ö.Y.; Tünay, A.; Bahadır, T.; Uçkun, S.; Kocaoğlu, N.; Pınar, H.U.; Karaca, N,K.; Gültekin, H.; Ayvat, P.; Özer, A.B.; Eroğlu, A.; Kuyrukluyıldız, U.; Baytar, Ç.; Ayoğlu, H.; Mızrakçı, S.; Metin, H.; Mutlu, Ö. P. Z.; Yılmaz, H.; Tüzüner, F.
All patients who were hospitalized in the ICUs due to COVID-19 between March 11, 2022, 08.00 am, and March 12, 2022, 08.00 am, were included in the study. Demographic characteristics, intensive care and laboratory data, radiological characteristics, and follow-up results of the patients were recorded.