İskemik Serebrovasküler Olay Geçirmiş Hastalarda Hemoglobin A1c, Laktat, Prokalsitonin Seviyelerinin Fonksiyonel Sonuç ile İlişkisi

Amaç:Amaç: İnme yönetiminde prognostik parametrelerin ortaya konması, acil servis hekimleri için mortalite ve morbiditeyi azaltmada önemlidir. Akut inmede prognoz için belirlenebilmiş herhangi bir parametre bulunamamıştır. Bu çalışmada, serum prokalsitonin(PCT), laktat ve HgA1c düzeylerinin başvuru sırasındaki ve PCT ve laktat düzeylerinin 2 saat içindeki değişikliklerinin akut iskemik inmeden sonra kısa dönem fonksiyonel sonuçla (3. gün) ilişkili olup olmadığını belirlemeyi amaçladık. Hastalar ve Yöntem:Bu prospektif gözlemsel prognostik test çalışmasıydı. Ardışık tüm hastalar çalışmaya dahil edildi. Giriş ve 2. saatte tüm deneklerden PCT ve laktat seviyeleri ve giriş HgA1c düzeyleri toplandı. Bu değerleri 3. günde Modifiye Rankin Skalası (mRs) ve mortalite ile ilişkilendirmeyi ve prediktif değerlerini belirlemeyi amaçladık. Bulgular:İyi (mRS

Relationship Between the Serum Levels of Procalcitonin, Lactate, HgA1c and Functional Outcome in Acute Ischemic Stroke Patients

Purpose:Prognostic parameters in stroke management are important for emergency department physicians to reduce mortality and morbidity. No parameters could be determined for prognosis in acute stroke. In this study, we aimed to determine whether serum procalcitonin(PCT), lactate and HgA1c levels at admission and changes of PCT and lactate levels in 2 hours were associated with short-term functional outcome (3rd day) after acute ischemic stroke. Patients and Methods:This was a prospective observational prognostic test study. All consecutive patients admitted to the emergency department and diagnosed as the first episode of acute ischemic stroke were included in the study. On admission and 2nd hour, PCT and lactate levels and admission HgA1c levels were collected from all subjects. We aimed to correlate these values with Modified Rankin Scale (mRs) and mortality on the 3rd day and to determine their predictive value. Results:There was no statistically significant difference in PCT and lactate values and in terms of PCT and lactate clearances between the favorable (mRS

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Acıbadem Üniversitesi Sağlık Bilimleri Dergisi-Cover
  • ISSN: 1309-470X
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2010
  • Yayıncı: ACIBADEM MEHMET ALİ AYDINLAR ÜNİVERSİTESİ
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