Healthcare professionals involved in the management of adverse events often experience psychological and physical distress, known as the “second victim experience.” Anesthesia and intensive care settings are particularly vulnerable to such occurrences due to the high-stakes, and highly stressful work being performed by healthcare professionals. This study aimed to assess the prevalence and dimensions of second-victim experiences among anesthesia and intensive care professionals in Türkiye, while also identifying support preferences and organizational deficiencies. A cross-sectional study was conducted with 175 healthcare professionals working in anesthesia and intensive care units in Türkiye. The Turkish adaptation of the second-victim experience and support tool (T-SVEST) was used to assess psychological distress, physical distress, professional self-efficacy, perceived support mechanisms, and outcome variables such as turnover intentions and absenteeism. Psychometric analyses, confirmatory factor analysis, and correlation/regression tests were performed to evaluate the scale’s validity and to explore correlations among key variables. The T-SVEST demonstrated strong internal consistency (Cronbach α = 0.86) and an improved factor structure following the removal of low-performing items. High levels of psychological and physical distress significantly associated with professional self-efficacy, absenteeism, and turnover intentions were reported. Supervisor and institutional support were perceived as insufficient, particularly among less experienced staff. Age and work experience were positively correlated with colleague support, while married participants reported significantly lower physical distress. Peer support and professional counseling emerged as the most desired support mechanisms. Second-victim experiences are common and consequential among anesthesia and intensive care professionals in Türkiye. The findings have highlighted substantial gaps in organizational support structures and a strong demand for evidence-based peer support systems. Institutional efforts must focus on building a culture of safety and compassion through structured interventions, supervisor training, and proactive debriefing practices to mitigate the impact of adverse events on healthcare providers.

In-hospital cardiac arrest is a common situation in hospital settings. Therefore, healthcare providers should understand the reasons that could affect the results of cardiopulmonary resuscitation. We aimed to determine the independent predictors for poor outcomes after the return of spontaneous circulation in in-hospital cardiac arrest patients, and also look for a relationship between patient...s background parameters and the status at intensive care unit. We did a retrospective cohort study using cardiac arrest patients admitted to the intensive care unit after successful cardiopulmonary resuscitation between 2011...2015. .. data were gathered from hospital database. Estimated probabilities of survival were computed using the Kaplan-Meier method. Cox proportional hazard models were used to determine associated risk factors for mortality. In total, 197 cardiac arrest patients were admitted to anesthesia intensive care unit after successful cardiopulmonary resuscitation in a 4-years period. Of 197 patients, 170 (86.3%) died in intensive care unit. Median of survival days was 4 days. Comorbidity (p.ß=.ß0.01), higher duration of cardiopulmonary resuscitation (p.ß=.ß0.02), lower Glasgow Coma Score (p.ß=.ß0.00), abnormal lactate level (p.ß=.ß0.00), and abnormal mean blood pressure (p.ß=.ß0.01) were the main predictors for increased mortality in cardiac arrest patients after intensive care unit admission. The consequent clinical status of the patients is affected by the physiological state after return of spontaneous circulation. Comorbidity, higher duration of cardiopulmonary resuscitation, lower arrival Glasgow Coma Score, abnormal lactate level, and abnormal mean blood pressure were the main predictors for increased mortality in patients admitted to the intensive care unit after successful cardiopulmonary resuscitation.

Background/Aim: Increased frailty with age along with an increase in comorbidities heighten mortality in intensive care units. According to the World Health Organization, old age is divided into three stages: 65–74 years, 75–84 years, and 85 years and older. The lengthened human lifespan leads to a growth in the number of elderly patients in intensive care units, and the need to know the factors associated with prognosis in the three stages of old age. We aimed to define factors affecting mortality in these three stages of aging and the factors that can help predict prognoses. Methods: In this retrospective cohort, data of patients over the age of 65 who were admitted to the intensive care unit of Bolu Izzet Baysal State Hospital between January 2016 and December 2020 were recorded using the hospital's automation system. Demographic data, blood tests, diagnoses and inflammatory biomarkers, such as RDW, NLR, and CAR were recorded. The data were analyzed using SPSS, and P<0.05 was considered significant. Results: In this study, 46.2% of the 1566 patients died. The most common diagnosis for admission to the intensive care unit was sepsis, and the most common comorbidity was hypertension. While neurological impairment (P<0.001), malignancy (P=0.006), and cardiac disease (P=0.004) were associated with mortality in all three stages of old age, chronic obstructive pulmonary disease was associated with mortality in the 85 years and older age group (P=0.011) and diabetes in those aged 65–74 years and 75–84 years. The APACHE II score (P<0.001) and red cell distribution width (P<0.001) were highly effective in predicting prognoses in all three stages of old age. Conclusion: In examining the factors associated with mortality in older age intensive care unit patients, we found that the APACHE II score and red cell distribution width were effective in establishing prognoses for all age groups.

Introduction: Preoperative anxiety due to anesthesia is a common situation and decreases with preoperative evaluation. The aim of this study is to determine whether utilization of BATHE method further decreases the anxiety scores of patients who are evaluated at an anesthesia clinic for preoperative examination. Methods: The patients were randomized into "BATHE" and "Control" groups by using the closed envelope technique. State-Trait Anxiety Inventory (STAI) scores were recorded as entrance STAI for all patients. During preoperative evaluation, BATHE method was applied to the BATHE Group whereas it was not applied to the Control Group. Postexamination, STAI scores were recorded as exit STAI and the patients were later asked questions about their contentment. Results: Data of 463 patients were included in the analysis. Demographic data was similar in the groups. In both groups the exit STAI scores (BATHE: 34.27 +/- 10.30, Control: 34.90 +/- 9.54) were lower in comparison to the entrance STAI scores (BATHE: 38.21 +/- 9.86, Control: 37.09 +/- 9.93). The mean gap between the entrance STAI and exit STAI scores of the BATHE (3.94 +/- 6.05) and Control groups (2.19 +/- 6.14) were statistically significant (p<0.001). Conclusion: Utilization of BATHE method decreases the anxiety scores of preoperative patients to a greater extent, as measured by STAI index, in comparison to standard preoperative evaluation.

This bibliometric review aimed to provide a general picture and systematic mapping of research trends in palliative care (PC) and nutrition internationally. The Web of Science (WoS) database was searched on May 7, 2024, for original articles focusing on PC and nutrition between 1970 and 2023. Relevant publications were searched using the Thompson Reuters Science Citation Index (SCI) search engine with the keywords “palliative care,” “palliative care unit,” “nutrition,” and “palliative care and nutrition.” A total of 918 articles were found in 391 sources with the participation of 4772 authors. An average of 18.32 citations per article was identified. When analyzed by country, the United States of America (USA) had the highest number of publications (n = 210), followed by Germany (n = 71) and France (n = 69). In the list of the most frequently repeated keywords in the field of PC and nutrition, the most commonly used words were “palliative care” and “end.” Other common terms included “nutrition,” “quality of life,” and “hydration.” Additional frequently used words were “cancer,” “symptoms,” and “management..” This study is the first step toward analyzing and mapping research related to PC and nutrition. It shows that the number of publications related to PC and nutrition has steadily increased between 1991 and 2023. United State of America and European countries are the top publishers and receive the most citations. Hot topics in the field include “end,” “nutrition,” “quality of life,” “hydration,” “cancer,” “symptoms,” and “management,” highlighting the complexity of the subject.