Hemorajik Ve İskemik Serebrovasküler Hastalık Tanısı Alan Hastalarda Kan Laktat Düzeyinin Prognoz Üzerine Etkisi

Turgay ÇAĞLAYAN; Engin ÖZAKIN; Atilla Özcan ÖZDEMİR; Nurdan ACAR; Mustafa Emin ÇANAKÇI; Ebubekir ARSLAN; Hakan DOLGUN; Filiz KAYA

Makale detayları

Hemorajik Ve İskemik Serebrovasküler Hastalık Tanısı Alan Hastalarda Kan Laktat Düzeyinin Prognoz Üzerine Etkisi

Yazarlar:

Turgay ÇAĞLAYAN | Engin ÖZAKIN | Atilla Özcan ÖZDEMİR | Nurdan ACAR | Mustafa Emin ÇANAKÇI | Ebubekir ARSLAN | Hakan DOLGUN | Filiz KAYA

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Osmangazi Journal of Medicine 2021 Vol.43 Issue 2, pp.115-121

Belge Tipi:

Makale

Yayın Tarihi:

3/2021

Belge Dili:

Türkçe

Document ID (Org No.):

2000555019

Sıklık:

İki Aylık

eISSN:

2587-1579

pISSN:

1305-4953

Özet:

 


The aim of our study is to investigate the relationship between venous blood lactate levels and prognosis in ischemic and hemorrhagic stroke patients. Patients over 18 years of age who applied to Eskişehir Osmangazi Univesrsity Faculty of Medicine emergency service and diagnosed with ischemic or hemorrhagic stroke for less than 12 hours were included in our study. The demographic information of the patients, initial and 24th hour venous blood lactate levels and National Institutes of Health Stroke Scale (NIHSS), Computed Tomography (CT) findings and 3rd month modified Rankin scale (mRs) were recorded and the relationship between them was evaluated. A total of 88 patients, 51 (58%) male, 72 (81.8%) diagnosed with ischemic stroke, were included in the study. In 7 (8%) patients diagnosed with ischemic stroke, the infarct area larger than 2/3 was seen on CT. The median values of venous blood lactate levels at admission and 24 hours were 1.6 mmol / L, 1.4 mmol / L, respectively and the decrease was statistically significant (0-24 Hours p = 0.019, p <0.001). In patients with ischemic stroke, the first venous blood lactate level was higher in those with infarct size greater than 2/3 of the MCA irrigation area compared to the smaller ones (p = 0.013). In hemorrhagic strokes, initial venous blood lactate levels were higher than in ischemic stroke (2.05 vs 1.55 mmol / l, p = 0.043). No significant correlation was found between NIHSS and mRs with lactate levels at admission and 24 hours. Measurement of venous blood lactate level in stroke patients can assist emergency physicians in determining the type of bleeding and the size of the ischemic infarct site and in stroke management.

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Makale detayları

Hemorajik Ve İskemik Serebrovasküler Hastalık Tanısı Alan Hastalarda Kan Laktat Düzeyinin Prognoz Üzerine Etkisi

Yazarlar: Turgay ÇAĞLAYAN | Engin ÖZAKIN | Atilla Özcan ÖZDEMİR | Nurdan ACAR | Mustafa Emin ÇANAKÇI | Ebubekir ARSLAN | Hakan DOLGUN | Filiz KAYA

Yayıncı: Eskişehir Osmangazi University

Ana Başlıklar: Sağlık teşvikleri

Dergi: Osmangazi Journal of Medicine 2021 Vol.43 Issue 2, pp.115-121

Belge Tipi: Makale

Yayın Tarihi: 3/2021

Belge Dili: Türkçe

Document ID (Org No.): 2000555019

Sıklık: İki Aylık

eISSN: 2587-1579

pISSN: 1305-4953

Sayı

Yazarlar:

Turgay ÇAĞLAYAN | Engin ÖZAKIN | Atilla Özcan ÖZDEMİR | Nurdan ACAR | Mustafa Emin ÇANAKÇI | Ebubekir ARSLAN | Hakan DOLGUN | Filiz KAYA

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Osmangazi Journal of Medicine 2021 Vol.43 Issue 2, pp.115-121

Belge Tipi:

Makale

Yayın Tarihi:

3/2021

Belge Dili:

Türkçe

Document ID (Org No.):

2000555019

Sıklık:

İki Aylık

eISSN:

2587-1579

pISSN:

1305-4953