Nurdan KÖKTÜRK, Fatma YILDIRIM, Murat TÜRK, Nurgül SEVİMLİ

Pulmoner Emboli ve Akut Kronik Obstrüktif Akciğer Hastalığı Alevlenmesi Birlikteliği

Amaç: Bu çalışma ile kronik obstrüktif akciğer hastalığı akut alevlenmesi (KOAHA) nedeniyle hastane yatışı yapılan hastalarda tespit edilen pulmoner embolinin (PE), hastalığın klinik ve laboratuvar parametreleri üzerindeki etkisinin değerlendirilmesi amaçlanmıştır. PE gelişimine ait risk faktörleri ayrıca araştırılmıştır. Yöntem: Bu retrospektif çalışmaya 2009-2011 yılları arasında, KOAHA nedeni ile hastane yatışı yapılan ve bilgisayarlı tomografi pulmoner anjiyografi (BTPA) tetkiki bulunan hastalar dahil edilmiştir. PE tanısı alan hastalar ilk değerlendirme esnasında tanı alanlar ve tedavi sürecinde yetersiz klinik yanıt alınması nedeniyle araştırılırken tanı alanlar şeklinde ayrı ayrı değerlendirilmiştir. PE gelişimi için risk faktörlerinin belirlenmesi için ikili lojistik regresyon analizi kullanılmıştır. Bulgular: Çalışmaya alınan 36 hastanın 13’ünde (%36.1) PE mevcuttu. FEV1 ve FEV1/FVC değerleri PE grubunda daha yüksek bulundu (sırasıyla %53.7 vs %41.4; %62.3 vs %52; p

Impact of Pulmonary Embolism on Acute Chronic Obstructive Pulmonary Disease Exacerbation

Purpose: This study aims to assess effect of pulmonary embolism (PE) onclinical and laboratory parameters of patients hospitalized for acuteexacerbations of chronic obstructive pulmonary disease (AECOPD). Riskfactors for PE development were also evaluated.Methods: In this retrospective study, patients who were hospitalized forAECOPD and underwent computed tomographic pulmonary angiography scan(CTPA) between 2009 and 2011 were included. Patients with PE wereevaluated separately as those diagnosed at initial examination and thosesuspected during exacerbation therapy since they had inadequate response.Binary logistic regression analysis was used in order to determine risk factorson PE development.Results: The study consisted of 36 patients, 13 patients (36.1%) had PE. FEV1and FEV1/FVC values were higher in PE group (53.7% vs 41.4%; 62.3% vs 52%respectively; p

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