Retrospective Evaluation of Patients Admitted to the Emergency Department with Acute Ischemic Stroke; Analysis of 50 Cases

Abstract

Aim: The aim of this study is to contribute to the literature by investigating the relationship of the data obtained from the patients presented to our emergency service with acute ischemic stroke with the prognosis of patients. Materials and methods: The study was conducted over the files of all patients applied to emergency service and obtained acute ischemic stroke (AIS) diagnosis between 01.01.2019-31.12.2019. All patients over 18 with accessible data and diagnosed with AIS were included in the study. Patients without of AIS type, and younger than 18, or without accessible data were excluded. Results: A total of 50 patients were included in the study. The average age of the patients was 69.74±11.72. Among the patients, 20 (40%) were female. The analysis of application complaints of the cases revealed that 30 (60%) patients had loss of power in extremities. The leading medical history of patients were smoking 35 (70%) and hypertension 34 (68%). The laboratory results of the cases revealed the CRP as 22.11±37.45 mg/L and neutrophil lymphocyte ratio (NLR) as 3.05±1.93. According to Modified Rankin Scale (MRS), 30 (60%) of the cases had a score equal and lower than 2, and 20 (40%) of them had a score of 3 or higher. NLR was statistical significance at differentiating between dependent and independent patients groups according to MRS. Conclusion: Although there are studies suggesting the use of NLR as a prognosis marker in AIS, for the generalization of these data they should be supported with many further randomized and controlled studies.

Keywords

• acute ischemic stroke
• Emergency department
• modified rankin score
• neutrophil-lymphocyte ratio
• prognosis

Acil servise akut iskemik inme ile başvuran hastaların retrospektif değerlendirilmesi; 50 vakanın analizi

Abstract

Amaç Bu çalışmanın amacı, acil servisimize akut iskemik inme(Aİİ) ile başvuran hastalardan elde edilen verilerin hastaların prognozu ile ilişkisini araştırarak literatüre katkıda bulunmaktır. Gereçler ve yöntem Çalışma 01.01.2019-31.12.2019 tarihleri arasında acil servise başvuran ve Aİİ tanısı alan tüm hastaların dosyaları üzerinden yapılmıştır. 18 yaş üzeri, verileri erişilebilir olan ve Aİİ tanısı alan tüm hastalar çalışmaya dâhil edildi. Akut iskemik tipte inmesi olmayan, 18 yaşından küçük veya verileri erişilebilir olmayan hastalar çalışma dışı bırakıldı. Bulgular Çalışmaya toplam 50 hasta dâhil edildi. Hastaların yaş ortalaması 69,74±11,72 idi. Hastaların 20'si (%40) kadındı. Olguların başvuru şikâyetleri incelendiğinde 30 (%60) hastada ekstremitelerde güç kaybı olduğu görüldü. Hastaların önde gelen tıbbi öyküsü sigara içme 35 (%70) ve hipertansiyon 34 (%68) idi. Olguların laboratuvar sonuçlarında CRP: 22,11±37,45 ve nötrofil/lenfosit oranı (NLR) 3,05±1,93 olarak saptandı. Modifiye Rankin Skalası'na (MRS) göre olguların 30'u (%60) 2 ve altında, 20'si (%40) 3 ve üzerinde puan aldı. NLR, MRS'ye göre bağımlı ve bağımsız hasta gruplarını ayırt etmede istatistiksel olarak anlamlıydı. Sonuç Aİİ'de prognoz belirteci olarak NLR kullanımını öneren çalışmalar olsa da, bu verilerin genellenmesi için daha birçok randomize ve kontrollü çalışma ile desteklenmesi gerekmektedir.

Keywords

• akut iskemik inme
• Acil servis
• modifiye rankın skoru
• nötrofil-lenfosit oranı
• prognoz

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