Factors affecting mortality in respiratory intensive care unit

Aim: The aim of present study was to compare routine clinical and laboratory parameters, acute physiologic and chronic health evaluation II (APACHE II), sequential organ failure assessment (SOFA) and Glasgow coma score (GCS) for their value between alive and exitus patients during hospital stay in patients admitted to respiratory intensive care unit.Method: A prospective observational clinical study was carried out in a 9-bed Respiratory Intensive Care Unit of Chest Disease and Tuberculosis Clinic in Dicle University Medical Faculty. One hundred and sixteen patients were observed. Laboratory parameters and scoring points for first 24 hour were noted. Patients? demographic specialties, laboratory parameters, hospital staying days, GCS, APACHE II and SOFA scores data collection were performed. We used logistic regression to compare parameters and scores.Results: Mortality rate was 39.6 % (46 Patients) of 116 patients, despite expected mortality rate 49.7 %. APACHE II scores, SOFA scores, GCS?s, pH, lactate, FiO2, urea, ALT, AST, total protein, albumine, total bilirubine, direct bilirubine, PTT and INR parameters had meaningful differences between alive and exitus patients groups.Conclusion: Co-morbidities such as hepatic dysfunction and metabolic disorders beside respiratory failure have additional contribution for increased mortality risk for patients who are admitted respiratory intensive care units.Key words: intensive care, mortality, prognosis, scoring systems.