Yazar "Murat, Naci" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • [ X ]
    Öğe
    A Retrospective Evaluation of Patients Admitted to Emergency Departments with Pulmonary Thromboembolism
    (Emergency Medicine Physicians Assoc Turkey, 2015) Guzel, Aygul; Yavuz, Yucel; Sisman, Bulent; Duran, Latif; Altuntas, Mehmet; Murat, Naci
    Aim: To examine the clinical, radiological, and laboratory findings of pulmonary thromboembolism (PTE) patients who were admitted to our emergency department and to evaluate the effectiveness of clinical diagnosis scores. Materials and Methods: We retrospectively evaluated 33 PTE patients who were referred to our emergency department. Results: The mean age of the patients was 56.2 +/- 18.2 years. The female: male ratio was 1.5. The most common cause of complaints was dyspnoea (51.5%). Risk factors in the majority (39.3%) included immobilisation due to surgery. According to the Wells clinical scoring system, 29 patients (87.8%) had a high probability of PTE; however, 18 of the patients (55.5%) had high probability of PTE according to the modified Geneva score. The estimated rate ratio of high probability of PTE with the Wells score was statistically significant compared with the estimate rate ration with the modified Geneva score (p=0.017). The most common clinical findings included tachypnoea (69.6%) and tachycardia (27.3%). Fifteen (45.4%) patients had pathologic chest X-ray findings. Computed tomographic (CT) angiography most often showed PTE placement of the bilateral pulmonary main branches. While standard low-molecular-weight heparin and warfarin treatment was administered to 27 (81.8%) patients, tissue plasminogen activator (tPA) treatment was administered to 6 (18.2%) patients. Conclusion: The evaluation of clinical, laboratory and radiological findings together in PTE diagnosis is important. It is preferable to use the Wells score for the estimation of clinical probability in patients with suspected PTE.
  • [ X ]
    Öğe
    Can Serum Surfactant Protein D Levels be used as an Effective Factor Instead of Clinical Severity Scores of Pneumonia in Pediatric Emergency Departments?
    (2016) Açikgöz, Mehmet; Güzel, Ahmet; Şişman, Bülent; Karadağ, Adil; Murat, Naci; Paksu, Şükrü
    Aim: To investigate whether serum surfactant protein D (SP-D) level is an applicable indicator in differentiating bacterial and viral pneumonia and determining clinical severity in cases with community-acquired pneumonia (CAP).Materials and Methods: A total of 67 subjects were analyzed prospectively; of these, 32 were patients (aged 1 month-18 years) with a diagnosis of CAP and 35 were healthy control subjects.Results: The median age of the patients was 17.5 months (1.5-156 months). The serum SP-D levels of the patient group were significantly higher than those of the control group (p<0.001). Based on the pneumonia clinical severity index, serum SP-D levels in patients with mild (n7), moderate (n19), and severe (n6) pneumonia were significantly higher than those in the control group (p<0.001, respectively). The serum SP-D levels in patients with severe pneumonia were much higher than in those with mild and moderate grades based the clinical severity index (p<0.001 and p<0.001, respectively). Although the serum SP-D levels in the bacterial pneumonia group were higher than those in the viral pneumonia group, the difference was not statistically significant. Conclusion: Although serum SP-D has limited efficacy in differentiating bacterial and viral pneumonia with respect to CAP in children, it can be used as an effective bioindicator for determining the clinical severity of the disease in emergency services.