Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2017SCREENING FOR ABDOMINAL AORTIC ANEURYSM IN GERIATRIC POPULATION
Karakus, Ali; Tasin, Veyis; Kartal, Ismail; Kuvandik, Guven
Aim: An abdominal aortic aneurysm (AAA) is uncommon in people. Male gender and smoking are the most important risk factors. AAA is a condition that may be fatal when diagnosis is delayed This study aimed to emphasize the necessity for screening due to four fatal cases with abdominal aortic aneurysm in a genatric population. Material and Method The study included 320 patients from a nursing home and an emergency department The diameters of abdominal aortas were measured and assessed far risk factors. Results: Of the patients, 232 (72.5% were male and the mean age was 75.65 +/- 7.76 (range: 62-95 years). Hypertension was the most frequent risk factor determined. Mean aortic diameter was found as 18.87 +/- 2.74 mm (range 15-26 mm) No significant associations were detected among risk factors, age groups, and aortic diameter Four cases with abdominal aortic aneurysm died. Discussion AM is the most frequently seen aneurysm among true aneurysms. Major risk factors for AAA include male gender. smoking history. and age >65 years. In advanced ages, particularly in men, screening for AAA reduced deaths caused by rupture. The patients should be assessed for surgical intervention by Taking risk factors into consideration. Large-scale screening studies can reduce risk for mortality.
- MakaleYalnız künye2016A study to develop clinical decision rules for the use of radiography in wrist trauma: Karadeniz wrist rules
Karaca, Yunus; Turkmen, Suha; Cansu, Aysegul; Baki, Mehmet Emre; Eroglu, Oguz; Tatli, Ozgur; Gunaydin, Mucahit; Beyhun, Ercument; Gunduz, Abdulkadir; Eryigit, Umut
Introduction: The aim of this study was to evaluate patients presenting to the emergency department (ED) with wrist trauma using physical examination findings and functional tests and to identify findings with high sensitivity and specificity among the parameters assessed in patients with fracture in the wrist. The ultimate objective was thus to establish a reliable and widely usable clinical decision rule for determining the necessity of radiography in wrist trauma. Methods: This prospective, multicenter study was performed in 8 hospitals. The relation between radiologically determined fracture and clinical findings consisting of physical examination findings and functional tests was assessed in terms of whether or not these were markers of radiography requirement, with the aim of identifying predictive values for fracture. Results: A total of 603 eligible trauma patients presented to the participating EDs during the study period. Fracture was identified in 24.5% of patients (n= 148). The 4-way combination with the highest sensitivity was identified as axial compression and the positive distal radioulnar drawer test, and pain with radial deviation and dorsal flexion. Sensitivity at distal ulna palpation was added as a fifth parameter, and sensitivity and negative predictive value thus increased to 100%. Conclusion: With their 100% sensitivity and 100% negative predictive values, the Karadeniz wrist rules may represent a clinical decision rule that can be used in practice in EDs. If all 5 findings are negative, there is no indication for wrist radiography. (C) 2016 Elsevier Inc. All rights reserved.