Determination of Risk Factors on Mortality in the Patients With Ischemic Stroke Who Admitted to Emergency Department

Acil Servise Başvuran İskemik İnmeli Hastalarda; Mortalite Üzerine Etkili Risk Faktörlerini Belirleme

Öner Avınca, Mahmut Taş, Yenal Karakoç, Ömer Kaçmaz, Ömer Damar, Sebiha Cansever

Abstract

AimIn this study, we aimed to determine the risk factors affecting mortality in patients with Ischemic stroke and contribute to the data of Ischemic stroke in Turkey.Material and MethodsIn this study, the records of 445 patients diagnosed with Ischemic stroke who were admitted to the Emergency Department of S.B.Ü Gazi Yaşargil Education Research Hospital between January 2017 and December 2018 were retrospectively analysed. The demographic and clinical findings (including age, gender, complaints at admission, neurological examination findings, diffusion MRI findings, carotid Doppler USG, laboratory tests, and mortality-discharge rates) were examined.ResultsThe mean age of surviving patients was 70.32±12.05 years, while the mean age of the patients who died was 79.64±9.95 yearsFrom the medical background, it was found that 48.2% (n=27) of the patients who died had hypertension and 33.9% (n=19) had diabetes. According to the diffusion MRI results of our patients, the anterior circulatory disorder was found in 76.8% (n=43) of the patients who died. In 92.9% (n=52) of the deaths, the plaque was detected on Carotid Color Doppler USG. While examining intima-media thickness (IMT) of patients who died on Carotid Color Doppler USG, the thickness of the right intima-media was 1.22±0.36 mm and the thickness of the left intima-media was 1.32±0.43 mm. An increase was detected. The ferritin levels of the patients were measured as 213.2±169.4 ng/mL in deceased patients and it was found to be higher (p:0.005). The free T3 level was measured as 2.30±0.81 pg/dL in deceased patients and it was found to be lower (p

Özet

AmaçBu çalışmada; iskemik inmeli hastalarda mortalite üzerine etkili olan risk faktörlerini belirleme ve bu sayede ülkemiz iskemik inme verilerine katkıda bulunmayı amaçladık.Gereç ve YöntemlerBu çalışmada S.B.Ü Diyarbakır Gazi Yaşargil Eğitim ve Araştırma Hastanesi Acil Servisine Ocak 2017 – Aralık 2018 tarihleri arasında başvuran ve iskemik inme tanısı konulan 445 hastanın kayıtları geriye dönük olarak incelendi. Hastaların yaş, cinsiyet, başvuru sırasındaki şikâyeti, nörolojik muayene bulguları, difüzyon MR bulguları, karotis dopler USG, laboratuvar testleri, ölüm ve taburculuk oranlarını da içeren demografik ve klinik bulgular incelendi.BulgularSağ kalan 389(%87,4) ve ölen 56(%12,6) hasta mevcuttu. Sağ kalan hastaların yaş ortalamaları 70,32±12,05, ölen hastaların yaş ortalamaları 79,64±9,95 idi. Ölen hastaların %37,5’inde (n=21) başvuru şikâyeti bilinç değişikliği-koma olarak tespit edildi (p