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CHARACTERISTICS OF PATIENTS HOSPITALIZED TO CARDIOVASCULAR SURGERY DEPARTMENT FROM EMERGENCY SERVICE

Year 2018, Volume: 1 Issue: 2, 24 - 27, 25.11.2018

Abstract

Introduction: Emergency
service is the area where patients are first evaluated. Relevant physicians are
consulted in emergency services. The aim of this study is evaluation of the
patients hospitalized by cardiovascular surgery from emergency service.

Method: This retrospective study was
conducted in a state hospital between the dates 01.01.2012-01.09.2017. The
records of patients hospitalized by cardiovascular surgery from emergency
service were reached. The demographic features, hospitalization diagnosis,
complication rates, comorbidities, duration of emergency service, complete
blood count and bleeding parameters, hospitalization duration and outcomes of
patients were evaluated.

Results: Records
of 146 patients from the automation system were evaluated retrospectively, 88
(62%) of the 142 patients included in the study were male.
The
most common (39.4%) cause of hospitalization was deep vein thrombosis.
92.3%
of the hospitalized patients were discharged with cure. Six patients were
referred to an advanced center,
one patient refused treatment and four patients died. The most common concomitant
disease was hypertension.







Discussion:
Doctors working
in emergency service,
should throughly evaluate the clinical characteristics of
patients before the Cardiovascular Surgery consultation.

References

  • 1. Kılıçaslan İ, Bozan H, Oktay C, Göksu E. Türkiye’de acil servise başvuran hastaların demografik özellikleri. Turk J Emerg Med 2005; 5: 5-13.2. Aydın T, Aydın ŞA, Köksal Ö, Özdemir F, Kulaç S, Bulut M. Uludağ Üniversitesi Tıp Fakültesi hastanesi acil servisine başvuran hastaların özelliklerinin ve acil servis çalışmalarının değerlendirilmesi. Akad Acil Tıp Derg 2010; 9: 163-8.3. Türkan H, Şener S, Tuğcu H. Acil serviste uygunsuz konsültasyon hizmeti ve mediko-legal yönü. Turk J Emerg Med 2005; 5: 138-41.4. Easton JD, Saver JL, Albers GW, et al. Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease: the American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Stroke 2009; 40: 2276-93.5. Leblebici H, Kaya Y, Koçak AH. Göğüs travmalı 302 olgunun analizi. Türk Göğüs Kalp Damar Cerrahi Derg 2005; 13: 392-6.6. Kekeç Z, Koç F, Büyük S. Acil serviste yaşlı hasta yatışlarının gözden geçirilmesi. JAEM 2009; 8: 21-4.7. Anderson JL, Adams CD, Antman EM, et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non–ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. Journal of the American College of Cardiology 2007; 50: e1-e157.8. Clements R, Mackenzie R. Competence in prehospital care: evolving concepts. J Emerg Med 2005; 22: 516-9.9. Möller-Leimkühler AM. Gender differences in cardiovascular disease and comorbid depression. Dialogues Clin Neuroscien 2007; 9: 71.10. Kyrle PA, Eichinger S. Deep vein thrombosis. Lancet 2005; 365: 1163-74.11. Heit JA, O'Fallon WM, Petterson TM, et al. Relative impact of risk factors for deep vein thrombosis and pulmonary embolism: a population-based study. Arch Intern Med 2002; 162: 1245-8.12. Tekinbaş C, Eroğlu A, Kürkçüoğlu I, Türkyilmaz A, Yekeler E, Karaoğlanoğlu N. Chest trauma: analysis of 592 cases. Ulusal Travma Acil Cerrahi Derg 2003; 9: 275-80.13. Martin LC, McKenney MG, Sosa JL, et al. Management of lower extremity arterial trauma. J Trauma 1994; 37: 591-8.14. Akoğlu H, Denizbaşı A, Ünlüer E, Güneysel Ö, Onur Ö. Marmara Üniversitesi Hastanesi Acil Servisine Başvuran Travma Hastalarının Demografik Özellikleri. Marmara Med J 2005; 18: 113-22.15. Tunçözgür B, Yıldız H, Üstünsoy H, Şanlı M, Sivrikoz C, Elbeyli L. Trakeobronşial yaralanmalar. Turk Göğüs Kalp Damar Cerrahi Derg 1999; 7: 459-61.16. Çolak A, Kaya U, Koçak H. Penetrating cardiac injuries: review of 19 cases. Turk Göğüs Kalp Damar Cerrahi Derg 2017; 25: 347-52.17. Wu M-K, Luo X-Y, Zhang F-X. Incidence and risk factors of deep venous thrombosis in asymptomatic iliac vein compression: a prospective cohort study. Chin Med J 2016; 129: 2149.18. Day FR, Elks CE, Murray A, Ong KK, Perry JR. Puberty timing associated with diabetes, cardiovascular disease and also diverse health outcomes in men and women: the UK Biobank study. Sci Rep 2015; 5: 11208.19. Ettehad D, Emdin CA, Kiran A, et al. Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet 2016; 387: 957-67.20. Piepoli MF, Hoes AW, Agewall S, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Atherosclerosis 2016 ;252: 207-74.21. King PT. Inflammation in chronic obstructive pulmonary disease and its role in cardiovascular disease and lung cancer. Clin Transl Med 2015; 4: 26.22. Musa MA, Cooperwood JS, Khan MOF. A review of coumarin derivatives in pharmacotherapy of breast cancer. Cur Med Chem 2008; 15: 2664-79.23. Bedreli S, Sowa J-P, Gerken G, Saner FH, Canbay A. Management of acute-on-chronic liver failure: rotational thromboelastometry may reduce substitution of coagulation factors in liver cirrhosis. Gut 2016 ;65: 357-8.24. Di Biase L, Burkhardt D, Santangeli P, et al. Periprocedural stroke and bleeding complications in patients undergoing catheter ablation of atrial fibrillation with different anticoagulation management: Results from the" COMPARE" randomized trial. Circulation 2014; 129: 2638-44.25. Kwok CS, Khan MA, Rao SV, et al. Access and non–access site bleeding after percutaneous coronary intervention and risk of subsequent mortality and major adverse cardiovascular events: systematic review and meta-analysis. Circulation 2015; 8: 4.

ACİL SERVİSTEN KALP VE DAMAR CERRAHİSİ BÖLÜMÜNE YATIRILAN HASTALARIN ÖZELLİKLERİ

Year 2018, Volume: 1 Issue: 2, 24 - 27, 25.11.2018

Abstract

Amaç: Acil servis, hastaların ilk
değerlendirildiği alandır. İlgili hekimlere konsültasyon acil servislerde
yapılmaktadır. Bu çalışmanın amacı acil servisten kalp ve damar cerrahisi tarafından
yatırılan hastaları değerlendirmektir.

Yöntem: Bu retrospektif çalışma, bir
devlet hastanesinde 01.01.2012-01.09.2017 tarihleri arasında yapıldı. Acil
servisten, kalp ve damar cerrahisi tarafından yatırılan hastaların kayıtlarına
ulaşıldı. Hastaların demografik özellikleri, yatış tanıları, komplikasyon
oranları, komorbiditeleri, acilde kalış süreleri, tam kan sayımı ve kanama
parametreleri, yatış süreleri ve sonuçları değerlendirildi.

Bulgular: Otomasyon sisteminden 146
hastanın kayıtları geriye dönük olarak değerlendirildi. Çalışmaya dahil edilen
142 hastanın 88’i (%62) erkekti. Hastaların en sık (%39,4) yatış nedeni derin
ven trombozu  idi. Yatan hastaların %92,3’ü
şifa ile taburcu edildi. Altı hasta ileri merkeze sevk edildi, bir hasta
tedaviyi reddetti ve dört hasta öldü. Hastalara en sık eşlik eden hastalık
hipertansiyondu.







Tartışma:
Acil servis
hekimleri, kalp ve damar cerrahisi konsültasyonundan önce hastaların klinik
özelliklerini ayrıntılı değerlendirmelidir.

References

  • 1. Kılıçaslan İ, Bozan H, Oktay C, Göksu E. Türkiye’de acil servise başvuran hastaların demografik özellikleri. Turk J Emerg Med 2005; 5: 5-13.2. Aydın T, Aydın ŞA, Köksal Ö, Özdemir F, Kulaç S, Bulut M. Uludağ Üniversitesi Tıp Fakültesi hastanesi acil servisine başvuran hastaların özelliklerinin ve acil servis çalışmalarının değerlendirilmesi. Akad Acil Tıp Derg 2010; 9: 163-8.3. Türkan H, Şener S, Tuğcu H. Acil serviste uygunsuz konsültasyon hizmeti ve mediko-legal yönü. Turk J Emerg Med 2005; 5: 138-41.4. Easton JD, Saver JL, Albers GW, et al. Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease: the American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Stroke 2009; 40: 2276-93.5. Leblebici H, Kaya Y, Koçak AH. Göğüs travmalı 302 olgunun analizi. Türk Göğüs Kalp Damar Cerrahi Derg 2005; 13: 392-6.6. Kekeç Z, Koç F, Büyük S. Acil serviste yaşlı hasta yatışlarının gözden geçirilmesi. JAEM 2009; 8: 21-4.7. Anderson JL, Adams CD, Antman EM, et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non–ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. Journal of the American College of Cardiology 2007; 50: e1-e157.8. Clements R, Mackenzie R. Competence in prehospital care: evolving concepts. J Emerg Med 2005; 22: 516-9.9. Möller-Leimkühler AM. Gender differences in cardiovascular disease and comorbid depression. Dialogues Clin Neuroscien 2007; 9: 71.10. Kyrle PA, Eichinger S. Deep vein thrombosis. Lancet 2005; 365: 1163-74.11. Heit JA, O'Fallon WM, Petterson TM, et al. Relative impact of risk factors for deep vein thrombosis and pulmonary embolism: a population-based study. Arch Intern Med 2002; 162: 1245-8.12. Tekinbaş C, Eroğlu A, Kürkçüoğlu I, Türkyilmaz A, Yekeler E, Karaoğlanoğlu N. Chest trauma: analysis of 592 cases. Ulusal Travma Acil Cerrahi Derg 2003; 9: 275-80.13. Martin LC, McKenney MG, Sosa JL, et al. Management of lower extremity arterial trauma. J Trauma 1994; 37: 591-8.14. Akoğlu H, Denizbaşı A, Ünlüer E, Güneysel Ö, Onur Ö. Marmara Üniversitesi Hastanesi Acil Servisine Başvuran Travma Hastalarının Demografik Özellikleri. Marmara Med J 2005; 18: 113-22.15. Tunçözgür B, Yıldız H, Üstünsoy H, Şanlı M, Sivrikoz C, Elbeyli L. Trakeobronşial yaralanmalar. Turk Göğüs Kalp Damar Cerrahi Derg 1999; 7: 459-61.16. Çolak A, Kaya U, Koçak H. Penetrating cardiac injuries: review of 19 cases. Turk Göğüs Kalp Damar Cerrahi Derg 2017; 25: 347-52.17. Wu M-K, Luo X-Y, Zhang F-X. Incidence and risk factors of deep venous thrombosis in asymptomatic iliac vein compression: a prospective cohort study. Chin Med J 2016; 129: 2149.18. Day FR, Elks CE, Murray A, Ong KK, Perry JR. Puberty timing associated with diabetes, cardiovascular disease and also diverse health outcomes in men and women: the UK Biobank study. Sci Rep 2015; 5: 11208.19. Ettehad D, Emdin CA, Kiran A, et al. Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet 2016; 387: 957-67.20. Piepoli MF, Hoes AW, Agewall S, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Atherosclerosis 2016 ;252: 207-74.21. King PT. Inflammation in chronic obstructive pulmonary disease and its role in cardiovascular disease and lung cancer. Clin Transl Med 2015; 4: 26.22. Musa MA, Cooperwood JS, Khan MOF. A review of coumarin derivatives in pharmacotherapy of breast cancer. Cur Med Chem 2008; 15: 2664-79.23. Bedreli S, Sowa J-P, Gerken G, Saner FH, Canbay A. Management of acute-on-chronic liver failure: rotational thromboelastometry may reduce substitution of coagulation factors in liver cirrhosis. Gut 2016 ;65: 357-8.24. Di Biase L, Burkhardt D, Santangeli P, et al. Periprocedural stroke and bleeding complications in patients undergoing catheter ablation of atrial fibrillation with different anticoagulation management: Results from the" COMPARE" randomized trial. Circulation 2014; 129: 2638-44.25. Kwok CS, Khan MA, Rao SV, et al. Access and non–access site bleeding after percutaneous coronary intervention and risk of subsequent mortality and major adverse cardiovascular events: systematic review and meta-analysis. Circulation 2015; 8: 4.
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Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Articles
Authors

Sema Avcı 0000-0002-0992-4192

Bulut Demirel 0000-0002-9345-5770

Zarife Selvan This is me

Publication Date November 25, 2018
Submission Date October 7, 2018
Published in Issue Year 2018 Volume: 1 Issue: 2

Cite

Vancouver Avcı S, Demirel B, Selvan Z. ACİL SERVİSTEN KALP VE DAMAR CERRAHİSİ BÖLÜMÜNE YATIRILAN HASTALARIN ÖZELLİKLERİ. MRR. 2018;1(2):24-7.