MUHAMMET RAŞİT ÖZER, MEHMET ERGİN, Fatih ALTUNAY, Aliye Nur GÖKAL, ZERRİN DEFNE DÜNDAR, Emin Fatih VİŞNECİ, Sedat KOÇAK, Mehmet GÜL

Acil serviste pulmoner tromboembolili hastaların farklı puanlama araçları ile değerlendirilmesi

Amaç: Acil serviste pulmoner tromboemboli (PTE) tanısı alan hastaların mortalite ile demografik, klinik, laboratuvar ve skorlama özellikleri arasındaki ilişkiyi araştırmak. Gereç ve Yöntem: Bu retrospektif çalışmada, 2012-2015 yılları arasında acil servise başvuran torasik bilgisayarlı tomografi (BT) veya pulmoner BT anjiyografisi ile PTE tanısı alan 166 hasta çalışmaya dahil edildi. Hasta grubu Grup I (sağ kalan) ve Grup -II (hayatta kalmayan)olarak iki gruba ayrıldı. Hematolojik ve biyokimyasal laboratuvar parametreleri, laktat içeren arteriyel kan gazı değerleri ve tüm hastaların klinik şiddeti MWS, PESI ve MEWS skorlama sistemleri kullanılarak değerlendirildi. Bulgular: Arteriyel oksijen basıncı (PaO2) ve laktat düzeyleri açısından, hasta grupları arasında istatistiksel olarak anlamlı bir fark bulundu. Grup II'de, PESI ve MEWS skorları Grup-I hastaları ile karşılaştırıldığında anlamlı olarak yüksek bulundu. Grup II hastalarında MWS skoru daha yüksekti. Sonuç: Burada kullanılan parametreler ve skorlama araçları sayesinde, PTE olgularını tanılamayı amaçladık. PTE'nin bu bulguların yardımıyla klinisyen tarafından daha erken teşhis edildiğinde, mortalite ve morbidite oranlarının azaltılacağını ve tedavinin daha etkili olacağını düşünmekteyiz.

Objective: To investigate the association between the mortality, and the demographic, clinical, laboratory and scoring features of the patients diagnosed with pulmonary thromboembolism (PTE) in the emergency department. Material and Methods: This retrospective study included 166 patients diagnosed with PTE through thoracic computerized tomography (CT) or pulmonary CT angiography referred to emergency services between 2012 and 2015. The patients group was classified into two groups as Group-I (survival) and Group-II (non-survival). Hematological and biochemical laboratory parameters, arterial blood gas values including lactate and the clinical severity of all patients were assessed using MWS, PESI and MEWS scoring systems. Results: In terms of arterial oxygen tension (PaO2) and lactate levels, a statistically significant difference was observed between the patient groups (p=0,043, p

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