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- Title
Jinekolojik Kanserler Nedeniyle Opere Edilen ve Yoğun Bakımda Takip Edilen Hastalarda Polifarmasi Yatış Süresiyle İlişkili Midir?
- Authors
ÜNSAL, MEHMET; ZORLU, UĞURCAN; ÜNSAL, PELİN; KARAASLAN, NUR; ÖZCAN, NAMIK NEBİ; TURAN, TANER
- Abstract
Aim: To evaluate whether the number of drugs taken by the patients before the operation or the use of potentially inappropriate medications (PIM) are associated with the length of stay in the intensive care unit (ICU) in patients with gynecological cancers. Materials and Methods: This study included retrospectively all patients who underwent gynecological cancer surgery at the Ankara Bilkent City Hospital Gynecological Oncology Surgery Clinic between June 2020 and December 2022 and were monitored for at least 24 hours in the ICU. The use of five or more medications was defined as polypharmacy. PIM are assessed according to the Turkish inappropriate medication use in the elderly (TIME-to-STOP, TIME-to-START) criteria. Results: A total of 253 patients were included in the study. Two hundred twenty (87%) patients underwent surgery for endometrial cancer, 25 (9.9%) for ovarian cancer, 2 (0.8%) for cervical cancer, and 6 (2.4%) for other gynecological cancers. The patients were followed up in the ICU for 2 days (range, 1-21 days). Polypharmacy and PIM were found in 34 (13.4%) and 83 (32.8%) patients, retrospectively. A positive correlation was observed between the length of stay and the number of drugs (r=0.142; p=0.024). The number of drugs (OR:1.228, 95% CI: 1.034-1.460, p=0.020) was found to be associated with the length of stay in the ICU, independent of all other causes. Conclusion: One of the most important factors to consider when deciding how long a patient will stay in the ICU is to assess the co-morbidities and drug use of the patient.
- Publication
Jinekoloji-Obstetrik & Neonatoloji Tip Dergisi, 2023, Vol 20, Issue 3, p1858
- ISSN
1304-5512
- Publication type
Article
- DOI
10.38136/jgon.1279562