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- Title
Yataklı serviste takip edilirken yoğun bakım ihtiyacı gelişen inme hastalarında kalp hastalıkları ve sigara içiminin rolü.
- Authors
Aras, Yeşim Güzey; Güngen, Adil Can
- Abstract
Aim: This study is intended to evaluate effect on transferring to Intensive Care Unit (ICU) of smoking and presence of at least one of cardiac pathologies, which can be detected Echocardiography (ECHO), and of Atrial Fibrillation (AF) in patients who were transferred to the ICU due to deterioration in their neurological condition while they were under inpatient follow-up in neurology service with ischemic stroke diagnosis. Materials and Method: The records of the patients who received inpatient treatment due to acute ischemic stroke and were transferred to the ICU for neurological deterioration were retrospectively studied. Smoking history, neurological examination, Cranial MRI, infarct localization, ECG and ECHO findings of the patients were recorded. ECG, ECO findings and smoking stories of the patients who were transferred to the ICU were examined. Findings: Of 612 stroke patients registered, 298 (56.9%) were male and 264 (43.1%) were female. The number of patients transferred to ICU was 100 (16.3%) and the number of patients not transferred was 512 (83.7%). At least one ECHO-detectable cardiac pathology and AF was determined in 36 (36%) of the patients who were transferred to the ICU. There was a statistically significant relationship determined in terms of the presence of AF and cardiac pathology between the patients who were transferred to ICU and those who were not (p:0.01, p:0.014, respectively). Conclusion: Our study showed that presence of ECHO-detectable cardiac pathologies and AF in ischemic stroke patients were the risk factors for transferring to ICU. It is important to suggest that close follow-up and treatment of ECHO-detectable cardiac pathologies and AF are determinants for stroke prognosis.
- Publication
Ortadogu Medical Journal / Ortadogu Tip Dergisi, 2018, Vol 10, Issue 4, p407
- ISSN
1309-3630
- Publication type
Article
- DOI
10.21601/ortadogutipdergisi.339692