Morbidity and Mortality in Decompression Surgery After Acute Ischemic Stroke

Yıl 2022, Cilt: 11 Sayı: 3, 1121 - 1128, 27.09.2022

Şerife Kelle Dikbaş , Işıl Kalyoncu Aslan , Cem Nazikoğlu

https://doi.org/10.37989/gumussagbil.944785

Öz

Stroke is the second death worldwide and the most common cause of acquired disability in adults. The aim of this study is to examine the factors associated with morbidity and mortality in patients who were followed up in stroke center for acute ischemic stroke and underwent decompressive surgery due to progressive cerebral brain edema. The sample of the study consisted of 17 patients who underwent DC between January 2017 and December 2019. Demographic and clinical data of the patients were analyzed retrospectively. The average age of the patients is 57.59 ± 13.77. Nine (53%) patients were younger than 60 years old. The mean National Health Stroke Scale Score of the patients before acute stroke treatment was 14.18 ± 3.66. After treatment, the mean National Health Stroke Scale is 11.12 ± 4.5. The decrease in National Health Stroke Scale Score with treatment is statistically significant (p <0.05). There is no clear consensus on patient selection for decompression surgery. Although decompression surgery reduces mortality, it should not be forgotten that it increases disability.

Anahtar Kelimeler

Decompression, Stroke, Therapy

Akut İskemik İnme Sonrası Uygulanan Dekompresyon Cerrahisinde Morbidite ve Mortalite

Öz

İnme, dünya çapında ikinci ölüm ve yetişkinlerde edinilmiş engelliliğin en yaygın nedenidir. Bu çalışmanın amacı, inme merkezinde akut iskemik inme nedeniyle takip edilen ve progressif serebral beyin ödemi sebebiyle dekompresif cerrahi uygulanan hastalarda morbidite ve mortalite ile ilişkili faktörleri incelemektir. Çalışmanın örneklemini Ocak 2017-Aralık 2019 tarihleri arasında dekompresif cerrahi yapılan 17 hasta oluşturdu. Hastaların demografik ve klinik verileri retrospektif olarak incelendi. Hastaların yaş ortalaması 57,59±13,77’ idi. Dokuz (%53) hastanın yaşı 60’dan küçüktü. Hastaların akut inme tedavisi öncesi Ulusal Sağlık İnme Ölçeği puan ortalaması 14,18±3,66’ idi. Tedavi sonrası Ulusal Sağlık İnme Ölçeği puan ortalaması ise 11,12±4,5olarak bulundu. Tedavi ile Ulusal Sağlık İnme Ölçeği puanındaki düşüş istatistiksel olarak anlamlıydı (p<0.05). Dekompresyon cerrahisine hasta seçimi konusunda net bir fikir birliği yoktur. Dekompresyon cerrahisi mortaliteyi azaltsa da engelliği arttırdığı unutulmamalıdır.

Anahtar Kelimeler

Dekompresyon, Hemşirelik, İnme

Kaynakça

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