Evaluation of emergency consultations requested from our hospital’s intensive care unit

Objectives: The aim of this study was to examine the content of emergency consultation requests from our intensive care unit (ICU) and problems occuring during these consultations.
Materials and Methods: Demographic characteristics of patients, units requesting consultation, reasons for requesting consultation, procedures done during consultations and especially cardiopulmonary resuscitations (CPR) were evaluated retrospectively in 1319 emergency consultation requests from our ICU in the period of August 2007-2008.
Results: The age range of 1319 consultated patients was 10 days to 90 years and 643 patients were male, 676 were female. 64% of consultations were performed in emergency services, 24% in internal services and 12% in surgical services. As with 30% respiratuar disorders were the most frequent reason for consultation, CPR were in the fourth range with 17%. With 61% maximum response to CPR were in the emergency internal service. Only 26% of patients indicated for ICU stay could be accepted to our ICU, 33% were referred to other governmental hospitals and 41% were referred to private hospitals.
Conclucion: TICU bed account in our hospital is not providing our need. The bed account should be increased with satisfiying technical structure and well informed-experienced staff. We think, that regular data-processing network and assigned staff could reduce loss of work force and increase patient care quality.

Hastanemiz yoðun bakým ünitesinden acil konsültasyon istemlerinin deðerlendirilmesi

Amaç: Çalýþmamýzda Yoðun Bakým Ünitemizden (YBÜ) istenen acil konsültasyonlarýn içeriði ve yaþanan sorunlarýn irdelenmesi amaçlanmýþtýr.
Gereç ve Yöntem: Aðustos 2007-2008 tarihleri arasýnda YBÜ’den acil konsültasyon istemi olan 1319 olgu demografik özellikleri, görüldüðü birimler, konsültasyon istem sebepleri, yapýlan iþlemler ve bunlar içerisinde kardiyopulmoner resüsitasyonlar (KPR) açýsýndan retrospektif olarak deðerlendirilmiþtir.
Bulgular: 1319 olgunun yaþ aralýðý 10 günlük ile 90 yaþ arasýnda olup, 643’ü erkek ve 676’sý kadýndýr. Konsültasyonlarýn %64’ü acil servislerde, %24’i dahili servislerde ve %12’si cerrahi servislerde yapýlmýþtýr. Konsültasyon istem sebepleri arasýnda %30 oranýyla solunum yetmezliði ilk sýrada, KPR ise %17 oraný ile dördüncü sýrada yer almaktadýr. %61 oraný ile KPR’ye en fazla acil dahiliye bölümünde yanýt alýnmýþtýr. Yoðun bakým endikasyonu konan olgularýn yalnýzca %26’sý yoðun bakýmýmýza kabul edilebilmiþtir. %33’ü baþka devlet hastanelerinin yoðun bakýmlarýna, %41’i özel hastanelerin YBÜ’lerine sevk edilmiþtir.
Sonuç: Sonuç olarak; Hastanemiz yoðun bakým yatak sayýsý ihtiyacýmýzý karþýlamakta yetersizdir. Teknik alt yapýsý yeterli ve bilgili-tecrübeli ekiplerden oluþan yoðun bakým yatak sayýsýnýn arttýrýlmasý gerekmektedir. Hasta sevki konusunda düzenli bilgi iþlem aðý kurulmasýnýn ve görevli kiþilerin belirlenmesinin yaþanan iþ gücü kaybýný azaltacaðý ve hasta bakým kalitesini arttýracaðý kanaatindeyiz.