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- Title
A Comparison of Drug Regimens and Analysis of Effective Factors for Blood Transfusion and Intervention in Spontaneous Rectus Sheath Hematomas.
- Authors
Sürek, Ahmet; Bozkurt, Mehmet Abdussamet; Altunpak, Burak; Dönmez, Turgut; Gemici, Eyüp; Ferahman, Sina; Aydın, Hüsnü; Kocataş, Ali; Karabulut, Mehmet
- Abstract
Objective: Rectus sheath hematomas (RSH) are mostly observed in older patients with a high number of comorbidities. The use of anticoagulants is the most common risk factor for the disease. Our study aimed to determine the effect of the drug regimens and analyze the risk factors for blood transfusion and intervention in cases of RSH. Method: The records of 46 patients who had been treated for RSH between January 2015 and March 2020 were analyzed retrospectively. The demographic data, drug usage, tomography findings, clinical courses, and morbidity and mortality rates of the patients were recorded. The findings were compared according to the drug regimens, and the risk factors for blood transfusion and intervention were determined. Results: The mean erythrocyte transfusion (3.61 U), number of patients who underwent erythrocyte transfusion (77%), mean hematoma size (10.07 cm), and length of hospital stay (7.53 days) were higher in Group 1 (only using acetylsalicylic acid) patients (p = 0.002, p = 0.011, p = 0.016, and p = 0.004, respectively). The common risk factors for blood transfusion and intervention, however, were low hemoglobin levels, contrast extravasation and type-3 hematoma on computed tomography (CT), and long hospital stay. Conclusion: RSH are usually treated conservatively. Blood transfusion, vascular embolization, and/or surgical treatment may be required. Only acetylsalicylic acid use, low hemoglobin levels, long hospital stay, and contrast extravasation, and type 3 hematoma on CT were associated with more blood transfusion and intervention.
- Subjects
OLDER patients; COMORBIDITY; ANTICOAGULANTS; BLOOD transfusion; TOMOGRAPHY
- Publication
Medical Journal of Istanbul Kanuni Sultan Süleyman / İstanbul Kanuni Sultan Süleyman Tıp Dergisi, 2021, Vol 13, Issue 3, p213
- ISSN
2148-273X
- Publication type
Article
- DOI
10.4274/iksstd.2021.22043