The impact of the duration of admission to the emergency room on the mortality of intensive care patients

Objective: There are many factors affecting the mortality of patients admitted to the intensive care unit (ICU). Among these are the patientsf age, diagnosis, and concomitant pathology. The aim of this retrospective study was to investigate whether there is an adverse effect of the time between admission to the Emergency Room (ER) and admission to theICU on the mortality of these patients.Materials and Methods: The medical records of the patients who were  admitted to the Emergency Department (ED) of the Bolu Izzet Baysal State Hospital and subsequently were admitted to the ICU between December 2009 and August 2011 were analyzed in terms of the time of admission, the season of admission, and the waiting and the stand.by times in the ER.Results: A total of 2380 patients, who were admitted to the ED of the Bolu -zzet Baysal State Hospital and subsequently to the ICU, were included in the study. The median waiting time in the ER was 1.23 h (10 min to 10.02 h). After completion of the admission procedures, the median  hospitalization time in the ER was 0.16 h (3 min to 2.58 h). There was nostatistically significant difference between the patients who died after  admission to the ICU and the ones who survived, in terms of the waiting and the stand.by times in the ER (P > 0.05).Conclusion: The waiting times at the ED did not affect the mortality of the ICU patients.Key words: Intensive care, mortality, stand.by tim

The impact of the duration of admission to the emergency room on the mortality of intensive care patients

Objective: There are many factors affecting the mortality of patients admitted to the intensive care unit (ICU). Among these are the patientsf age, diagnosis, and concomitant pathology. The aim of this retrospective study was to investigate whether there is an adverse effect of the time between admission to the Emergency Room (ER) and admission to theICU on the mortality of these patients.Materials and Methods: The medical records of the patients who were admitted to the Emergency Department (ED) of the Bolu Izzet Baysal State Hospital and subsequently were admitted to the ICU between December 2009 and August 2011 were analyzed in terms of the time of admission, the season of admission, and the waiting and the stand.by times in the ER.Results: A total of 2380 patients, who were admitted to the ED of the Bolu -zzet Baysal State Hospital and subsequently to the ICU, were included in the study. The median waiting time in the ER was 1.23 h (10 min to 10.02 h). After completion of the admission procedures, the median  hospitalization time in the ER was 0.16 h (3 min to 2.58 h). There was nostatistically significant difference between the patients who died after admission to the ICU and the ones who survived, in terms of the waiting and the stand.by times in the ER (P > 0.05).Conclusion: The waiting times at the ED did not affect the mortality of the ICU patients.Key words: Intensive care, mortality, stand.by tim

Measurement invariance of the Childhood Autism Rating Scale (CARS) across six countries

Education and Child Studie

NOROPSIKIYATRI ARSIVI-ARCHIVES OF NEUROPSYCHIATRY

Introduction: This study aimed to assess the validity and reliability of Turkish version of DSM-5 Level 2 Sleep Disorders Scale. Method: The scale was prepared by translation and back translation of DSM-S Level 2 Sleep Disorders Scale. Study groups consisted of a clinical sample that contained cases that had sleep related problems and treated in a child and adolescent psychiatry unit and also a community sample. In the assessment process, child and parent forms of DSM-S Level 2 Sleep Disorders Scale and also Children's Sleep Habits Questionnaire-Turkish version (CSHQ) and Pittsburgh Sleep Quality Index (PSQI) were used. As for reliability analyses, internal consistency coefficient and item-total score correlation analysis, test-retest reliability; and for validity analyses, explanatory factor analysis and for concurrent validity, correlation analyses with Children's Sleep Habits Questionnaire-Turkish version (CSHQ) and Pittsburgh Sleep Quality Index (PSQI) were made. Results: In reliability analyses, Cronbach's alpha internal consistency coefficient values were found to be very highly reliable regarding child and parent forms. Item-total score correlation coefficients were high for child form while medium and high for parent form; indicating a statistical significance. As for construct validity, two factors were maintained that would count for 74.1% of the variance in child form and 66.9% of the variance in parent form. It was seen that positive and negative statements weighed on two different factors. As for concurrent validity, child and parent form of the scale showed significant correlation with Children's Sleep Habits Questionnaire-Turkish version (CSHQ) and Pittsburgh Sleep Quality Index (PSQI). Conclusion: It was found that Turkish version of DSM-5 Level 2 Sleep Disorders Scale could be utilized as a valid and reliable tool both in clinical practice and for research purposes

ANADOLU PSIKIYATRI DERGISI-ANATOLIAN JOURNAL OF PSYCHIATRY

Kleine-Levin Syndrome (KLS) is a rare and frequently misdiagnosed disorder with typical onset at adolescence and a male dominance that is presented with hypersomnia, hyperphagia, dysinhibitated behavior and perceptive abnormalities. Even though increasing number of researches have been conducted to shed a light on its etiology, no clear underlying mechanism have yet been identified. Similar to relatively small information about etiology of the disorder, no specific treatment technique has been identified to successfully eliminate the phenomenon; however treatment options that target symptom relief and decline in frequency of episodes have been present. This case report aimed to present the clinical course of a 12 year old adolescent with KLS who was successfully treated with a combination of carbamazepine and short-acting methylphenidate that was used during episodes, along with discussion of relevant literature

mortality of intensive care patients

Objective: There are many factors affecting the mortality of patients admitted to the intensive care unit (ICU). Among these are the patients age, diagnosis, and concomitant pathology. The aim of this retrospective study was to investigate whether there is an adverse effect of the time between admission to the Emergency Room (ER) and admission to the ICU on the mortality of these patients. Materials and Methods: The medical records of the patients who were admitted to the Emergency Department (ED) of the Bolu Izzet Baysal State Hospital and subsequently were admitted to the ICU between December 2009 and August 2011 were analyzed in terms of the time of admission, the season of admission, and the waiting and the stand-by times in the ER. Results: A total of 2380 patients, who were admitted to the ED of the Bolu Izzet Baysal State Hospital and subsequently to the ICU, were included in the study. The median waiting time in the ER was 1.23 h (10 min to 10.02 h). After completion of the admission procedures, the median hospitalization time in the ER was 0.16 h (3 min to 2.58 h). There was no statistically significant difference between the patients who died after admission to the ICU and the ones who survived, in terms of the waiting and the stand-by times in the ER ( P > 0.05). Conclusion: The waiting times at the ED did not affect the mortality of the ICU patients

Validity and reliability of the turkish version of the DSM-5 generalized anxiety disorder severity scale for children aged 11–17 years

Background/aim: This study aimed to assess the validity and reliability of the Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form. Materials and methods: The study sample consisted of 32 patients treated in a child psychiatry unit and diagnosed with generalized anxiety disorder and 98 healthy volunteers who were attending middle or high school during the study period. For the assessment, the Screen for Child Anxiety and Related Emotional Disorders (SCARED) was also used along with the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form. Results: Regarding reliability analyses, the Cronbach alpha internal consistency coefficient was calculated as 0.932. The test–retest correlation coefficient was calculated as r = 0.707. As for construct validity, one factor that could explain 62.6% of the variance was obtained and this was consistent with the original construct of the scale. As for concurrent validity, the scale showed a high correlation with SCARED. Conclusion: It was concluded that Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes. © TÜBİTAK

Validity and reliability of the Turkish version of the DSM-5 posttraumatic stress symptom severity scale-child form

Introduction: This study assessed the validity and reliability of the Turkish version of the DSM-5 Posttraumatic Stress Symptom Severity Scale-Child Form for use among the Turkish population. Methods: The study group consisted of 30 patients that had been treated in a child psychiatry unit and diagnosed with posttraumatic stress disorder and 83 healthy volunteers that were attending middle or high school during the study period. For reliability analyses, the internal consistency coefficient and the test-retest correlation coefficient were measured. For validity analyses, the exploratory factor analysis and correlation analysis with the Child Posttraumatic Stress Reaction Index for concurrent validity were measured. Results: The Cronbach’s alpha (the internal consistency coefficient) of the scale was 0.909, and the test-retest correlation coefficient was 0.663. One factor that could explain 58.5% of the variance was obtained and was congruent with the original construct of the scale. As for concurrent validity, the scale showed high correlation with the Child Posttraumatic Stress Reaction Index. Conclusion: It was concluded that the Turkish version of the DSM-5 Posttraumatic Stress Symptom Severity Scale- Child Form can be used as a valid and reliable tool. © 2017 by Turkish Association of Neuropsychiatry

Validity and reliability of the Turkish version of DSM-5 social anxiety disorder severity scale- child form

Introduction: This study aimed to assess the validity and reliability of the Turkish version of the Diagnostic and statistical manual of Mental Disorders. (5th ed.) (DSM-5) Social Anxiety Disorder Severity Scale - Child Form. Method: The scale was prepared by carrying out the translation and back translation of the DSM-5 Social Anxiety Disorder Severity Scale - Child Form. The study group consisted of 31 patients that had been treated in a child psychiatry unit and diagnosed with social anxiety disorder and 99 healthy volunteers that were attending middle or high school during the study period. For the assessment, the Screen for Child Anxiety and Related Emotional Disorders (SCARED) was also used along with the DSM-5 Social Anxiety Disorder Severity Scale - Child Form Results: Regarding reliability analyses, Cronbach’s alpha internal consistency coefficient was calculated as 0.941, while item-total score correlation coefficients were measured between 0.566 and 0.866. A test-retest correlation coefficient was calculated as r=0.711. As for construct validity, one factor that could explain 66.0 % of the variance was obtained. As for concurrent validity, the scale showed a high correlation with the SCARED. Conclusion: It was concluded that the Turkish version of the DSM-5 Social Anxiety Disorder Severity Scale - Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes. © 2017 by Turkish Association of Neuropsychiatry