{"id":15905,"date":"2021-01-05T01:24:23","date_gmt":"2021-01-04T22:24:23","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/yatan-hastalarda-pnomoni-agirlik-indeksi-kullanilarak-pnomoni-tipi-ve-siddetinin-takip-parametrelerine-etkisinin-karsilastirilmasi\/"},"modified":"2021-01-05T01:24:23","modified_gmt":"2021-01-04T22:24:23","slug":"yatan-hastalarda-pnomoni-agirlik-indeksi-kullanilarak-pnomoni-tipi-ve-siddetinin-takip-parametrelerine-etkisinin-karsilastirilmasi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/yatan-hastalarda-pnomoni-agirlik-indeksi-kullanilarak-pnomoni-tipi-ve-siddetinin-takip-parametrelerine-etkisinin-karsilastirilmasi\/","title":{"rendered":"Yatan Hastalarda Pn\u00f6moni A\u011f\u0131rl\u0131k \u0130ndeksi Kullan\u0131larak Pn\u00f6moni Tipi ve \u015eiddetinin Takip Parametrelerine Etkisinin Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: G\u00fcn\u00fcm\u00fczde hem toplumda hem de hastanede geli\u015fen pn\u00f6moniler (HGP) mortalite ve morbiditenin \u00f6nemli nedenleridir. \u00c7al\u0131\u015fmam\u0131zda, belli bir periyodda yatarak tedavi g\u00f6ren pn\u00f6moni olgular\u0131n\u0131n, pn\u00f6moni a\u011f\u0131rl\u0131k indeksi (pneumonia severity index [PSI]) kullan\u0131larak incelenmesini, pn\u00f6moninin tipi ve \u015fiddetinin takip ve tedaviye etkisini incelemeyi ama\u00e7lad\u0131k.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Pn\u00f6moni tan\u0131s\u0131yla yatan 83 hastan\u0131n dosyalar\u0131 geriye d\u00f6n\u00fck olarak tarand\u0131. Hastal\u0131\u011f\u0131n \u015fiddetini belirlemek i\u00e7in PSI kullan\u0131ld\u0131. \u0130statistiksel analizler i\u00e7in p de\u011feri &lt;0.05 d\u00fczeyi anlaml\u0131 kabul edildi.<\/p>\n<p> <strong>Bulgular<\/strong>: Ya\u015f ortalamas\u0131 70.8\u00b115.4 y\u0131l olan hastalar\u0131n 50 (%60.2)\u2019si erkekti. Akci\u011fer grafisinde bilateral tutulum 23 (%27.7), plevral s\u0131v\u0131 19 (%22.9) olguda izlendi. Hastalar\u0131n 67 (%80.7)\u2019si toplumda geli\u015fen pn\u00f6moni (TGP) olgusuyken, 16 (%19.3)\u2019s\u0131 HGP olgusuydu. Mikrobiyolojik tan\u0131 9 (%56.2) HGP, 6 (%8.9) TGP olgusunda elde edilmi\u015fti. Ampirik antibiyotik tedavisine yan\u0131t oran\u0131 TGP hastalar\u0131nda %77.6, HGP hastalar\u0131nda %31.2 idi (p=0.000). Ampirik antibiyotik tedavisinde modifikasyon s\u0131kl\u0131\u011f\u0131 PSI\u2019si y\u00fcksek olan hastalarda anlaml\u0131 olarak y\u00fcksekti (p=0.001). Mortalite oran\u0131 TGP olgular\u0131nda %5.9 iken, HGP olgular\u0131nda %43.7 idi (p=0.000). PSI, eksitus olan hastalarda anlaml\u0131 olarak y\u00fcksek bulundu (p=0.025). PSI ile, hastanede yat\u0131\u015f s\u00fcresi (p=0.000), yo\u011fun bak\u0131m \u00fcnitesinde kal\u0131\u015f s\u00fcresi (p=0.046) ve tedavi s\u00fcresi (p=0.002) aras\u0131nda pozitif korelasyon saptand\u0131.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: HGP\u2019li hastalarda TGP\u2019li hastalara g\u00f6re, ba\u015flang\u0131\u00e7 antimikrobiyal tedaviye yan\u0131t oran\u0131 daha d\u00fc\u015f\u00fck, yo\u011fun bak\u0131m ihtiyac\u0131 ve mortalite oran\u0131 daha y\u00fcksek bulunmu\u015ftur. Yatan pn\u00f6monili hastalardaki PSI, ampirik antibiyotik tedavi ba\u015far\u0131s\u0131, hastanede yat\u0131\u015f s\u00fcresi, tedavi s\u00fcresi ve mortaliteyle ili\u015fkilidir.\u00a0\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: G\u00fcn\u00fcm\u00fczde hem toplumda hem de hastanede geli\u015fen pn\u00f6moniler (HGP) mortalite ve morbiditenin \u00f6nemli nedenleridir. \u00c7al\u0131\u015fmam\u0131zda, belli bir periyodda yatarak tedavi g\u00f6ren pn\u00f6moni olgular\u0131n\u0131n, pn\u00f6moni a\u011f\u0131rl\u0131k indeksi (pneumonia severity index [PSI]) kullan\u0131larak incelenmesini, pn\u00f6moninin tipi ve \u015fiddetinin takip ve tedaviye etkisini incelemeyi ama\u00e7lad\u0131k. Y\u00f6ntemler: Pn\u00f6moni tan\u0131s\u0131yla yatan 83 hastan\u0131n dosyalar\u0131 geriye d\u00f6n\u00fck olarak tarand\u0131. [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[4297,3007,4299,4296],"class_list":["post-15905","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-hastanede-gelisen-pnomoni","tag-pnomoni","tag-pnomoni-agirlik-indeksi","tag-toplumda-gelisen-pnomoni"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15905","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=15905"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15905\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15905"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15905"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}