Frontal QRS-T Angle in Predicting Short-Term Mortality in Patients with SARS-CoV 2 Infection in Emergency Service: An Analytical Study

İbrahim Altunok; Serdar Özdemir; Abuzer Özkan; Hatice Şeyma Akça; Gökhan İşat; Hande Akbal Kahraman; Ercan Gürlevik

Makale detayları

Frontal QRS-T Angle in Predicting Short-Term Mortality in Patients with SARS-CoV 2 Infection in Emergency Service: An Analytical Study

Yazarlar:

İbrahim Altunok | Serdar Özdemir | Abuzer Özkan | Hatice Şeyma Akça | Gökhan İşat | Hande Akbal Kahraman | Ercan Gürlevik

Yayıncı:

Zonguldak Bulent Ecevit University

Ana Başlıklar:

Acil Tıp

Dergi:

Batı Karadeniz Tıp Dergisi Vol.7 Issue 2, pp.167-173

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001297879

pISSN:

2822-4302

Anahtar kelimeler:

Özet:

 Aim: Current study sought to examine relationship of frontal QRS-T angle with mortality and its ability to predict mortality. Material and Methods: This retrospective study was made in an education hospital with SARS-CoV 2 infected patients admitted to emergency service between 01012021 and 07012021. Patients were grouped as survivor and died according to 30-day all-cause mortality data. Groups were matched in footings of comorbidities, demographics, laboratory parameters and ECG findings. Receiver operating characteristic examination was used for evaluation of the ability of frontal QRS-T angle to predict shortterm mortality. Results: The frontal QRS-T angle was greater in died group compared to the survivors 53 25.5- 115.5 vs 28 13-52 p0.001. According to the receiver operating characteristic analysis, the cut-off and area under the curve were determined as 41.5 sensitivity: 62.2, specificity: 64.7 and 0.659 95 confidence interval: 0.606-0.713, respectively for frontal QRS-T angle for 30-day mortality. The odds ratio of frontal QRS-T angle 41.5 was determined as 3.03 95 confidence interval: 2.08-4.42. Conclusion: Frontal QRS-T angle is a predictor with high specificity for short-term mortality in the emergency department in with patients SARS-CoV 2 infection.

 Aim: Current study sought to examine relationship of frontal QRS-T angle with mortality and its ability to predict mortality. Material and Methods: This retrospective study was made in an education hospital with SARS-CoV 2 infected patients admitted to emergency service between 01012021 and 07012021. Patients were grouped as survivor and died according to 30-day all-cause mortality data. Groups were matched in footings of comorbidities, demographics, laboratory parameters and ECG findings. Receiver operating characteristic examination was used for evaluation of the ability of frontal QRS-T angle to predict shortterm mortality. Results: The frontal QRS-T angle was greater in died group compared to the survivors 53 25.5- 115.5 vs 28 13-52 p0.001. According to the receiver operating characteristic analysis, the cut-off and area under the curve were determined as 41.5 sensitivity: 62.2, specificity: 64.7 and 0.659 95 confidence interval: 0.606-0.713, respectively for frontal QRS-T angle for 30-day mortality. The odds ratio of frontal QRS-T angle 41.5 was determined as 3.03 95 confidence interval: 2.08-4.42. Conclusion: Frontal QRS-T angle is a predictor with high specificity for short-term mortality in the emergency department in with patients SARS-CoV 2 infection.

 Aim: Current study sought to examine relationship of frontal QRS-T angle with mortality and its ability to predict mortality. Material and Methods: This retrospective study was made in an education hospital with SARS-CoV 2 infected patients admitted to emergency service between 01012021 and 07012021. Patients were grouped as survivor and died according to 30-day all-cause mortality data. Groups were matched in footings of comorbidities, demographics, laboratory parameters and ECG findings. Receiver operating characteristic examination was used for evaluation of the ability of frontal QRS-T angle to predict shortterm mortality. Results: The frontal QRS-T angle was greater in died group compared to the survivors 53 25.5- 115.5 vs 28 13-52 p0.001. According to the receiver operating characteristic analysis, the cut-off and area under the curve were determined as 41.5 sensitivity: 62.2, specificity: 64.7 and 0.659 95 confidence interval: 0.606-0.713, respectively for frontal QRS-T angle for 30-day mortality. The odds ratio of frontal QRS-T angle 41.5 was determined as 3.03 95 confidence interval: 2.08-4.42. Conclusion: Frontal QRS-T angle is a predictor with high specificity for short-term mortality in the emergency department in with patients SARS-CoV 2 infection.

 Amaç: Çalışmada frontal QRS-T açısının mortalite ile ilişkisi ve mortaliteyi tahmin etme yeteneği araştırıldı. Gereç ve Yöntemler: Bu retrospektif çalışma, bir eğitim hastanesinde 01012021 ile 07012021 tarihleri arasında acil servise başvuran SARS-CoV 2 enfekte hastaları ile yapılmıştır. Hastalar hayatta measkalan olarak gruplandırıldı ve 30 günlük tüm nedenlere bağlı ölüm verilerine göre öldü. Gruplar, komorbiditeler, demografik özellikler, laboratuvar parametreleri ve EKG bulguları temelinde eşleştirildi. Frontal QRS-T açısının kısa dönem mortaliteyi tahmin etme yeteneğinin değerlendirilmesinde alıcı işletim karakteristik incelemesi kullanıldı. Bulgular: Frontal QRS-T açısı ölen grupta yaşayanlara göre daha büyüktü 53 25,5-115,5 ve 28 13-52 p 0,001. Alıcı işletim karakteristik analizine göre frontal QRS- için kesme değeri ve eğri altında kalan alan sırasıyla 41,5 duyarlılık: 62,2, özgüllük: 64,7 ve 0,659 95 güven aralığı: 0,606-0,713 olarak belirlendi. Otuz günlük mortalite için frontal QRS-T açısı 41,5 olasılık oranı 3,03 olarak belirlendi 95 güven aralığı: 2,08-4,42. Sonuç: Frontal QRS-T açısı, acil serviste SARS-CoV 2 enfeksiyonu olan hastalarda kısa dönem mortalite için yüksek özgüllüğe sahip bir belirleyicidir.

Makale detayları

Frontal QRS-T Angle in Predicting Short-Term Mortality in Patients with SARS-CoV 2 Infection in Emergency Service: An Analytical Study

Yazarlar:

İbrahim Altunok | Serdar Özdemir | Abuzer Özkan | Hatice Şeyma Akça | Gökhan İşat | Hande Akbal Kahraman | Ercan Gürlevik

Yayıncı:

Zonguldak Bulent Ecevit University

Ana Başlıklar:

Acil Tıp

Dergi:

Batı Karadeniz Tıp Dergisi Vol.7 Issue 2, pp.167-173

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001297879

pISSN:

2822-4302

COVID -19

SARS -CoV-2

electrocardiogram

frontal QRS-T angle

mortality

emergency servicesCOVID -19

SARS -CoV-2

elektrokardiyogram

frontal QRS-T açısı

mortalite

acil servisler

Sayı

Makale detayları

Yazarlar: İbrahim Altunok | Serdar Özdemir | Abuzer Özkan | Hatice Şeyma Akça | Gökhan İşat | Hande Akbal Kahraman | Ercan Gürlevik

Yayıncı: Zonguldak Bulent Ecevit University

Ana Başlıklar: Acil Tıp

Dergi: Batı Karadeniz Tıp Dergisi Vol.7 Issue 2, pp.167-173

Belge Tipi: Makale

Yayın Tarihi: 8/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001297879

pISSN: 2822-4302

Sayı

Yazarlar:

İbrahim Altunok | Serdar Özdemir | Abuzer Özkan | Hatice Şeyma Akça | Gökhan İşat | Hande Akbal Kahraman | Ercan Gürlevik

Yayıncı:

Zonguldak Bulent Ecevit University

Ana Başlıklar:

Acil Tıp

Dergi:

Batı Karadeniz Tıp Dergisi Vol.7 Issue 2, pp.167-173

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001297879

pISSN:

2822-4302