TY  - JOUR
TT  - The role of cardiac diseases and smoking in stroke patients who developed need for intensive care during follow-up in inpatient
AU  - Güzey Aras, Yeşim
AU  - Güngen, Adil Can
PY  - 2018
DA  - December
DO  - 10.21601/ortadogutipdergisi.339692
JF  - Ortadoğu Tıp Dergisi
JO  - omj
PB  - MEDİTAGEM Ltd. Şti.
WT  - DergiPark
SN  - 2548-0251
SP  - 407
EP  - 412
VL  - 10
IS  - 4
KW  - Ekokardiyografi
KW  - Atriyal Fibrilasyon
KW  - sigara içimi
KW  - felç
N2  - Objective: This study is intended toevaluate effect on transferring to Intensive Care Unit (ICU) of smoking andpresence of at least one of cardiac pathologies, which can be detectedEchocardiography (ECHO), and of Atrial Fibrillation (AF) in patients who weretransferred to the ICU due to deterioration in their neurological conditionwhile they were under inpatient follow-up in neurology service with ischemicstroke diagnosis.Materials and Method: Therecords of the patients who received inpatient treatment due to acute ischemicstroke and were transferred to the ICU for neurological deterioration wereretrospectively studied. Smoking history, neurological examination, CranialMRI, infarct localization, ECG and ECHO findings of the patients were recorded.ECG, ECO findings and smoking stories of the patients who were transferred tothe ICU were examined.Findings:Of 612 stroke patients registered, 298 (56.9%) were male and 264 (43.1%) werefemale. The number of patients transferred to ICU was 100 (16.3%) and thenumber of patients not transferred was 512 (83.7%). At least oneECHO-detectable cardiac pathology and AF was determined in 36 (36%) of thepatients who were transferred to the ICU. There was a statistically significantrelationship determined in terms of the presence of AF and cardiac pathologybetween 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 cardiacpathologies and AF in ischemic stroke patients were the risk factors fortransferring to ICU. It is important to suggest that close follow-up andtreatment of ECHO-detectable cardiac pathologies and AF are determinants forstroke prognosis.
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UR  - https://doi.org/10.21601/ortadogutipdergisi.339692
L1  - https://dergipark.org.tr/en/download/article-file/584325
ER  -