Comparison of the Effects of Clinical Outcomes on the Number of Attacks in the Course of Ulcerative Colitis: A Single Center Study

Yıl 2023, , 665 - 670, 31.07.2023

Hakan Şıvgın , Abdurrahman Şahin , Şirin Çetin

https://doi.org/10.16899/jcm.1308661

Öz

Aim: The aim of this study was to find the factors affecting the frequency of attacks of patients diagnosed with ulcerative colitis (UC).
Method: In our single-center retrospective descriptive study, 40 UC patients who admitted to our hospital for follow-up from January 2021 to December 2022. The baseline demographic and clinical characteristics, laboratory values and, treatments during the disease course were compared among patients with number of attacks < 2 per year ( Group1) and number of attacks ≥2 per year ( Group 2).
Results: There were 25 (male∕female:11∕14) patients in Group 1 and 15 (male∕female:7∕8) patients in Group 2. No statistically significant difference was found between the mean age, sex, age of diagnosis, duration of disease, co-morbidities and extraintestinal involvement of both groups. The median CRP values were significantly higher in the Group 2, compared to the group 1 (P = 0.04). There was statistically significant differences between groups in terms of endoscopic severe activity (12% vs, 40%; p<0.001), left-sided involvement(60% vs, 40%; p=0.02), pancolonic involvement (8% vs, 33%; p<0.001), the presence of blood in stool at the time of diagnosis (80% vs 100%; p=0.03), use of biologic agents (16% vs 40%; p< 0.001) and steroids (16% vs 33%; p=0.02).
Conclusion: In UC patients who have ≥2 attacks per year presented with more advanced clinical features at onset and more severe outcomes than the number attacks < 2 per year. Blood in stool symptom and clinical parameters of severity index at the time of diagnosis are important criteria to be considered in determining the number of attacks in follow-up.

Anahtar Kelimeler

Ulcerative Colitis, Attacks, Clinical Features, Outcomes

Klinik Parametrelerin Ülseratif Kolit Seyrinde Atak Sayılarına Etkisinin Karşılaştırılması: Tek Merkezli Çalışma

Öz

Amaç: Bu çalışmanın amacı, ülseratif kolit (UC) tanısı alan hastaların atak sıklığını etkileyen faktörleri bulmaktır.
Yöntem: Tek merkezli retrospektif tanımlayıcı çalışmamızda, Ocak 2021-Aralık 2022 tarihleri arasında takip için hastanemize başvuran 40 UC hastası dahil edildi. Demografik ve klinik özellikler, laboratuvar değerleri ve hastalık seyri sırasındaki tedaviler, atak sayısı yılda < 2 ( Grup 1) ve atak sayısı ≥ yılda 2 ( Grup 2 ) olan hastalar arasında karşılaştırıldı.
Bulgular: Grup 1'de 25 (erkek/kadın:11/14) hasta ve Grup 2'de 15 (erkek/kadın:7/8) hasta vardı. Her iki grubun yaş ortalaması, cinsiyeti, tanı yaşı, hastalık süresi, yandaş hastalıkları ve ekstraintestinal tutulumu arasında istatistiksel olarak anlamlı fark saptanmadı. Median CRP değerleri Grup 2'de grup 1'e göre anlamlı derecede yüksekti (P=0.04). Endoskopik şiddet aktivitesi (%12'ye karşı %40; p<0.001), sol taraflı tutulum (%60'a karşı %40; p=0.02), pankolonik tutulum (%8'e karşı %33; p<0.001), tanı anında dışkıda kan varlığı (%80'e karşı %100; p=0.03), biyolojik ajan kullanımı (%16'ya karşı %40; p< 0.001) ve steroidler (%16'ya karşı %33; p=0.02) açısından gruplar arasında istatistiksel olarak anlamlı farklılıklar vardı.
Sonuç: Ülseratif kolit seyrinde yılda ≥ 2 atak olanlarda; yılda < 2 atak olanlara göre; tanı anında daha şiddetli semptomlar ve klinik parametreler ön plandadır. İlk tanı anındaki semptomlardan bilhassa dışkıda kan ve klinik parametrelerden şiddet indexi, ülseratif kolitin takip sürecinde atak sayısının belirlenmesinde ve öngörülmesinde göz önünde bulundurulması gereken önemli kriterlerdir.

Anahtar Kelimeler

Ülseratif Kolit, Atak, Klinik Parametreler

Kaynakça

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