Nefes Darlığı ile Acil Servise Başvuran Hastalarda s-TREM’in Konjestif Kalp Yetmezliği ve Pnömoni Ayrımındaki Rolü

Ceren Şen Tanrikulu; Hilal Hocagil; Emine Gencer; Ercan Gencer; A. Cüneyt Hocagil

Nefes Darlığı ile Acil Servise Başvuran Hastalarda s-TREM’in Konjestif Kalp Yetmezliği ve Pnömoni Ayrımındaki Rolü

Abstract

Amaç: Konjestif kalp yetmezliği (KKY) ve pnömoni acil servise nefes darlığı ile başvuran hastalarda en önemli potansiyel ölüm nedenleridir. Hem KKY hem de pnömonide erken tanı ve uygun müdahale hayat kurtarıcıdır. Bu çalışmanın amacı, pnömoninin CHF’den ayırıcı tanısında inflamatuar bir biyobelirteç olan miyeloid hücreler-1 üzerinde eksprese olan çözünür tetikleyici reseptörün (sTREM-1) tanısal yeteneğini araştırmaktır. Materyal ve Metot: Bu prospektif çalışma, 1 Haziran 2014 – 30 Mayıs 2015 tarihleri arasında devlet hastanesi ve üniversite hastanelerinin acil tıp bölümlerinde gerçekleştirildi. Dispne ile başvuran hastalar uluslararası kılavuzlara göre yapılan tanılara göre değerlendirildi ve iki gruba ayrıldı; CHF grubu ve pnömoni grubu. Gruplar klinik ve demografik özellikler ve sTREM-1 düzeyleri açısından karşılaştırıldı. Bulgular: Her grupta 15 hasta değerlendirildi. KKY grubunda nabız hızı daha yüksek iken (p<0,001), pnömoni grubunda solunum hızı ve sıcaklık değerleri daha yüksekti (p=0,002, p=0,008). Akciğer grafilerinde pnömoni grubunda anlamlı infiltrasyon, KKY grubunda kardiyomegali gözlendi (p<0,001). STREM-1 düzeyleri, pnömoni grubunda, CHF grubundan daha yüksekti ve aradaki fark istatistiksel olarak anlamlıydı (p=0,044). Sonuç: Biz STEM’in acil serviste dispnenin ayırıcı tanısında kuulanılabileceğini, ancak daha kapsamlı çalışmalarla bunun desteklenmesi gerektiğini düşünüyoruz.

Keywords

References

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Details

Primary Language

Turkish

Subjects

Clinical Sciences

Journal Section

Research Article

Authors

Ceren Şen Tanrikulu This is me
Türkiye

Hilal Hocagil This is me
Türkiye

Emine Gencer This is me
Türkiye

Ercan Gencer This is me
Türkiye

A. Cüneyt Hocagil This is me
Türkiye

Publication Date

December 1, 2020

Submission Date

February 8, 2020

Acceptance Date

May 8, 2020

Published in Issue

Year 2020 Volume: 10 Number: 3

IZ

https://izlik.org/JA54GG68MH

Cite

RIS / Bibtex

APA

Şen Tanrikulu, C., Hocagil, H., Gencer, E., Gencer, E., & Hocagil, A. C. (2020). Nefes Darlığı ile Acil Servise Başvuran Hastalarda s-TREM’in Konjestif Kalp Yetmezliği ve Pnömoni Ayrımındaki Rolü. Kafkas Journal of Medical Sciences, 10(3), 233-239. https://izlik.org/JA54GG68MH

AMA

1.Şen Tanrikulu C, Hocagil H, Gencer E, Gencer E, Hocagil AC. Nefes Darlığı ile Acil Servise Başvuran Hastalarda s-TREM’in Konjestif Kalp Yetmezliği ve Pnömoni Ayrımındaki Rolü. Kafkas Journal of Medical Sciences. 2020;10(3):233-239. https://izlik.org/JA54GG68MH

Chicago

Şen Tanrikulu, Ceren, Hilal Hocagil, Emine Gencer, Ercan Gencer, and A. Cüneyt Hocagil. 2020. “Nefes Darlığı Ile Acil Servise Başvuran Hastalarda S-TREM’in Konjestif Kalp Yetmezliği Ve Pnömoni Ayrımındaki Rolü”. Kafkas Journal of Medical Sciences 10 (3): 233-39. https://izlik.org/JA54GG68MH.

EndNote

Şen Tanrikulu C, Hocagil H, Gencer E, Gencer E, Hocagil AC (December 1, 2020) Nefes Darlığı ile Acil Servise Başvuran Hastalarda s-TREM’in Konjestif Kalp Yetmezliği ve Pnömoni Ayrımındaki Rolü. Kafkas Journal of Medical Sciences 10 3 233–239.

IEEE

[1]C. Şen Tanrikulu, H. Hocagil, E. Gencer, E. Gencer, and A. C. Hocagil, “Nefes Darlığı ile Acil Servise Başvuran Hastalarda s-TREM’in Konjestif Kalp Yetmezliği ve Pnömoni Ayrımındaki Rolü”, Kafkas Journal of Medical Sciences, vol. 10, no. 3, pp. 233–239, Dec. 2020, [Online]. Available: https://izlik.org/JA54GG68MH

ISNAD

Şen Tanrikulu, Ceren - Hocagil, Hilal - Gencer, Emine - Gencer, Ercan - Hocagil, A. Cüneyt. “Nefes Darlığı Ile Acil Servise Başvuran Hastalarda S-TREM’in Konjestif Kalp Yetmezliği Ve Pnömoni Ayrımındaki Rolü”. Kafkas Journal of Medical Sciences 10/3 (December 1, 2020): 233-239. https://izlik.org/JA54GG68MH.

JAMA

1.Şen Tanrikulu C, Hocagil H, Gencer E, Gencer E, Hocagil AC. Nefes Darlığı ile Acil Servise Başvuran Hastalarda s-TREM’in Konjestif Kalp Yetmezliği ve Pnömoni Ayrımındaki Rolü. Kafkas Journal of Medical Sciences. 2020;10:233–239.

MLA

Şen Tanrikulu, Ceren, et al. “Nefes Darlığı Ile Acil Servise Başvuran Hastalarda S-TREM’in Konjestif Kalp Yetmezliği Ve Pnömoni Ayrımındaki Rolü”. Kafkas Journal of Medical Sciences, vol. 10, no. 3, Dec. 2020, pp. 233-9, https://izlik.org/JA54GG68MH.

Vancouver

1.Ceren Şen Tanrikulu, Hilal Hocagil, Emine Gencer, Ercan Gencer, A. Cüneyt Hocagil. Nefes Darlığı ile Acil Servise Başvuran Hastalarda s-TREM’in Konjestif Kalp Yetmezliği ve Pnömoni Ayrımındaki Rolü. Kafkas Journal of Medical Sciences [Internet]. 2020 Dec. 1;10(3):233-9. Available from: https://izlik.org/JA54GG68MH