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3 results on '"Ebru Kostereli"'

1. Long-term Home Mechanical Ventilation of Children in İstanbul

Author

Mürüvvet Yanaz, Füsun Ünal, Evrim Hepkaya, Hakan Yazan, Sinem Can Oksay, Ebru Köstereli, Cansu Yılmaz Yeğit, Azer Kılıç Başkan, Zeynep Reyhan Onay, Aynur Gulieva, Aslınur Soyyiğit, Mine Kalyoncu, Hanife Büşra Küçük, Yetkin Ayhan, Almala Pınar Ergenekon, Emine Atağ, Selçuk Uzuner, Nilay Baş İkizoğlu, Ayşe Ayzıt Kılınç, Pınar Ay, Ela Erdem Eralp, Sedat Öktem, Erkan Çakır, Saniye Girit, Zeynep Seda Uyan, Haluk Çokuğraş, Refika Ersu, Bülent Karadağ, and Fazilet Karakoç

Subjects
non-invasive ventilation, neuromuscular disorders, long-term home mechanical ventilation, chronic respiratory failure, Medicine
Abstract

OBJECTIVE: The aims of this multi-center study were to describe the characteristics of children receiving long-term home mechanical ventilation (HMV) in İstanbul and to compare the patients receiving non-invasive and invasive ventilation. MATERIAL AND METHODS: This cross-sectional multicenter study included all children receiving long-term HMV followed by admission to six tertiary hospitals. The data were collected between May 2020 and May 2021. Demographic data and data regarding HMV were collected from the patient charts. RESULTS: The study included 416 participants. The most common diagnoses were neuromuscular (35.1%) and neurological diseases (25.7%). Among the patients, 49.5% (n = 206) received non-invasive ventilation (NIV), whereas 50.5% (n = 210) received invasive ventilation. The median age at initiation was significantly younger in the invasive ventilation group than in the NIV group (10 vs. 41 months, P < 0.001). Most subjects in the NIV group (81.1%) received ventilation support only during sleep, whereas most subjects in the invasive ventilation group (55.7%) received continuous ventilator support (P < 0.001). In addition to ventilation support, 41.9% of the subjects in the invasive ventilation group and 28.6% in the NIV group received oxygen supplementation (P = 0.002). Within the last year, 59.1% (n = 246) of the subjects were hospitalized. The risk factors for hospitalization were invasive ventilation, continuous ventilatory support, oxygen supplementation, tube feeding, and swallowing dysfunction (P = 0.002, 0.009,

Published
2025
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2. The ISPAT project: Implementation of a standardized training program for caregivers of children with tracheostomy

Author

Huseyin Arslan, Ela Erdem Eralp, Selcuk Uzuner, Sedat Oktem, Zeynep Seda Uyan, Haluk Cokugras, Erkan Cakir, Azer Kilic Baskan, Yasemin Gokdemir, Hakan Yazan, Ayse Ayzit Kilinc, Aynur Gulieva, Bulent Karadag, Saniye Girit, Almala Pinar Ergenekon, Abdulhamit Collak, Cansu Yilmaz Yegit, Nilay Bas Ikizoglu, Fazilet Karakoc, Pinar Ay, Ebru Kostereli, Emine Atag, Zeynep Reyhan Onay, Sinem Can Oksay, Fusun Unal, and ÇAKIR, Erkan

Subjects
Pulmonary and Respiratory Medicine, medicine.medical_specialty, IMPLEMENTATION OF A STANDARDIZED TRAINING PROGRAM FOR CAREGIVERS OF CHILDREN WITH TRACHEOSTOMY.-, Pediatric pulmonology, 2021 [Yegit C. Y. , Kilinc A. A. , Oksay S. C. , Unal F., Yazan H., Köstereli E., Gulieva A., Arslan H., Uzuner S., Onay Z. R. , et al., -THE ISPAT PROJECT], business.industry, Project implementation, Hands‐On‐Training, Patient Discharge, Test (assessment), Tracheostomy, Caregivers, Test score, Pediatrics, Perinatology and Child Health, Physical therapy, Medicine, Humans, Tracheostomy care, Training program, business, Child, Tracheostomy tube
Abstract

Background Tracheostomy-related morbidity and mortality mainly occur due to decannulation, misplacement, or obstruction of the tube. A standardized training can improve the skills and confidence of the caregivers in tracheostomy care (TC). Objective Our primary aim was to evaluate the efficiency of standardized training program on the knowledge and skills (changing-suctioning the tracheostomy tube) of the participants regarding TC. Materials and Methods Sixty-five caregivers of children with tracheostomy were included. First, participants were evaluated with written test about TC and participated in the practical tests. Then, they were asked to participate in a standardized training session, including theoretical and practical parts. Baseline and postintervention assessments were compared through written and practical tests conducted on the same day. Results A significant improvement was observed in the written test score after the training. The median number of correct answers of the written test including 23 questions increased 26%, from 12 to 18 (p < .001). The median number of correct steps in tracheostomy tube change (from 9 to 16 correct steps out of 16 steps, 44% increase) and suctioning the tracheostomy tube (from 9 to 17 correct steps out of 18 steps, 44% increase) also improved significantly after the training (p < .001, for both). Conclusion Theoretical courses and practical hands-on-training (HOT) courses are highly effective in improving the practices in TC. A standardized training program including HOT should be implemented before discharge from the hospital. Still there is a need to assess the impact of the program on tracheostomy-related complications, morbidity, and mortality in the long term.

Published
2021

3. Effect of standardized hands-on-training in caregivers of children with tracheostomy

Author

Sinem Can Oksay, Deniz Mavi, Zeynep Seda Uyan, Selcuk Uzuner, Muruvvet Cenk, Aynur Gulieva, Azer Kilic Baskan, Gülay Bilgin, Ayse Ayzit Kilinc, Haluk Cokugras, Fusun Unal, Erkan Cakir, Ela Erdem Eralp, Zeynep Reyhan Onay, Emine Atag, Sedat Oktem, Bulent Karadag, Nilay Bas Ikizoglu, Hakan Yazan, Pinar Ay, Almala Pinar Ergenekon, Evrim Hepkaya, Yasemin Gokdemir, Huseyin Arslan, Abdulhamit Collak, Mine Kalyoncu, Saniye Girit, Cansu Yilmaz Yegit, Fazilet Karakoc, Yetkin Ayhan, and Ebru Kostereli

Subjects
medicine.medical_specialty, Tracheostomy, Caregivers, business.industry, Standardized Hands-On-Training, education, Physical therapy, medicine, business, Training (civil)
Abstract

Introduction: The pediatric tracheostomy related mortality mostly occurs due to accidental decannulation and cannula obstruction. The caregivers may be discharged with inadequate knowledge. Aims and objectives: Simulation training can highlight skills regarding tracheostomy care. Our aim is to investigate if a standardized hands-on-training improves knowledge and skills among caregivers. Methods: Before the traning, we applied a pretest to caregivers in order to assess their knowledge and current practises. Skills were evaluated by two simulation scenarios in a patient model: cannula change and aspiration. After one hour theoretical and practical hands-on training, the same post-test was applied, skills were reevaluated regarding cannula change and aspiration with practical tests. Results: The multicenter study included 65 caregivers of patients with tracheostomy. The median score of the theoretical test including 23 questions improved from 12 to 18 (p

Published
2021

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