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- Title
Pulmoner Tromboembolili Hastalarda Sağkalımı Etkileyen Faktörlerin Belirlenmesi.
- Authors
Alp, Sebih; Özyurt, Songül; Kara, Bilge Yılmaz; Karadoğan, Dilek; Özçelik, Neslihan; Gümüş, Aziz; Şahin, Ünal
- Abstract
Background: This study aimed to investigate the possible complications and factors affecting survival in hospitalized patients treated with the diagnosis of pulmonary thromboembolism, and the complications that may occur during the 6 months following discharge. Methods: The study was performed in patients who were hospitalized and followed up with the diagnosis of pulmonary embolism and were treated at the Recep Tayyip Erdoğan University Faculty of Medicine Training and Research Hospital Chest Diseases Clinic. Adult Patients who were diagnosed with pulmonary thromboembolism at least segmental pulmonary artery filling defects at spiral thorax angiography computed tomography, between 01/01/2014 - 01/12/2016 were included in the study. Results: The mean age of the patients was 73.04 ± 13.313 years and 13 (26%) were male and 37 (74%) were female. Pulse rate, Modified Geneva and Wells scores, pulmonary embolism severity index and simplified pulmonary embolism severity index scores were higher in those who died than that of survivors. Both the RDW (Red Cell Distribution With) and the 1st and 5th-day MCV (Mean Corpuscular Volume) and hematocrit levels were lower in those who died. While the number of platelets was higher in patients who died, blood total protein and albumin levels were found to be lower on the 1st and 5th days. The elevation of ALP (Alkaline phosphatase) on day 1, total bilirubin on day 5, and CRP (C-Reactive Protein) elevation were associated with mortality. Conclusion: High levels of simplified pulmonary embolism severity index score, tachycardia, hemoglobin, total protein, albumin levels, RDW level, ALP elevation, WBC, CRP and total bilirubin levels on the 5th day were all associated with mortality.
- Subjects
ALKALINE phosphatase; BILIRUBIN; BLOOD platelets; BLOOD proteins; BLOOD vessels; C-reactive protein; CHEST X rays; COMPUTED tomography; HEMATOCRIT; HEMOGLOBINS; PULMONARY artery; PULMONARY embolism; RISK assessment; SURVIVAL; TACHYCARDIA; ALBUMINS; DISCHARGE planning; SEVERITY of illness index
- Publication
Journal of Harran University Medical Faculty / Harran Üniversitesi Tıp Fakültesi Dergisi, 2019, Vol 16, Issue 3, p470
- ISSN
1304-9623
- Publication type
Article
- DOI
10.35440/hutfd.525509