Fatma Dilşad Aksoy, Esra Türe, A. Karaca, S. Yurdaor
{"title":"Chilaiditi syndrome in a child with cerebral palsy presenting with recurrent abdominal pain","authors":"Fatma Dilşad Aksoy, Esra Türe, A. Karaca, S. Yurdaor","doi":"10.22391/fppc.874778","DOIUrl":"https://doi.org/10.22391/fppc.874778","url":null,"abstract":"","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47832905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The aim of this research was to evaluate the demographic characteristics, diagnosis, treatment compliance and follow-up of outpatient clinic patients who had undergone electroconvulsive therapy for the treatment of mood disorders. Methods : This retrospective study has been conducted based on inpatient and outpatient clinical records of mood disorders patients who were treated with ECT between 2015-2018 in Department of Psychiatry Faculty of Medicine in University of Onsekiz Mart, Çanakkale Turkey. Results : The distribution of study population were classified as bipolar disorder patients [50% (n=5) in manic episode, 30% (n=3) in depressive episode, and 20% (n=2) in mixed episode] and 35% (n=7) of the depressive disorder patients had depression with psychotic symptoms, 60% (n=12) had depression without psychotic symptoms, and 5% (n=1) had catatonic depression. During the evaluation for the reasons of electroconvulsive therapy, the need for rapid response was most important requirement in depression patients, and agitation excitation treatment was most important requirement in bipolar disease patients. During follow-up 55% (n=11) of the depression patients continued their outpatient visits regularly after discharge, and the mean follow-up period was 14.10 months while 70% (n=7) of the bipolar disease patients had continued their outpatient visits regularly after discharge. The mean follow-up period was 11 months. Conclusion : Electroconvulsive therapy may be an important factor that increases treatment compliance for patients with mood disorders.
{"title":"Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy","authors":"Begüm Aygen Gümüş, H. Ertekin","doi":"10.22391/fppc.657962","DOIUrl":"https://doi.org/10.22391/fppc.657962","url":null,"abstract":"Introduction: The aim of this research was to evaluate the demographic characteristics, diagnosis, treatment compliance and follow-up of outpatient clinic patients who had undergone electroconvulsive therapy for the treatment of mood disorders. Methods : This retrospective study has been conducted based on inpatient and outpatient clinical records of mood disorders patients who were treated with ECT between 2015-2018 in Department of Psychiatry Faculty of Medicine in University of Onsekiz Mart, Çanakkale Turkey. Results : The distribution of study population were classified as bipolar disorder patients [50% (n=5) in manic episode, 30% (n=3) in depressive episode, and 20% (n=2) in mixed episode] and 35% (n=7) of the depressive disorder patients had depression with psychotic symptoms, 60% (n=12) had depression without psychotic symptoms, and 5% (n=1) had catatonic depression. During the evaluation for the reasons of electroconvulsive therapy, the need for rapid response was most important requirement in depression patients, and agitation excitation treatment was most important requirement in bipolar disease patients. During follow-up 55% (n=11) of the depression patients continued their outpatient visits regularly after discharge, and the mean follow-up period was 14.10 months while 70% (n=7) of the bipolar disease patients had continued their outpatient visits regularly after discharge. The mean follow-up period was 11 months. Conclusion : Electroconvulsive therapy may be an important factor that increases treatment compliance for patients with mood disorders.","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44232508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk perception, burnout, and knowledge of chemotherapy nurses during the COVID-19 pandemic","authors":"L. Koral","doi":"10.22391/fppc.818225","DOIUrl":"https://doi.org/10.22391/fppc.818225","url":null,"abstract":"","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43691939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beta-thalassemia mutation types and the relationship with the demographic factors in Sanliurfa, Turkey","authors":"B. Akıncı, F. Demir, E. Tuncez, Özlem Öz","doi":"10.22391/fppc.805164","DOIUrl":"https://doi.org/10.22391/fppc.805164","url":null,"abstract":"","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43364633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Melanoma is a cancer arising from the malignant transformation of melanocytes. It is mostly seen in the skin, eyes, mucosal membranes, and meninges. Melanoma is one of the fastest rising of all cancers in the world. Methods : We retrospectively examined the medical records of adult patients who were diagnosed with melanoma between January 2005 and December 2013 according to the Hospital-Based Cancer Registry (HBCR) of Hacettepe University Oncology Hospital. Results : A total of 338 patients [193 (57.1%) men and 145 (42.9%) women] were included in the study. The male to female ratio was 1.3/1. The mean age of patients was 55.2±15.2 years (minimum-maximum: 16-87 years). The rate of male patients was higher in patients with cutaneous and uveal melanoma (respectively, 56.8% and 58.6%), whereas the rate of female patients was higher in patients with mucosal melanoma (female: 55.6% and male: 44.4%; respectively, p=0.746 and p=0.518). The median follow-up time was estimated to be 27.7 months (1-103 months). During follow-up period, 127 (37.6%) patients died, and 16 (4.7%) patients were lost to follow-up. The median overall survival time was 76.3 months. The 5-year survival rate was 53%. When all patients were evaluated according to melanoma subtypes, patients with melanoma of unknown primary origin had the lowest median survival time (6.4 months). Conclusions : It is necessary to increase the awareness of people about melanoma and to make physicians more sensitive about skin examination in order to detect cutaneous melanomas in the early stages. Cancer Registry (HBCR) of Hacettepe University Oncology Hospital. Information on gender, age and date of diagnosis, tumor localization, size and histological subtype, types of melanoma (cutaneous, mucosal, choroidal), Breslow depth, Clark level, presence of spontaneous regression and ulceration, mitotic index, presence of satellite nodules and capsular invasion, BRAF mutation status, nodal involvement, surgical margin, and Tumor, Nodes, Metastasis (TNM) stage were obtained from pathology reports and operation notes. Metastatic sites detected at the time of diagnosis or at follow-up were recorded. We also recorded immunotherapy, targeted therapy and chemotherapy regimens and their start and stop times, number of cycles, curative or palliative surgical procedures and their dates, and curative or palliative radiotherapy and their dates.
{"title":"Retrospective evaluation of malignant melanoma patients: A single-center experience","authors":"M. Solak, S. Kılıçkap, I. Çelik","doi":"10.22391/FPPC.717911","DOIUrl":"https://doi.org/10.22391/FPPC.717911","url":null,"abstract":"Introduction: Melanoma is a cancer arising from the malignant transformation of melanocytes. It is mostly seen in the skin, eyes, mucosal membranes, and meninges. Melanoma is one of the fastest rising of all cancers in the world. Methods : We retrospectively examined the medical records of adult patients who were diagnosed with melanoma between January 2005 and December 2013 according to the Hospital-Based Cancer Registry (HBCR) of Hacettepe University Oncology Hospital. Results : A total of 338 patients [193 (57.1%) men and 145 (42.9%) women] were included in the study. The male to female ratio was 1.3/1. The mean age of patients was 55.2±15.2 years (minimum-maximum: 16-87 years). The rate of male patients was higher in patients with cutaneous and uveal melanoma (respectively, 56.8% and 58.6%), whereas the rate of female patients was higher in patients with mucosal melanoma (female: 55.6% and male: 44.4%; respectively, p=0.746 and p=0.518). The median follow-up time was estimated to be 27.7 months (1-103 months). During follow-up period, 127 (37.6%) patients died, and 16 (4.7%) patients were lost to follow-up. The median overall survival time was 76.3 months. The 5-year survival rate was 53%. When all patients were evaluated according to melanoma subtypes, patients with melanoma of unknown primary origin had the lowest median survival time (6.4 months). Conclusions : It is necessary to increase the awareness of people about melanoma and to make physicians more sensitive about skin examination in order to detect cutaneous melanomas in the early stages. Cancer Registry (HBCR) of Hacettepe University Oncology Hospital. Information on gender, age and date of diagnosis, tumor localization, size and histological subtype, types of melanoma (cutaneous, mucosal, choroidal), Breslow depth, Clark level, presence of spontaneous regression and ulceration, mitotic index, presence of satellite nodules and capsular invasion, BRAF mutation status, nodal involvement, surgical margin, and Tumor, Nodes, Metastasis (TNM) stage were obtained from pathology reports and operation notes. Metastatic sites detected at the time of diagnosis or at follow-up were recorded. We also recorded immunotherapy, targeted therapy and chemotherapy regimens and their start and stop times, number of cycles, curative or palliative surgical procedures and their dates, and curative or palliative radiotherapy and their dates.","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46659078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Akman, S. Bakırdogen, Murat Daş, Serdal Balcı, Okyanus Necdet Aykan
Introduction: Acute kidney injury (AKI) is common in hospitalized patients (1.92%). The effect of serum corrected and ionized calcium levels in predicting emergency hemodialysis in patients with AKI is unknown. In this study, we aimed to compare serum corrected and ionized calcium levels in patients who were diagnosed with AKI in the emergency service. Methods : Our study was planned retrospectively. Group 1: Patients with AKI who underwent at least one session of emergency hemodialysis. Group 2: The patients with AKIN stage 1-3 who did not undergo hemodialysis. Serum corrected and ionized calcium, creatinine and albumin values of the patients at the time of admission were analyzed. All data of the study were recorded by SPSS 19.0. For statistical significance, p <0.050 was accepted. Results : The mean serum corrected calcium levels were lower in group 1 than in group 2, and the difference was statistically significant (p <0.001). The mean ionized calcium levels in blood gas were lower in group 1 than in group 2, and the difference was statistically significant (p = 0.002). Conclusions : Serum corrected, and ionized calcium levels can be useful in predicting emergency hemodialysis in patients with AKI. were lower than that of those who did not undergo hemodialysis [10]. This retrospective study showed similar results. It that serum corrected and ionized calcium levels of the patients with AKI who referred to the emergency unit and received hemodialysis based on clinical indications were lower than that of the patients who did not undergo hemodialysis. In our study, when patients with serum creatinine> 4mg/dL due to acute renal failure were divided into two subgroups as dialysis (group 1a) and non-dialysis (group 2a), serum creatinine levels were higher in group 1a and corrected calcium levels were higher in group 2a patients. The groups were found to be similar in terms of serum albumin and ionized calcium levels. The findings of our study are compatible with the literature. As an exception, ionized calcium levels were found to be similar in both subgroups, the lower ionized calcium levels of group 1a patients than group 2a patients, although reaching significance,
{"title":"Comparison of serum corrected and ionized calcium levels in patients with acute kidney injury","authors":"C. Akman, S. Bakırdogen, Murat Daş, Serdal Balcı, Okyanus Necdet Aykan","doi":"10.22391/FPPC.854694","DOIUrl":"https://doi.org/10.22391/FPPC.854694","url":null,"abstract":"Introduction: Acute kidney injury (AKI) is common in hospitalized patients (1.92%). The effect of serum corrected and ionized calcium levels in predicting emergency hemodialysis in patients with AKI is unknown. In this study, we aimed to compare serum corrected and ionized calcium levels in patients who were diagnosed with AKI in the emergency service. Methods : Our study was planned retrospectively. Group 1: Patients with AKI who underwent at least one session of emergency hemodialysis. Group 2: The patients with AKIN stage 1-3 who did not undergo hemodialysis. Serum corrected and ionized calcium, creatinine and albumin values of the patients at the time of admission were analyzed. All data of the study were recorded by SPSS 19.0. For statistical significance, p <0.050 was accepted. Results : The mean serum corrected calcium levels were lower in group 1 than in group 2, and the difference was statistically significant (p <0.001). The mean ionized calcium levels in blood gas were lower in group 1 than in group 2, and the difference was statistically significant (p = 0.002). Conclusions : Serum corrected, and ionized calcium levels can be useful in predicting emergency hemodialysis in patients with AKI. were lower than that of those who did not undergo hemodialysis [10]. This retrospective study showed similar results. It that serum corrected and ionized calcium levels of the patients with AKI who referred to the emergency unit and received hemodialysis based on clinical indications were lower than that of the patients who did not undergo hemodialysis. In our study, when patients with serum creatinine> 4mg/dL due to acute renal failure were divided into two subgroups as dialysis (group 1a) and non-dialysis (group 2a), serum creatinine levels were higher in group 1a and corrected calcium levels were higher in group 2a patients. The groups were found to be similar in terms of serum albumin and ionized calcium levels. The findings of our study are compatible with the literature. As an exception, ionized calcium levels were found to be similar in both subgroups, the lower ionized calcium levels of group 1a patients than group 2a patients, although reaching significance,","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47201499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sinan Yenal, Ahu Pakdemirli, B. Bayram, N. D. Tecirli
Introduction: The aim of this study is to reveal the socio-demographic and certain clinical characteristics of elderly patients admitted to the emergency department after a suicide attempt. Methods: This is a cross-sectional study. The universe of the study consisted of 96 patients aged 60 and over who were admitted to emergency department of Izmir Dokuz Eylul University Hospital between 2015-2019 due to a suicide attempt. Information for the study was obtained by retrospectively scanning the files of the patients. Results: Mean age of the 96 patients included in the study was 68.22 ± 9.45 years. The most common suicide method among the patients was drug overdose (n: 59, 61.45%). It was found that 45.05% of the patients who attempted suicide had a known psychiatric diagnosis (n:41). The suicide rate of women (n:42, 43.75%) who were primary school graduates (p=0.026), had a known psychiatric illness (p=0.001), continuously used drugs (p=0.002) and used antidepressants (p<0.001) was significantly higher compared to men (n:54, 56.25%). Conclusion: Being a primary school graduate, having a psychiatric illness, and using antidepressants increase suicide rates in women. It was suggested that this group of patients with suicidal tendencies should be treated with more care in emergency department.
{"title":"Evaluation of socio-demographic factors and attempted suicides in the elderly","authors":"Sinan Yenal, Ahu Pakdemirli, B. Bayram, N. D. Tecirli","doi":"10.22391/FPPC.803404","DOIUrl":"https://doi.org/10.22391/FPPC.803404","url":null,"abstract":"Introduction: The aim of this study is to reveal the socio-demographic and certain clinical characteristics of elderly patients admitted to the emergency department after a suicide attempt. Methods: This is a cross-sectional study. The universe of the study consisted of 96 patients aged 60 and over who were admitted to emergency department of Izmir Dokuz Eylul University Hospital between 2015-2019 due to a suicide attempt. Information for the study was obtained by retrospectively scanning the files of the patients. Results: Mean age of the 96 patients included in the study was 68.22 ± 9.45 years. The most common suicide method among the patients was drug overdose (n: 59, 61.45%). It was found that 45.05% of the patients who attempted suicide had a known psychiatric diagnosis (n:41). The suicide rate of women (n:42, 43.75%) who were primary school graduates (p=0.026), had a known psychiatric illness (p=0.001), continuously used drugs (p=0.002) and used antidepressants (p<0.001) was significantly higher compared to men (n:54, 56.25%). Conclusion: Being a primary school graduate, having a psychiatric illness, and using antidepressants increase suicide rates in women. It was suggested that this group of patients with suicidal tendencies should be treated with more care in emergency department.","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48482963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Family physicians play an important role for their critically ill patients and their caregivers. Both admission and discharge in the critical care units can cause anxiety in the patients and their family caregivers. The aim of the study was to investigate transfer anxiety in patients and their caregivers due to being transferred from the intensive care unit (ICU). Methods: This is a descriptive study that was carried out through interviewing patients and their caregivers who were hospitalized in the ICU and then transferred out due to the improvement of their general condition. The data was collected by using a Questionnaire Form and the StateTrait Anxiety Inventory (STAI). Results: A total of 170 individuals (85 patients and 85 family caregivers) were involved in the study. The patient’s anxiety scores were higher than their caregivers and the difference was statistically significant (p<0.001). The patients and their caregivers’ mean anxiety scale scores after the transfer were higher in comparison with the mean scores before the transfer(p<0.001). Conclusions: Transfer anxiety in patients and their caregivers due to being transferred from the ICU was confirmed. Healthcare professionals are encouraged to make the necessary adjustments to prevent transfer anxiety in critical care patients. In this process, involvement of family physicians of such patients is crucial.
{"title":"Transfer anxiety in critical care patients and their caregivers","authors":"Merve Bat Tonkuş, S. Doğan, A. T. Atayoğlu","doi":"10.22391/fppc.787056","DOIUrl":"https://doi.org/10.22391/fppc.787056","url":null,"abstract":"Introduction: Family physicians play an important role for their critically ill patients and their caregivers. Both admission and discharge in the critical care units can cause anxiety in the patients and their family caregivers. The aim of the study was to investigate transfer anxiety in patients and their caregivers due to being transferred from the intensive care unit (ICU). Methods: This is a descriptive study that was carried out through interviewing patients and their caregivers who were hospitalized in the ICU and then transferred out due to the improvement of their general condition. The data was collected by using a Questionnaire Form and the StateTrait Anxiety Inventory (STAI). Results: A total of 170 individuals (85 patients and 85 family caregivers) were involved in the study. The patient’s anxiety scores were higher than their caregivers and the difference was statistically significant (p<0.001). The patients and their caregivers’ mean anxiety scale scores after the transfer were higher in comparison with the mean scores before the transfer(p<0.001). Conclusions: Transfer anxiety in patients and their caregivers due to being transferred from the ICU was confirmed. Healthcare professionals are encouraged to make the necessary adjustments to prevent transfer anxiety in critical care patients. In this process, involvement of family physicians of such patients is crucial.","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68404420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Humeyra Aslaner, A. Benli, Mebrure Beyza Gökçek, D. Avcı, O. Başpınar
Introduction : Palliative care centers (PC centers) provide multidisciplinary care for patients with multiple comorbid conditions. This study aimed to assess and compare patients’ diagnoses, length of hospital stays, and demographic data and coordination with home health care services. Methods : This is a descriptive, cross-sectional and retrospective study. Patients who were hospitalized in PC centers of secondary and tertiary care hospitals between 01.08.2018 and 01.08.2018 were retrospectively assessed. Patients’ demographic characteristics diagnoses of hospitalization, and length of hospital stays and centers where they received treatment were recorded. Results : Median age of 830 patients included in the study was 79 (24-102). Out of 830 patients, 48.9% were male and 51.1% were female. Mean length of hospital stay was 14 days and median length was 8.7 (0.6-112) days. The three most common comorbid diseases followed up were malignancy (21.8%), cerebrovascular disease (15.2%) and malaise-fatigue-senility (10.7%). The group with Alzheimer's disease was the oldest patient group. The group with nutritional deficiency-malnutrition was the patient group with the longest hospital stay (p=0.030). The number of patients who were hospitalized for cerebrovascular diseases was the highest in secondary care centers and the number of patients who were hospitalized for malignancy was the highest in tertiary care centers. Patients hospitalized in secondary PC center were older. The hospital stays were longer in tertiary PC center. Patients receiving treatment at a tertiary PC center had a significantly higher rate of mortality. The number of patients who were discharged was lower in the tertiary PC centers. Hospitalization to a secondary PC center through home care units was significantly higher. Conclusion : In this study, the rate and diagnoses of hospitalization and length of hospital stays were different in secondary and tertiary PC centers. Our study has made an assessment about palliative care centers at various levels of health care and can be considered as prior knowledge for other studies.
{"title":"Evaluation of patients receiving treatment at palliative care centers","authors":"Humeyra Aslaner, A. Benli, Mebrure Beyza Gökçek, D. Avcı, O. Başpınar","doi":"10.22391/fppc.753918","DOIUrl":"https://doi.org/10.22391/fppc.753918","url":null,"abstract":"Introduction : Palliative care centers (PC centers) provide multidisciplinary care for patients with multiple comorbid conditions. This study aimed to assess and compare patients’ diagnoses, length of hospital stays, and demographic data and coordination with home health care services. Methods : This is a descriptive, cross-sectional and retrospective study. Patients who were hospitalized in PC centers of secondary and tertiary care hospitals between 01.08.2018 and 01.08.2018 were retrospectively assessed. Patients’ demographic characteristics diagnoses of hospitalization, and length of hospital stays and centers where they received treatment were recorded. Results : Median age of 830 patients included in the study was 79 (24-102). Out of 830 patients, 48.9% were male and 51.1% were female. Mean length of hospital stay was 14 days and median length was 8.7 (0.6-112) days. The three most common comorbid diseases followed up were malignancy (21.8%), cerebrovascular disease (15.2%) and malaise-fatigue-senility (10.7%). The group with Alzheimer's disease was the oldest patient group. The group with nutritional deficiency-malnutrition was the patient group with the longest hospital stay (p=0.030). The number of patients who were hospitalized for cerebrovascular diseases was the highest in secondary care centers and the number of patients who were hospitalized for malignancy was the highest in tertiary care centers. Patients hospitalized in secondary PC center were older. The hospital stays were longer in tertiary PC center. Patients receiving treatment at a tertiary PC center had a significantly higher rate of mortality. The number of patients who were discharged was lower in the tertiary PC centers. Hospitalization to a secondary PC center through home care units was significantly higher. Conclusion : In this study, the rate and diagnoses of hospitalization and length of hospital stays were different in secondary and tertiary PC centers. Our study has made an assessment about palliative care centers at various levels of health care and can be considered as prior knowledge for other studies.","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44087135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Burkay Yakar, Türkkan Öztürk Kaygusuz, E. Pi̇ri̇nçci̇, Erhan Önalan, Yusuf Haydar Ertekin
{"title":"Tıp fakültesi öğrencilerinin Türkiye'deki mevcut COVID-19 salgını hakkında bilgi, tutum ve kaygıları","authors":"Burkay Yakar, Türkkan Öztürk Kaygusuz, E. Pi̇ri̇nçci̇, Erhan Önalan, Yusuf Haydar Ertekin","doi":"10.22391/fppc.737469","DOIUrl":"https://doi.org/10.22391/fppc.737469","url":null,"abstract":"","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68403650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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