Yazar "Yuksek, Ahmet" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim Yok
    Öğe
    Intensive Care Unit Admission Predictors of Geriatric Patients Who Underwent Hemiarthroplasty due to Hip Fracture
    (Turkish Soc Medical & Surgical Intensive Care Medicine, 2021) Miniksar, Okkes Hakan; Kacmaz, Osman; Yuksek, Ahmet; Aydin, Ahmet; Oz, Hakan
    Objective: In this study, we aimed to investigate the clinical features of geriatric hip fracture cases that underwent hemiarthroplasty surgery and to reveal the predictors of hospitalization in ICU accordingly. Methods: In this study, 158 geriatric patients who underwent hemiarthroplasty surgery for femoral neck fracture between January 2017 and December 2019 were retrospectively analyzed. The patients were divided into two groups as patients who were admitted to the ICU (ICU) and patients who were not admitted to the ICU (non-ICU). The clinical characteristics of the patients were compared between the two groups, and predictors of ICU admission were determined by a multivariate regression model. Results: The mean age of the patients was 82.16 +/- 7.5 years, the mean duration of ICU hospitalization was 1.98 +/- 1.4 days, and the mortality rate was 9.5%. One hundred nineteen of the patients (75.31%) were admitted to the ICU after the surgery.According to the results of the univariate regression analysis, advanced age, presence of comorbidities (coronary artery disease, cerebrovascular disease), number of comorbidities, ASA score, Charlson age-corrected comorbidity index, transfusion of erythrocyte suspension, and cement application were significant risk factors for admission to ICU (p<0.02 for each). According to multivariate regression analysis, ASA score (OR=2.77, p=0.04) and cement application (OR=5.97, p<0.001) were determined as independent risk factors for hospitalization in ICU. Conclusion: Factors that are predictors of the need for ICU after hemiarthroplasty surgery (ASA score and cement application) should be considered in geriatric patients. More comprehensive research is required to show the potential effects of these predictors better.
  • Küçük Resim
    Öğe
    Quality of internet-based information on obstetric anesthesia
    (2019) Talih, Gamze; Yuksek, Ahmet
    Aim: The internet is one of the most frequently used tools to reach up to actual information. In the field of health, patients frequently search for treatment options and outcomes over the internet. In this study, the quality and reliability of the data on obstetric anesthesia were investigated.Material and Methods: The ten most frequently searched keywords for obstetric anesthesia and the first 30 search results for each word were analyzed with JAMA Benchmark Criteria and Discern score. The web sites that emerged as servers were divided into 5 classes as anesthesia associations and academic papers, public institutions, private hospitals/clinics, news and forums/personal blogs. Results: The average DISCERN score of all sites was calculated as 29.75±7.04. The quality of the information provided on the internet about obstetric anesthesia was evaluated as poor. The most common results for our keywords were provided by private hospitals (27.8%). Web sites linked to public institutions were the last to provide information (2.2%). Treatment options and benefits are the most clearly mentioned issues, while risks and treatment failure are the least addressed. According to the JAMA benchmark criterion, the majority of sites had up-to-date but unclear information.Conclusions: In obstetric anesthesia, the quality and reliability of the information provided on the internet are poor. It was concluded that the anesthesiology associations were not sufficiently involved on the internet in informing patients about obstetric anesthesia. Patients applying in health institutions should be advised that the information on the internet may not be reliable and that they should consult a specialist physician.Keywords: Obstetric anesthesia; internet-based information; DISCERN score; JAMA Benchmark criteria