Acil serviste akut inme tanısı alan hastaların değerlendirilmesi: İki yıllık analiz
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Dosyalar
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızda, acil serviste akut inme tanısı alan hastaların etiyolojik, demografik ve klinik özelliklerini araştırmayı ve bu sayede öncelikle bölgemiz verileri olmak üzere ülkemizin inme verilerine katkıda bulunmayı amaçladık. Gereç ve Yöntem: Çalışma, 01.01.2017-31.12.2018 tarihleri arasında acil servise başvuran ve inme tanısı alan toplam 236 hastanın verileri üzerinden retrospektif olarak yapıldı. Bulgular: Hastaların 210’u (%88,9) iskemik inme ve 26’sı hemorajik inme (%11,1) tanısı aldı. Yüz altı (%44,9) hasta ilk 4,5 saat içerisinde başvururken, 130 (%55,1) hasta 4,5 saatin üzerindeki bir süre de başvurdu. İki yüz beş (%86,9) hasta hastaneden taburcu edilirken, 31 (%13,1) hasta öldü. Hastalarda hipertansiyon en sık tespit edilen risk faktörü iken, ikinci sıklıkta sigara kullanımının olduğu görüldü. En sık hasta başvurusunun %29,7 oranıyla yaz aylarında olduğu görüldü. Atriyal fibrilasyon akut inmeli hastalarda mortalite için bağımsız bir risk faktörü olarak belirlendi ve atriyal fibrilasyonun mortalite riskini 3,18 kat artırdığı görüldü (p=0,008). Sonuç: Çalışmamız Bolu ilinin inme verilerinin büyük bir kısmını yansıtmakla beraber, Batı Karadeniz Bölgesi açısından kıymetli sonuçlar vermiştir.
Objective: To investigate the etiologic, demographic, and clinical features of patients who were diagnosed as having acute stroke in the emergency department and thus, we aimed to contribute to the stroke data of our country, primarily to the data of our region. Materials and Methods: This study was retrospectively conducted on the data of 236 patients who were diagnosed as having acute stroke and admitted to the emergency department between January 1st, 2017, and December 31st, 2018. Results: Of the patients, 210 (88.9%) were diagnosed as having ischemic stroke and 26 were diagnosed as having hemorrhagic stroke (11.1%). One hundred six (44.9%) of the patients were admitted to the hospital within the first 4.5 hours, 130 (55.1%) - arrived to the hospital after 4.5 hours. Two hundred five (86.9%) patients were discharged from the hospital, and 31 (13.1%) patients died. Hypertension was found to be the most common risk factor among patients, followed by smoking. The highest number of patients was admitted during summer with a rate of 29.7%. Atrial fibrillation was found to be an independent risk factor of mortality in patients with acute stroke and increased the odds of mortality by 3.18 (p=0.008). Conclusion: Although our study reflects a large part of the stroke data of the Bolu province, it gives valuable results for the Western Black Sea region.
Objective: To investigate the etiologic, demographic, and clinical features of patients who were diagnosed as having acute stroke in the emergency department and thus, we aimed to contribute to the stroke data of our country, primarily to the data of our region. Materials and Methods: This study was retrospectively conducted on the data of 236 patients who were diagnosed as having acute stroke and admitted to the emergency department between January 1st, 2017, and December 31st, 2018. Results: Of the patients, 210 (88.9%) were diagnosed as having ischemic stroke and 26 were diagnosed as having hemorrhagic stroke (11.1%). One hundred six (44.9%) of the patients were admitted to the hospital within the first 4.5 hours, 130 (55.1%) - arrived to the hospital after 4.5 hours. Two hundred five (86.9%) patients were discharged from the hospital, and 31 (13.1%) patients died. Hypertension was found to be the most common risk factor among patients, followed by smoking. The highest number of patients was admitted during summer with a rate of 29.7%. Atrial fibrillation was found to be an independent risk factor of mortality in patients with acute stroke and increased the odds of mortality by 3.18 (p=0.008). Conclusion: Although our study reflects a large part of the stroke data of the Bolu province, it gives valuable results for the Western Black Sea region.
Açıklama
Anahtar Kelimeler
Bolu, İnme, Acil Servis, Bolu, Stroke, Emergency Department
Kaynak
Türk Nöroloji Dergisi
Turkish Journal of Neurology
Turkish Journal of Neurology
WoS Q Değeri
N/A
Scopus Q Değeri
Q4
Cilt
26
Sayı
2