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Browsing by Department "Acil Servis"

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    Publication
    The analysis of prehospital and emergency service approach to isolated moderate and severe head injuries in Turkey
    (Oxford University Press, 1998-07) Tokyay, Rıfat; Armağan, Erol; Özgüç, Halil; Yünük, Özkan; Tıp Fakültesi; Acil Servis
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    Comparison of fatal injuries resulting from tractor and high speed motorcycle accidents in Turkey: A multicenter study
    (Hindawi Ltd, 2019-01-01) Eraybar, Suna; Atmaca, Serhat; Nennicioğlu, Yasemin; Torun, Gökhan; Aydın, Okan; Varisli, Behçet; Sandal, Nuran; Büyükyılmaz, Tunç; Seyit, Murat; Yıldırım, Harun; Armağan, Erol; Torun, Gökhan; AYDİN, MEVLÜT OKAN; ARMAĞAN, EROL; Tıp Fakültesi; Acil Servis; AAA-2367-2020; JWS-8589-2024; AAH-8846-2021
    Aim. Injuries are among the main causes of mortality and morbidity all over the world, and effective initial triage of these patients can determine the thin line between death and life. Tractor accidents and related injuries are significant problems particularly in rural areas. However, major trauma classification systems do not include tractor accidents as a criterion for trauma team activation or transportation of the patients to a trauma center. This study evaluated the general characteristics and outcomes of tractor accidents in comparison to motorcycle accidents, which are considered as a comparison criterion for major trauma. Materials and Methods. This is a multicenter study conducted in 6 emergency departments in 4 cities over a six month period. All cases over 18 years of age who were admitted to emergency service due to tractor or motorcycle accidents and meet the criteria were included in the study. The general characteristics and outcomes of both trauma types were compared to determine whether tractor accident should be considered as major traumas. Results. Eighty-eight patients had a tractor accident, and 339 patients had a motorcycle accident. The tractor accident victims were significantly younger (p<0.001), and the proportion of females was higher in this group (p=0.001). Glasgow coma score (p=0.062), revised trauma score (p=0.201), duration from incident to admission (p=0.481), and route of admission (p=0.810) were similar between both accident types. The rates of thoracic traumas (42% versus 23%, p<0.001) and spinal injuries (17% versus 5.9%, p=0.002) were significantly higher in tractor accidents. The hospitalization rates of the patients were significantly higher in tractor accidents (p=0.008). Conclusion. The findings of this study support the hypothesis that tractor accidents should be included in the criteria of ATLS major trauma classification system and trauma team activation procedures.
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    Prospective validation of the glasgow blatchford scoring system in patients with upper gastrointestinal bleeding in the emergency department
    (Aves, 2012-10) Köksal, Özlem; Özeren, Gülden; Özdemir, Fatma; Armağan, Erol; Aydın, Şule; Ayyıldız, Talat; Tıp Fakültesi; Gastroenteroloji Ana Bilim Dalı; 0000-0003-2271-5659; 0000-0002-5682-0943; AAH-8846-2021; AAK-8332-2020; AAK-1697-2021; 23389880200; 55524277900; 7006765911; 6506464232; 6603347542; 6603155277
    Background/aims: This study aimed to allow decision-making about hospitalization or discharge using the Glasgow Blatchford Scoring system, a risk analysis performed using basic laboratory and clinical variables, in patients presenting to the Emergency Department with upper gastrointestinal system bleeding. Materials and Methods: This prospective, observational study conducted in the Emergency Department of a university hospital enrolled patients aged >= 18 years, who presented to the Emergency Department with upper gastrointestinal system bleeding between June 2009 and December 2010. For all patients, Glasgow Blatchford Scoring scores were calculated, and the patients were classified into two groups as high-risk and low-risk patients. Results: A total of 160 subjects with upper gastrointestinal system bleeding were enrolled in the study. Mean Glasgow Blatchford Scoring scores were 7.1 +/- 3.8 for 71 low-risk subjects and 11.7 +/- 2.9 for 89 high-risk subjects, and the difference between the two groups was statistically significant (p<0.001). When the performance of the Glasgow Blatchford Scoring system was evaluated in the determination of high risk, the sensitivity and specificity were 100% and 1.41%, respectively, for a cut-off value of Glasgow Blatchford Scoring >0, 100% and 16.9% for a cut-off value of Glasgow Blatchford Scoring >3, 96.63% and 36.62% for a cut-off value of Glasgow Blatchford Scoring >5, and 86.52% and 69.01% for a cut-off value of Glasgow Blatchford Scoring >8. In the receiver operating characteristic curve analysis, for Glasgow Blatchford Scoring in the high-risk estimation, the area under the curve was found to be 0.82 (95% CI: 0.75-0.88), and this value was statistically significant (p=0.0001). Conclusions: The Glasgow Blatchford Scoring system, which may be easily calculated based on laboratory and clinical variables, seems to be a useful scoring system for risk analysis of all patients with upper gastrointestinal system bleeding admitted to the Emergency Department.