2009 H1N1 Influenza and Experience in Three Critical Care Units

Teke, Turgut; Coskun, Ramazan; Sungur, Murat; Guven, Muhammed; Bekci, Taha T; Maden, Emin; Alp, Emine; Doganay, Mehmet; Erayman, Ibrahim; Uzun, Kursat

Data on the use of mechanical ventilation in the ICU were available for all patients. Non-invasive mechanic ventilation was performed in 42 patients. Fifteen of these patients were endotracheally intubated after a mean of 3.4 ± 1.7 days. Fourteen patients initially received invasive mechanically ventilation. Thirty (49.2 %) patients survived to hospital discharge. APACHE II score was higher in nonsurvivors (20.9 ± 6.7) than survivors (16.5 ± 5.4) (p<0.01). There were 8 obese patients in nonsurvivor group and in 7 obese patients in survival group (p>0.05). In 3th days, mean level of urea, creatinine, international normalized ratio (INR) and heart rate were higher nonsurvivors than survivors (p<0.05, p<0.05, p<0.05, and p<0.01). PaO2/FiO2 ratio was lower in nonsurvivors than survivors in third ICU day (p<0.05). Renal failure began in third ICU day. Renal failure developed in 10 patients and 6 of them died.