Anahtar Kelime:Īmaç: Ötiroid hasta sendromu (ÖHS), serum serbest tiroid hormonlarının azalması ve tiroid stimülan hormonun normal veya azalmış sekresyonu ile kendini gösterir. Thus, simply screening of ESS in septic elderly patients will certainly contribute to treatment decisions and early prediction of complicated clinical course and poor prognosis. Additionally, approximately two-fold higher mortality and ICU stay risk was documented in the ESS (+) group. Conclusions: The higher prevalence of ESS (88.5%) in elderly patients with sepsis was clearly demonstrated. Additionally, the decreased levels of fT4 in both the entire group and the geriatric group were significantly associated with mortality and ICU stay (p-value: 0.020 and 0.019, respectively). The mean fT3 was significantly decreased in the deceased patients, and ICU patients (p=0.017). However, 91.3% of deceased patients in the entire group and all deceased patients in the geriatric group were ESS (+) patients. There was no difference between the groups in regard to mortality rate and ICU stay. Results: The incidence of ESS was significantly higher in the geriatric group (88.5% vs. ![]() ![]() The demographic characteristics, comorbidities, laboratory results, hospitalization data, intensive care unit (ICU) duration, treatment outcomes, and mortality rates of the patients were recorded and compared. Patients with low free T3 (fT3) and/or free T4 (fT4) were considered to have euthyroid-sick syndrome. ![]() They were divided into two groups, a geriatric group (≥65 years), and a control group (<65 years). Material and Methods: Two hundred and three patients diagnosed with sepsis were prospectively evaluated. The study aims to identify the prevalence of ESS in elderly patients with sepsis and evaluate its possible effect on prognosis and mortality. Objective: Euthyroid sick syndrome (ESS) manifests by the decreased level of serum free thyroid hormones and with the normal or decreased secretion of thyroid-stimulating hormone.
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