Öz
Amaç
Bu çalışmada, literatürdeki boşluğu doldurmak amacıyla, Koronavirüs hastalığı-2019 gibi pandemik solunum yolu enfeksiyonu durumlarında karara katkıda bulunmak amacıyla sadece tıbbi hasta bilgilerinin değil tıp etiğinin de dahil edilmesiyle yoğun bakım ünitesine (YBÜ) kabul için yeni bir bulanık mantık modeli geliştirilmiştir.
Yöntem
YBÜ’ye kabul için hastaları önceliklendirmek amacıyla adil bir karar vermeye ulaşmak amacıyla uzmanın deneyiminden yararlanılarak iki aşamalı bir bulanık kural tablosu geliştirildi. Tıbbi risk faktörleri olarak yaş, oksijen saturasyonu ve komorbiditeler dikkate alınırken, etik parametreler olarak hayatta kalma olasılığı, taburculuk süresi beklentisi ve yaşam döngüsü ilkesi dikkate alındı.
Bulgular
Adil kabul sıralama puanı uzmanların kararlarıyla doğrulanmaktadır. Çalışmanın önemli bir doğrulaması olarak, uzmanların puanları ile hasta hakkındaki tıbbi bilgi, klinik bulgular ve tıp etiğinin yönettiği bulanık mantık algoritmasının sonuçları arasında mükemmel bir uyum elde edildi. Bulanık mantık algoritmasından elde edilen puanlar, uzmandan elde edilen puanlarla yüksek düzeyde pozitif korelasyon göstermiştir (r=1 ve p<0,01).
Sonuç
Nihai karar sorumlu hekime bırakılmalıdır. Önerilen algoritma farklı sayıda ve türdeki tıbbi girdilere, etik bakış açılarına ve pandemik durumların şiddetine göre genişletilebilir.
Anahtar Kelimeler: Anahtar kelimeler: Adil kabul, bulanık mantık, medikal etik, tıbbi bilgi, yoğun bakım ünitesi
Kaynakça
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