The results of bedside pulmonary consultations
Yükleniyor...
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Gulhane Medical School, University of Health Sciences
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Bedside pulmonary consultations (BPC) in Gülhane Military Medical Academy during 7 month-period were recorded prospectively in order to evaluate clinical characteristics of the cases, the investigations performed during BPC and the conclusions. Five hundred and ten patients 220 (43.1%) of whom were female, 290 of whom (56.9%) were male and mean age of whom was 57±18 (16-102) were consulted at bedside. BPC requests were made from 15 (56.7%) internal and 10 (43.2%) surgery departments. Ninety-four (18.4%) were consulted as emergency. The most frequent reasons for BPC were respiratory symptoms and radiological abnormalities in 218 (42.7%) and 99 (19,4%) of the cases respectively and the most frequent radiological finding was pleural effusion (14.5%). Hypoxemia was detected in 39.4% (201) of the patients. Computed tomography, sputum examination for acid-fast bacillus and tuberculosis culture and pulmonary function testing were ordered in 136 (26.7%), 76 (14,9%) and 64 (12.5%) of the cases respectively. Pulmonary infection, an obstructive lung disease and a cardiac disease were diagnosed and normal respiratory system finding were detected in 70 (13.7%), 70 (13.7%), 52 (10.2%) and 97 (19%) of the cases respectively. As medication, bronchodilator, heparin and steroids (inhaled or systemic) were ordered in 191 (37.5%), 137 (26.9%) and 93 (18.2%) of the cases. Of the BPCs requested from surgery departments 64 (28.8%) were in preoperative and 158 (71.2%) were in postoperative period. As a result, postoperative pulmonary complications in surgery departments and pulmonary infections and obstructive pulmonary diseases in internal departments were determined more frequently with BPC.
Açıklama
Anahtar Kelimeler
Consultation, Pulmonary
Kaynak
Gulhane Medical Journal
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
47
Sayı
1
