RESUMEN
BACKGROUND AND PURPOSE: The purpose of this study was to investigate the prevalence of mortality during hospitalization among patients diagnosed with delirium at geriatric consultations requested in the previous one year, together with the factors affecting this. METHODS: The electronic medical records of geriatric consultations requested from the psychiatry department between January 1, 2019 and December 31, 2019 were examined from the automation system. The 200 geriatric delirium patients were included in the study. Patients' age, sex, length of hospital stay (LOHS), time between hospitalization and consultation, the department requesting consultation, reason for consultation request, psychiatric recommendations after consultation, reason for hospitalization, number of comorbid medical diseases, number of daily medications used, and history of psychiatric disease were retrieved from the electronic medical records in the automation system. RESULTS: LOHS and time from hospitalization to consultation were longer in the exitus group. Numbers of comorbid disease and daily medications used were higher in the died patients. Male gender, higher numbers of comorbid diseases, and daily medications were predictors of death. CONCLUSIONS: Early detection of delirium may be important for short term results of disease. When evaluating these patients, reviewing the drugs used as much as possible can affect the outcome of the disease.
RESUMEN
AIMS: We aimed to investigate fertilisation rates, quality of embryo, pregnancy and live birth rates, endocrine, sexual function, psychological status and quality of life of cases diagnosed with Klinefelter syndrome (KS). METHODS: Clinical findings, hormone values and semen analyses in patients with nonmosaic KS (Group 1, n = 121) and those with non-genetic nonobstructive azoospermia (NOA) (Group 2, n = 178) were retrospectively analysed. Sperm retrieval outcomes with microdissection testicular sperm extraction (micro-TESE), fertilisation rates and embryo quality, pregnancy, abortion and live birth rates were compared. Sexual functions were assessed using IIEF-15, quality of life was evaluated and psychological status was assessed. RESULTS: There was no difference in terms of age between groups. Sperm retrieval rates was 38% and 55.6% in Groups 1 and 2, respectively (P = .012). Sperm retrieval rates were higher in Group 1 before 31.5 years than in Group 2 (AUC = 0.620 and 0.578). Compared to Group 2, the fertilisation rate was low in Group 1, whereas embryo quality was similar. Live birth rates were 12.5% and 23% in Groups 1 and 2, respectively (P = .392). The education level, libido, erectile functions and general health satisfaction were lower in Group 1 than in Group 2 (P < .005). Depression and anxiety levels were higher in Group 2 than Group 1 (P < .001). CONCLUSION: Higher sperm retrieval rate has been achieved in Group 1 younger than 31.5 years. Similar embryo quality is provided between groups. Sexual dysfunction and psychiatric problems were higher in Group 1, with lower satisfaction and general health than Group 2. Patients with KS should be monitored not only with their reproductive functions but also with their general health status.
