Yoğun bakım ünitelerinde tedavi gerektiren hastalarda prognostik belirteçler: derleme

Year 2024, Volume: 6 Issue: 3, 367 - 378, 14.10.2024

İbrahim Karagöz , Bahri Özer , Gulali Aktas

https://doi.org/10.52827/hititmedj.1443663

Abstract

Yoğun bakım üniteleri, tıbbi savaşçıların en kritik hastalıklar ve yaralanmalarla mücadele ettiği ön cephe savaş alanlarıdır. Her anın yaşamla ölüm arasında gidip geldiği yoğun bakım ünitelerinin labirentinde, belirsizlik ortamında yol gösterici işaretler olarak prognostik belirteçler ortaya çıkıyor. Son yıllarda araştırmacılar yoğun bakım popülasyonunda birçok yeni mortalite belirteçleri tespit etmektedirler. Bu derlemede, yoğun bakım ünitesi popülasyonunda prognozu değerlendirmek için son yıllarda önerilen klinik ve laboratuvar belirteçlerin incelenmesi ve bu konuyla ilgili literatürün gözden geçirilmesi amaçlandı. Yoğun bakım ünitelerindeki hastaların yönetimi dinamik bir süreçtir ve bu amaçla güvenilir risk sınıflandırma modellerine ve prognostik belirteçlere ihtiyaç vardır. Yeni prognostik göstergeler, kritik hastalarda güvenilir tanı ve prognostik araçlar olarak hizmet edebilir.

Keywords

belirteç, mortalite, öngördürücü, prognoz, yoğun bakım

The predictors of outcome in patients that require management in intensive care units: A narrative review

Abstract

Intensive care units stand as the frontline battlegrounds where medical warriors combat the most critical illnesses and injuries. Within the labyrinth of intensive care units, where every moment teeters between life and death, prognostic markers emerge as beacons of guidance amidst uncertainty. In recent years, researchers have identified several novel mortality predictors in the intensive care population. In this review, we aimed to examine the clinical and laboratory markers that have been proposed in recent years to evaluate prognosis in the intensive care unit population and to review the literature on this topic. Management of patients in intensive care units is a dynamic process and reliable risk stratification models and prognostic markers are needed for this purpose. Novel prognostic indicators could serve as reliable diagnostic and prognostic tools in critically ill patients.

Keywords

intensive care, marker, mortality, predictor, prognosis

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