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In our study, the purpose was to investigate the preoperative evaluations and indications of hospitalization of patients projected to be followed-up in postoperative Intensive Care Unit (ICU).A total of 77 patients who were projected to need ICU in the postoperative period and referred to postoperative ICU peroperatively as a result of preoperative evaluations for one year, were included in the study. The age, gender, ASA, type of surgery (elective/emergency), anesthesia method, postoperative stay in postoperative Intensive Care Unit and results (discharge/exitus) of the patients were recorded. In preoperative evaluation, it was determined that a total of 12.5% of patients projected to be hospitalized in postoperative ICU were referred to postoperative services. It was determined that 89.6% of patients were ASA III-V, 24.7% had malignancy, and 49.4% were operated urgently. As the indication of hospitalization at ICU, follow-up with monitoring was detected at 57.1%, hemodynamic instability at 27.3%, respiratory failure at 11.7%, and peroperative complications at 3.9%. While 92.5% of our patients were discharged with cure, 4.5% were exitus, and 3% were referred to another center. It was determined that our patients with postoperative ICU indications were elderly, male, and ASA III and above. The need for postoperative monitoring and hemodynamic instability were observed to be the most common indications for hospitalization. It was revealed that our hospital needed intermediary intensive care for the effective use of ICU capacities and optimum postoperative patient care. [ABSTRACT FROM AUTHOR]

Objective: We aimed to demonstrate to what extent do the right information in patients' inter-hospital transfers due to the intensive care indications Material and Method: In this study, 38 patients who applied to our general intensive care unit (ICU) from the other hospitals were included. The demographic data of patients, declarations before ICU admission and diagnosis after admission, the reason and accuracy of the transfer, the overall stay time and the treatments in ICU were recorded. Results: Of all the patients, 17 of them (44.7%) were male and 21 of them (55.3%) were female. Of the people who informed the patients 50% were research assistants, 34.2% of them were medical specialists and 15.8% were paramedics. The most common causes of transfer were found to be invasive hemodynamic monitoring (52.6%), mechanical ventilation (36.8%) and the need for dialysis (10.5%). As the patients were evaluated after admission to ICU, the 71.1% of the information about patients was found to be incomplete and/or misleading. The most common health problems that found to be not reported during acceptance were chronic systemic diseases (25.8%), emergent cardiac pathologies (16.1%), malignancy (12.9%), active infection (12.9%), psychiatric disorders (12.9%) and neurological deficiencies (%9,7). Conclusion: This study revealed that the most of the patient transfers were made improperly with incomplete or misleading information and without the tertiary care ICU indication. In order to use ICU effectively, we believe that an efficient system which provides correct information should be used during inter-hospital patient transfer. [ABSTRACT FROM AUTHOR]