Yataklı serviste takip edilirken yoğun bakım ihtiyacı gelişen inme hastalarında kalp hastalıkları ve sigara içiminin rolü
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Tarih
2018
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info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada iskemik inme tanısı ile nöroloji servisinde yatarak takip edilirken nörolojik durumda kötüleşme nedeni ile Yoğun Bakım Ünitesi (YBÜ)'ne nakledilen hastalardaki Atriyal Fibrilasyon (AF), Ekokardiyografi (EKO)’da tespit edilebilen en az bir kardiyak patoloji varlığı ve sigara içiminin YBÜ‘ne gidiş üzerindeki etkisinin değerlendirilmesi amaçlanmıştır. Akut iskemik inme nedeniyle yatarak tedavi gören ve nörolojik durumda kötüleşme nedeni ile YBÜ'ne nakil edilen hastaların kayıtları retrospektif olarak incelendi. Hastaların sigara içim öyküleri, nörolojik muayene bulguları, kranyal alan görüntülemeleri (Kranyal MRI), enfarkt lokalizasyonu, EKG ve EKO bulguları kaydedildi. YBÜ’ne nakil edilen hastaların EKG, EKO bulguları ve sigara içim öyküleri incelendi. Bulgular: Kayıtlı 612 inme hastasının 298’ü (%56,9) erkek, 264’ü (%43,1) kadın cinsiyette idi. YBÜ nakil edilen hasta sayısı 100(16.3%) ve nakil edilmeyen hasta sayısı 512 (83,7%) idi.Nörolojik durumda kötüleşme nedeni ile YBÜ’ne nakil edilen hasta sayısı 100 idi. YBÜ‘ne nakil edilenlerin ise 36(%36)’inde EKO'da tespit edilebilen en az bir kardiyak patoloji ve AF saptandı. YBÜ‘ne nakil edilen hastalar ile edilmeyenler arasında AF varlığı ve kardiyak patoloji varlığı arasında istatistiksel olarak anlamlı ilişki saptandı (sırasıyla p:0,01, p:0,014). Sonuç: Çalışmamız, iskemik inmeli hastalarda EKO'da tespit edilebilen kardiyak patolojilerin ve AF varlığının YBÜ‘ne nakil için bir risk faktörü olduğunu gösterdi. EKO ile tespit edilebilen kardiyak patolojilerin ve AF'nin yakın takip ve tedavisinin inme prognozu üzerinde belirleyici olduğunu ortaya koyması bakımından önemlidir.
Objective: This study is intended to evaluate effect on transferring to Intensive Care Unit (ICU) of smoking and presence of at least one of cardiac pathologies, which can be detected Echocardiography (ECHO), and of Atrial Fibrillation (AF) in patients who were transferred to the ICU due to deterioration in their neurological condition while they were under inpatient follow-up in neurology service with ischemic stroke diagnosis.Materials and Method: The records of the patients who received inpatient treatment due to acute ischemic stroke and were transferred to the ICU for neurological deterioration were retrospectively studied. Smoking history, neurological examination, Cranial MRI, infarct localization, ECG and ECHO findings of the patients were recorded. ECG, ECO findings and smoking stories of the patients who were transferred to the ICU were examined.Findings: Of 612 stroke patients registered, 298 (56.9%) were male and 264 (43.1%) were female. The number of patients transferred to ICU was 100 (16.3%) and the number of patients not transferred was 512 (83.7%). At least one ECHO-detectable cardiac pathology and AF was determined in 36 (36%) of the patients who were transferred to the ICU. There was a statistically significant relationship determined in terms of the presence of AF and cardiac pathology between the patients who were transferred to ICU and those who were not (p:0.01, p:0.014, respectively). Conclusion: Our study showed that presence of ECHO-detectable cardiac pathologies and AF in ischemic stroke patients were the risk factors for transferring to ICU. It is important to suggest that close follow-up and treatment of ECHO-detectable cardiac pathologies and AF are determinants for stroke prognosis.
Objective: This study is intended to evaluate effect on transferring to Intensive Care Unit (ICU) of smoking and presence of at least one of cardiac pathologies, which can be detected Echocardiography (ECHO), and of Atrial Fibrillation (AF) in patients who were transferred to the ICU due to deterioration in their neurological condition while they were under inpatient follow-up in neurology service with ischemic stroke diagnosis.Materials and Method: The records of the patients who received inpatient treatment due to acute ischemic stroke and were transferred to the ICU for neurological deterioration were retrospectively studied. Smoking history, neurological examination, Cranial MRI, infarct localization, ECG and ECHO findings of the patients were recorded. ECG, ECO findings and smoking stories of the patients who were transferred to the ICU were examined.Findings: Of 612 stroke patients registered, 298 (56.9%) were male and 264 (43.1%) were female. The number of patients transferred to ICU was 100 (16.3%) and the number of patients not transferred was 512 (83.7%). At least one ECHO-detectable cardiac pathology and AF was determined in 36 (36%) of the patients who were transferred to the ICU. There was a statistically significant relationship determined in terms of the presence of AF and cardiac pathology between the patients who were transferred to ICU and those who were not (p:0.01, p:0.014, respectively). Conclusion: Our study showed that presence of ECHO-detectable cardiac pathologies and AF in ischemic stroke patients were the risk factors for transferring to ICU. It is important to suggest that close follow-up and treatment of ECHO-detectable cardiac pathologies and AF are determinants for stroke prognosis.
Açıklama
Anahtar Kelimeler
Ekokardiyografi, Atriyal Fibrilasyon, Sigara İçimi, Felç, ECHO, AF, Smoking, Stroke
Kaynak
Ortadoğu Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
4
Künye
Aras, Y. G., & Güngen, A. C. (2018). Yataklı serviste takip edilirken yoğun bakım ihtiyacı gelişen inme hastalarında kalp hastalıkları ve sigara içiminin rolü. Ortadoğu Tıp Dergisi, 10(4), 407-412.
