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Journals / Genel Tıp Dergisi / 2018 / Cilt: 28 - Sayı: 4

Acil serviste pulmoner tromboembolili hastaların farklı puanlama araçları ile değerlendirilmesi

MUHAMMET RAŞİT ÖZER
MEHMET ERGİN
Fatih ALTUNAY
Aliye Nur GÖKAL
ZERRİN DEFNE DÜNDAR
Emin Fatih VİŞNECİ
Sedat KOÇAK
Mehmet GÜL
Pages
151–156
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

Based on these findings, we consider that the clinician’searly diagnosis of PTE by following the present manifestations and evaluating the course of the treatment will decrease the rates of mortality and morbidity

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To investigate the association between the mortality, and the demographic, clinical, laboratory and scoring features of the patients diagnosed with pulmonary thromboembolism (PTE) in the emergency department.
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Key Findings & Data:Material and Methods: This retrospective study included 166 patients diagnosed with PTE through thoracic computerized tomography (CT) or pulmonary CT angiography referred to emergency services between 2012 and 2015.
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Conclusion & Impact:Based on these findings, we consider that the clinician’searly diagnosis of PTE by following the present manifestations and evaluating the course of the treatment will decrease the rates of mortality and morbidity
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: To investigate the association between the mortality, and the demographic, clinical, laboratory and scoring features of the patients diagnosed with pulmonary thromboembolism (PTE) in the emergency department. Material and Methods: This retrospective study included 166 patients diagnosed with PTE through thoracic computerized tomography (CT) or pulmonary CT angiography referred to emergency services between 2012 and 2015. The patients group was classified into two groups as Group-I (survival) and Group-II (non-survival). Hematological and biochemical laboratory parameters, arterial blood gas values including lactate and the clinical severity of all patients were assessed using MWS, PESI and MEWS scoring systems. Results: In terms of arterial oxygen tension (PaO2) and lactate levels, a statistically significant difference was observed between the patient groups (p=0,043, p<0.001) While PESI and MEWS scores were found to be significantly higher among in Group-II patients, compared to those in Group-I (for both, p<0.001). Conclusion: Thanks to the parameters and scoring tools used, it is aimed at diagnosing and treating PTE cases earlier. . Based on these findings, we consider that the clinician’searly diagnosis of PTE by following the present manifestations and evaluating the course of the treatment will decrease the rates of mortality and morbidity

Özet

Amaç: Acil serviste pulmoner tromboemboli (PTE) tanısı alan hastaların mortalite ile demografik, klinik, laboratuvar ve skorlama özellikleri arasındaki ilişkiyi araştırmak. Gereç ve Yöntem: Bu retrospektif çalışmada, 2012-2015 yılları arasında acil servise başvuran torasik bilgisayarlı tomografi (BT) veya pulmoner BT anjiyografisi ile PTE tanısı alan 166 hasta çalışmaya dahil edildi. Hasta grubu Grup I (sağ kalan) ve Grup -II (hayatta kalmayan)olarak iki gruba ayrıldı. Hematolojik ve biyokimyasal laboratuvar parametreleri, laktat içeren arteriyel kan gazı değerleri ve tüm hastaların klinik şiddeti MWS, PESI ve MEWS skorlama sistemleri kullanılarak değerlendirildi. Bulgular: Arteriyel oksijen basıncı (PaO2) ve laktat düzeyleri açısından, hasta grupları arasında istatistiksel olarak anlamlı bir fark bulundu. Grup II'de, PESI ve MEWS skorları Grup-I hastaları ile karşılaştırıldığında anlamlı olarak yüksek bulundu. Grup II hastalarında MWS skoru daha yüksekti. Sonuç: Burada kullanılan parametreler ve skorlama araçları sayesinde, PTE olgularını tanılamayı amaçladık. PTE'nin bu bulguların yardımıyla klinisyen tarafından daha erken teşhis edildiğinde, mortalite ve morbidite oranlarının azaltılacağını ve tedavinin daha etkili olacağını düşünmekteyiz.

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Cite This Article

ÖZER, M. R., ERGİN, M., ALTUNAY, F., GÖKAL, A. N., DÜNDAR, Z. D., VİŞNECİ, E. F., KOÇAK, S., GÜL, M. (2018). Acil serviste pulmoner tromboembolili hastaların farklı puanlama araçları ile değerlendirilmesi. Genel Tıp Dergisi, Cilt: 28 - Sayı: 4, 151–156. https://ajindex.com/articles/166051

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