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Acil Servise Bașvuran Akut İnmeli Hastaların Analizi

Year 2015, Yıl: 2015 Sayı: 1, 6 - 12, 01.03.2015

Abstract

Çalıșmamızın amacı acil servise bașvuran inme hastalarının tanı, tedavi, izlem ve maliyetlerini etkileyen özellikleri incelemektir.YÖNTEMBu retrospektif çalıșmada Afyon Kocatepe Üniversitesi Tıp Fakültesi Acil Servisine çeșitli sebeplerle bașvuran ve sonunda inme tanısı konulan 319 hastanın kayıtları incelendi. Yaș, cinsiyet, sigara ve alkol kullanım alıșkanlıkları, nörolojik muayene bulguları, bașvuru sırasındaki sağlık durumları, bilgisayarlı tomografi bulguları, inme tipleri, prognoz, maliyet, ölüm ve taburculuk oranlarını da içeren demografik ve klinik bulgular incelendi.BULGULARAcil servise bașvuran hastaların %1’inde inme vardı. Cinsiyet dağılımı yaklașık olarak eșitti (%51,9 erkek ve %48,1 kadın). İnme hastalarının çoğunluğu 60 yașın üstündeydi (%63,6). En sık bașvuru yakınması tek yanlı güçsüzlüktü (%31,1) ve hastaların%14,9’u hastaneye ambulans ile getirilmiști. Hastaların yaklașık yarısı (45,1%) belirtiler oluștuktan sonraki ilk üç saat içinde hastaneye varmıștı ve %84,1’inde Glasgow Koma Skalası (GKS) 14 ile 15 arasındaydı. Ortalama GKS skorları acil servise bașvuran diğer hastalardan düșüktü ve bunların %9,4’ü kaybedildi. Ek olarak, hemorajik inmesi olan hastalarda maliyetler ve ölüm oranı daha yüksekti.SONUÇHemorajik inmeli hastalarda morbidite, mortalite oranları ve maliyet daha yüksektir. İnme hastalarının, gelișmiș tıbbi donanımı olan ambulanslarla acil servislere olabildiğince hızlı tașınması inmenin felaket sonuçlarını azaltabilir.

Analysis of Acute Stroke Patients Admitted to the Emergency Department

Year 2015, Yıl: 2015 Sayı: 1, 6 - 12, 01.03.2015

Abstract

AIMThe aim of our study was to analyze the factors affecting the diagnosis, treatment, follow-up and cost of stroke patients admitted to the emergency department.METHODSIn this retrospective study we analyzed the records of 319 patients admitted Afyon Kocatepe University Medical School Emergency Department with various causes and finally diagnosed with stroke. Demographic and clinical fi ndings including the age, gender, smoking and drinking habits, neurological examination findings, general health status during admission, computerized tomography findings, stroke types, prognosis, cost, death and hospital discharge rates were studied.RESULTSStroke patients constituted 1%of the patients admitted Emergency Department. The gender distribution was approximately even (51.9% male and 49.1% female). Most of the stroke patients were over 60 years-old (63.6%). Unilateral weakness was the most frequent presenting complaint (31.1%) and 14.9% of the patients were transported with ambulance. Nearly half of the stroke victims (45.1%) arrived hospital within the first three hours of the onset of the symptoms and 84.1% of them had a Glasgow Coma Scale (GCS) between 14 and 15. The average GCS and sPO2 scores were statistically lower than the other patients admitting emergency department and 9.4% of them were lost. In addition, cost and death rate were higher in patients with hemorrhagic stroke.CONCLUSIONThe mortality, morbidity rates and the expenditures are higher in patients with hemorrhagic stroke. Transport of the stroke patients, as early as possible, into the emergency department with ambulances equipped with advanced medical facilities may decrease the catastrophic results of stroke.

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Details

Other ID JA58ZN74CU
Journal Section Research Article
Authors

Gülşen Çığşar This is me

Neşe Nur User This is me

Publication Date March 1, 2015
Published in Issue Year 2015 Yıl: 2015 Sayı: 1

Cite

APA Çığşar, G., & User, N. N. (2015). Analysis of Acute Stroke Patients Admitted to the Emergency Department. Kafkas Journal of Medical Sciences(1), 6-12.
AMA Çığşar G, User NN. Analysis of Acute Stroke Patients Admitted to the Emergency Department. KAFKAS TIP BİL DERG. March 2015;(1):6-12.
Chicago Çığşar, Gülşen, and Neşe Nur User. “Analysis of Acute Stroke Patients Admitted to the Emergency Department”. Kafkas Journal of Medical Sciences, no. 1 (March 2015): 6-12.
EndNote Çığşar G, User NN (March 1, 2015) Analysis of Acute Stroke Patients Admitted to the Emergency Department. Kafkas Journal of Medical Sciences 1 6–12.
IEEE G. Çığşar and N. N. User, “Analysis of Acute Stroke Patients Admitted to the Emergency Department”, KAFKAS TIP BİL DERG, no. 1, pp. 6–12, March 2015.
ISNAD Çığşar, Gülşen - User, Neşe Nur. “Analysis of Acute Stroke Patients Admitted to the Emergency Department”. Kafkas Journal of Medical Sciences 1 (March 2015), 6-12.
JAMA Çığşar G, User NN. Analysis of Acute Stroke Patients Admitted to the Emergency Department. KAFKAS TIP BİL DERG. 2015;:6–12.
MLA Çığşar, Gülşen and Neşe Nur User. “Analysis of Acute Stroke Patients Admitted to the Emergency Department”. Kafkas Journal of Medical Sciences, no. 1, 2015, pp. 6-12.
Vancouver Çığşar G, User NN. Analysis of Acute Stroke Patients Admitted to the Emergency Department. KAFKAS TIP BİL DERG. 2015(1):6-12.