Türk Nöroşirürji Dergisi 2012 , Vol 22 , Num 2
The Descriptive of Long Hospitalization Patients (More than 6 Months) in Neurosurgery Intensive Care Unit
Selçuk GÖÇMEN1, Serpil ÖCAL2, Cem ATABEY1, Feridun ACAR3, Erdener TİMURKAYNAK4
1Gülhane Askeri Tıp Akademisi, Haydarpaşa Eğitim Hastanesi, Nöroşirürji Servisi, İstanbul, Türkiye
2Hacettepe Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Ankara, Türkiye
3Pamukkale Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Denizli, Türkiye
4Ufuk Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Ankara, Türkiye
AIM: When the intensive care patients are reviewed, for long hospitalization in intensive care unit (ICU), the data focuses on neurointensive care units. There is no descriptive study of long stay in ICU.

MATERIAL and METHODS: 10 cases hospitalized in Gulhane Military Medical Academy, neurosurgery ICU longer than 6 months were analyzed retrospectively.

RESULTS: Mean age of the cases is 35,9 years. There are 80% male and 20% female patients, who were hospitalized mean 14,3 months in the neurosurgery ICU. The most common infection was urinary tract infection. The common microbial agents were metisiline resistant Staphylococcus Aureus, Pseudomonas Aeriginosa, and Klebsiella Pneumonia. In metabolic follow-ups, hyponatremia, hypokalemia, hypoalbuminemia, hypoproteinemia were common findings of most cases. During the hospitalization, the most common was infectious diseases consultation (mean 13,2), and second frequent consultations were physical medicine and rehabilitation and neurology. Three of these patients were lost due to cardiopulmonary arrest, and two of these patients secondary to sepsis.

CONCLUSION: These patients should be transferred to nursing homes after primary treatment in ICU. The need for nursing homes must be discussed and established. Thus, the costs of these patients can be reduced to the state and social and financial burdens on families' patients can be reduced. Anahtar Kelimeler : Glasgow coma scale, Neurosurgery, Intensive care unit, Long hospitalization