Demographic characteristics of patients with pulmonary thromboembolism

Yıl 2015, Cilt: 6 Sayı: 1, 10 - 15, 10.05.2015

Ali Duman Ömer Salt Seda Özkan Polat Durukan Mücahit Avcıl

https://doi.org/10.5799/ahinjs.01.2015.01.0478

Öz

Objective: Pulmonary thromboembolism (PTE) is a common disease with high mortality and difficult diagnosis. The incidence in our country cannot be calculated because there is no adequate and regular data. In our study, we aimed to investigate the demographic characteristics, risk factors, incidence, Wells and Geneva scores diagnostic and treatment methods of the patients in our emergency department with a diagnosis of PTE. Methods: Files of the 112 patients who were admitted to Erciyes University Medical Faculty Emergency Department between January 2010 - February 2012 were analyzed retrospectively. Data were analyzed with SPSS 17.0 statistical software. Results: The mean age of patients was 65.02 ± 16.23. Forty-one (36.6%) of the patients were male and 71 (63.4%) were female. The most common complaint of patients was shortness of breath (81.3%), respectively. Immobilization(35.7%) and history of previous surgery (19.6%) were among the risk factors of the patients. Average troponin levels of the patients was 0.13 ± 0.48 ng/L and average d-dimer levels was 12.698.12 ± 8.779.92 µg/L. Geneva scores of the patients were: 4 patients (3.6%) low score, 88 patients (78.6%) medium score and 20 patients (17.9%) high score. Wells Clinical Probability scores of the patients were; 1 patient (0.9%) low probability, 74 patients (66.1%) intermediate probability and 37 patients (33%) high probability. In the treatment of patients; heparin infusion (36.6%), enoxaparin sodium (59.8%) and tPA (3.6%) were used. Conclusion: In spite of improvements in diagnosis and treatment methods, pulmonary embolism diagnosis is stil a problem. The first step to diagnosis in patients with risk factors begin to suspect. J Clin Exp Invest 2015; 6 (1): 10-15 Key words: pulmonary embolism, diagnosis, treatment, demographic characteristics

Anahtar Kelimeler

pulmonary embolism, diagnosis, treatment, demographic characteristics

Pulmoner tromboemboli hastalarının demografik özellikleri

Öz

Amaç: Pulmoner tromboemboli (PTE) sık görülen, tanısında zorlanılan ve mortalitesi yüksek olan bir hastalıktır. Ülkemizdeki sıklığı ise yeterli ve düzenli veri bulunmadığı için hesaplanamamaktadır. Bu çalışmada acil servisimizde PTE tanısı alan hastaların demografik özellikleri, risk faktörleri, insidansı, Wells ve Geneva skorları, tanı ve tedavi yöntemlerini araştırmayı planladık.Yöntemler: Ocak 2010 – Şubat 2012 tarihleri arasında Erciyes Üniversitesi Tıp Fakültesi Acil Servisinde PTE tanısı konulan 112 hastanın dosyaları geriye dönük olarak incelendi. Veriler SPSS 17.0 programı ile değerlendirildi.Bulgular: Hastaların yaş ortalaması 65,02 ± 16,23 yıl idi. Hastaların 41’i (%36,6) erkek, 71’i (%63,4) kadın idi. Hastaların acil servise başvuru şikayetlerinde en sık nefes darlığı (%81,3) idi. Hastaların risk faktörlerinde immobilizasyon (%35,7), geçirilmiş cerrahi hikayesi (%19,6) mevcut idi. Hastaların troponin ortalaması 0,13 ± 0,48 ng/L ve d-dimer ortalaması 8779,92 ± 12698,12 µg/L idi. Hastaların Geneva Skorlamasında; 4 hastanın (%3,6) skoru düşük, 88 hastanın (%78,6) skoru orta ve 20 hastanın (%17,9) skoru yüksek iken Wells Klinik Olasılık Skorlamasında; 1 hastanın (%0,9) skoru düşük olasılıklı, 74 hastanın (%66,1) skoru orta olasılıklı ve 37 hastanın (%33) skoru yüksek olasılıklı idi. Hastaların tedavilerinde; heparin infüzyonu (% 36,6), enoxaparin (%59,8) ve tPA (%3,6) kullanıldı.Sonuç: Pulmoner tromboemboli tanı ve tedavi araçların gelişmesine rağmen tanı koymakta zorlanan bir hastalık olmaya devam etmektedir. Tanı için ilk adım risk faktörleri olan hastalarda şüphelenmekle başlamaktadır

Anahtar Kelimeler

Pulmoner tromboemboli, tanı, tedavi, demografik özellikler

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