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Journals / Journal of Clinical and Analytical Medicine / 2015 / Cilt: 6 - Sayı: 2

Acil Servise Başvuran Renal Transplant Hastalarında Mew Skorunun Morbidite Belirleme Etkinliği

The Efficacy of Mew Score in Renal Transplant Recipients Referred to Emergency Department

Mustafa TURAN
Semih KULAÇ
Ergün ÇİLDİR
Egemen KOCABAŞ
Tarkan KÜFECİLER
Pages
167–171
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: 22.8% (n:26) ofapplications matched with sepsis and significant difference was found out inthose patients in terms of ARF (p

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: The best treatment option in relation to the advantages in survival inchronic renal disease and in life quality is renal transplantation.
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Key Findings & Data:Materialand Method: 172 renal transplant recipients presenting to Uludağ UniversityMedicine Faculty Emergency Department were investigated prospectively.The patients, whose MEW scores were calculated, were evaluated in termsof the diagnoses, hospitalisation reasons, and presence of (ARF) attack andthe relationship with MEW score was investigated.
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Conclusion & Impact:Results: 22.8% (n:26) ofapplications matched with sepsis and significant difference was found out inthose patients in terms of ARF (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The best treatment option in relation to the advantages in survival inchronic renal disease and in life quality is renal transplantation. During orafter the renal transplantation some complications may occur depending ontechnical reasons. In long term, various infections and metabolic disorderscan appear as a result of current immunosuppressive treatments. The present study was conducted in order to determine critical conditions in management of renal transplant cases in Emergency Department and to investigatethe efficacy of MODIFIED EARLY WARNING (MEW) score in determining themorbidity and acute renal failure (ARF) in renal transplant cases. Materialand Method: 172 renal transplant recipients presenting to Uludağ UniversityMedicine Faculty Emergency Department were investigated prospectively.The patients, whose MEW scores were calculated, were evaluated in termsof the diagnoses, hospitalisation reasons, and presence of (ARF) attack andthe relationship with MEW score was investigated. Results: 22.8% (n:26) ofapplications matched with sepsis and significant difference was found out inthose patients in terms of ARF (p

Özet

Amaç: Kronik böbrek hastalığında sağ kalım ve yaşam kalitesindeki avantajlarla ilişkili olarak en iyi tedavi seçeneği böbrek naklidir. Nakil sırasında veyasonrasında teknik nedenlere bağlı komplikasyonlar meydana gelebilir. Uzundönemde ise kullanılan güncel immünsupresif tedaviler neticesinde çeşitli enfeksiyonlar ve metabolik bozukluklar oluşabilmektedir. Bu çalışma acil servise(AS) başvuran renal transplant olgularının yönetimindeki kritik durumları saptamak ve MODİFİED EARLY WARNİNG (MEW) skorunun etkinliğini araştırmakamacıyla yapılmıştır. Gereç ve Yöntem: Çalışmamızda Mart 2009 Haziran2010 tarihleri arasında Uludağ Üniversitesi Tıp Fakültesi (UÜTF) hastanesiASine başvuran 172 renal transplant olgusunu prospektif olarak incelendi.Hastaların geliş vital bulguları ve laboratuar değerleri kaydedildi. MEW skorları hesaplanan hastaların, aldıkları tanılar, yatış nedenleri ve başvuru anındaAkut renal yetmezlik (ARY) atak varlığı değerlendirilerek bunların MEW skoru ile ilişkisi araştırıldı. Bulgular: Başvuruların %22.8i (n:26) sepsis ile uyumluydu ve bu hastalarda ARY açısından anlamlı fark saptandı (p

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Cite This Article

TURAN, M., KULAÇ, S., ÇİLDİR, E., KOCABAŞ, E., KÜFECİLER, T. (2022). Acil Servise Başvuran Renal Transplant Hastalarında Mew Skorunun Morbidite Belirleme Etkinliği. Journal of Clinical and Analytical Medicine, Cilt: 6 - Sayı: 2, 167–171. https://ajindex.com/articles/561391

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References (13)

  1. NICE Clinical Guidelines. National Institute for Health and Clinical Excellence Chronic kidney disease. Early identification and management of chronic kidney disease in adults in primary and secondary care. NICE Clinical Guideline 73. National Institute for Health and Care Excellence. London; 2014:182
  2. VA/NIH Acute Renal Failure Trial Network, Palevsky PM, Zhang JH, O’Connor TZ, Chertow GM, Crowley ST, Choudhury D, et al. The VA/NIH Acute Renal Failure Tri- al Network. Intensity of renal support in critically ill patients with acute kidney ınjury. N Engl J Med 2008;359:7–20
  3. Veale JL, Singer JS, Gritsch HA. Medical and surgical aspects of kidney donation. In: Danovitch GM (ed). Handbook of kidney transplantation. 4th edition. Philedelphia: Lippincott Williams & Wilkins; 2009.p.181-98
  4. Braun WE. Medical Management of the Renal Transplant Recipient. In Johnson RJ, Feehally J. (eds). Comprehensive Clinical Nephrology. 2nd. Edition. By Mosby; 2007.p.1105-24
  5. Clinical Aspects of Renal Transplantation. In: Clarkson MR. Magee CN. Brenner BM. (eds). Clarkson MR, Magee CN, Brenner BM. pocket Companion to Brenner and Rector’s The Kidney 8th ed. Philedelphia: By elsevier inc; 2010.p.827-50
  6. Sinert R, Erogul M. The renal transplant patient. In: Tintinalli JE, Kelen GD, Stapczynski JS. (eds). Emergency medicine: A comprehensive Study Guide. 6th edition. New York: McGraw-Hill; 2004.p.634-5
  7. Yorgancı K, Hayek İ. Sepsis ve İlgili Tanımlamalar. Yorun Bakım Dergisi 2005;5(2):75-9
  8. Cosio FG, Dillon JJ, Falkenhain ME, Tesi RJ, Henry ML, Elkhammas EA, et al. Racial differences in renal allograft survival: the role of systemic hypertension. Kidney Int 1995; 47:1136-41
  9. Başaran O, Emiroğlu R, Karakayali H, Bilgin N, Haberal M. Problems in postoperative renal transplant recipients who present to the emergency unit: experience at one center. Transplantation Proceedings 2004;36:184-6
  10. Sav T, Ünal A, Sipahiorlu MH. Böbrek transplantasyonundan sonra on yıllık sonuçların dererlendirilmesi. Erciyes Tıp Dergisi (Erciyes Medical Journal) 2007;29:120-7
  11. Valdez OR, Sifuentes-Osornio J, Morales-Buenrostro LE, Ayala-Palma H, Dehesa-López E, Alberú J, et al. Risk factors for infections requiring hospitalization in renal transplant recipients: a cohort study. Int J Infect Dis 2011;15:188–96
  12. Cohen D, Galbraith C. General health management and longterm care of the renal transplant recipient. Am J Kidney Dis 2001;38:10-24
  13. Venkat KK, Venkat A. Care of