Hospice Units as a requirement for terminal stage patients in need of intensive care in Turkey

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dc.authorid0000-0003-2342-1214
dc.contributor.authorKaraören, Gülşah
dc.contributor.authorAkbaş, Sedat
dc.contributor.authorSerin Ocak, Sibel
dc.contributor.authorBalta, Musa
dc.contributor.authorKöksal, Güniz
dc.contributor.authorİkizceli, İbrahim
dc.contributor.authorÖz, Hüseyin
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:35Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:35Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.descriptionWOS: 000386428400320
dc.description.abstractBackground: Intensive care units (ICUs) are special units providing intensive observation, monitoring and supportive treatments, which can be applied as standardised and continuous patient care. Patients at the terminal stage of illness require monitoring in special units that are staffed by a multi-disciplinary team, which are known as a "hospice unit". In this study, we determined whether or not there is a need for a 'hospice unit'. Material and method: In this retrospective study, data for demographic characteristics, diagnoses, comorbidities, examination and laboratory findings were obtained from the emergency department patient records for each patient. Predicted mortality (PM) rates were calculated for each patient using the Acute Physiology and Chronic Health Evaluation (APACHE) II score and the Simplified Acute Physiology Score (SAPS) II score. The Surveillance, Epidemiology and End Results (SEER) grading score was used for grading the patients diagnosed with cancer. Results: We reviewed the records of patients presenting at the emergency department over a 1-year period and found that the majority (63.8%) of patients for whom tertiary level IC monitoring was recommended were over the age of 60 years, 20% had a diagnosis of advanced stage cancer and the predicted mortality rate was almost 60%. Conclusion: The establishment of hospice units in regional reference center would reduce the load on ICU and could be considered to partially resolve the problem of bed unavailability in ICUs.
dc.identifier.citationKaraören, G., Akbaş, S., Serin Ocak, S., Balta, M., Köksal, G., İkizceli, İ. ... Öz, H. (2016). Hospice Units as a requirement for terminal stage patients in need of intensive care in Turkey. International Journal Of Clinical And Experimental Medicine, 9(7), 14907-14912.
dc.identifier.endpage14912
dc.identifier.issn1940-5901
dc.identifier.issue7
dc.identifier.scopusqualityQ2
dc.identifier.startpage14907
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2755
dc.identifier.volume9
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherE-Century Publishing Corp
dc.relation.ispartofInternational Journal Of Clinical And Experimental Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHospice Care
dc.subjectPalliative Care
dc.subjectCancer
dc.subjectAPACHE II
dc.subjectSAPS II
dc.titleHospice Units as a requirement for terminal stage patients in need of intensive care in Turkey
dc.typeArticle

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