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Öğe The Analysis of Patients Admitted to the Emergency Department Due to Complications Related to Warfarin Treatment(Aves, 2014) Sayhan, Mustafa Burak; Oguz, Serhat; Yuksel, Volkan; Huseyin, Serhat; Sayhan, Esin Secgin; Yagci, GokceObjective: Warfarin is the most commonly used oral anticoagulant around the world. The most important complication of warfarin is bleeding. This study was conducted to evaluate the patients who were admitted to our emergency department due to complications related to warfarin treatment. Material and Methods: Eighty-nine patients (32 females, 57 males) were enrolled into this retrospective study. The patients were evaluated according to their age, gender, duration of therapy (year), co-administered drugs, bleeding localization, treatments, amount of blood transfusions, duration of bleeding, initial and after-treatment PT, INR, complete blood count, and aPTT. Results: Mean duration of anticoagulant use was 3.05 +/- 2.87 years. The most common indication of warfarin was atrial fibrillation. The most frequent bleeding localization was the upper gastrointestinal tract. Thirty-four (38.2%) of the patients had major bleeding, and 55 (61.8%) had minor bleeding. Age, co-administered drugs, amount of erythrocyte suspension transfusion, presence of previous warfarin overdose history, Hb levels at admission, and duration of follow-up in the ED were different between the bleeding types. Conclusion: In this study, we found that the bleeding complications of warfarin were associated with the aged population, presence of previous warfarin overdose history, and concomitant drug use.Öğe DEMOGRAPHIC PROPERTIES AND FACTORS AFFECTING MORTALITY OF ELDERLY PATIENTS RELATED WITH MOTOCYCLE INJURIES(Gunes Kitabevi Ltd Sti, 2013) Sayhan, Mustafa Burak; Sayhan, Esin Secgin; Oguz, Serhat; Kavalci, Cemil; Guler, EbruIntroduction: To determine the socio-demographic attributes, trauma scoring systems' relationship to mortality rates and the factors affecting mortality of the victims of motorcycle accidents (VMAs) over 65 who arrive at the emergency department. Materials and Method: A descriptive study was conducted in a university-based hospital. Patients were divided into two groups: survival (group A) and deceased (group B). Results: A total of 108 patients who were VMAs were identified. 96 patients were in group A and 12 were in group B. We especially noted the existence of internal injuries, head injuries, multiple injuries and alcohol intake (p=0.029) as risk factors affecting mortality. The Injury Severity Score (ISS) and Abbreviated Injury Scale (AIS) were found to be higher in group B compared to group A (p=0.003, 0.001, respectively). The Glasgow Coma Score (GCS), Trauma Injury Severity Score (TRISS) and Revised Trauma Score (RTS) were found to be higher in group A compared to group B (p<0.001 for both). Conclusion: Most of the motorcycle-related injuries in elderly involved men, and occurred in urban areas, during the summer and on weekdays, with a mechanism of falling off the motorbike. Skin and musculoskeletal systems were injured most frequently in our study.Öğe Evaluation of Risk Factors and Clinical Characteristics of Elderly Patients with Acute Upper Gastrointestinal Hemorrhage(Elsevier Science Bv, 2012) Sayhan, Mustafa Burak; Oguz, Serhat; Umit, Hasan; Sayhan, Esin Secgin; Eralp, Mustafa Onur; Akdur, Gokhan; Kavalci, CemilObjectives Acute upper gastrointestinal hemorrhage (AUGIH) is a life-threatening emergency problem in the elderly population. In this study, we aimed to determine the sociodemographic characteristics, clinical features and the risk factors of the elderly patients presenting to the Emergency Department (ED) with AUGIH. Methods A cross-sectional study was conducted in a university-based hospital. One hundred and ninety-four patients were divided into two groups: Group A (n=128); elderly group (65-79 years) and Group B (n=66); very elderly group (>79 years). Results The mean age was 76.34 +/- 7.91 years. The most frequently presenting symptom was melena (87.1%). Fourteen patients (7.2%) were in shock at the time of bleeding. One hundred and thirty-three patients (68.5%) had a history of rebleeding. Underlying comorbidities were detected in 171 patients (88.1%). There was a significant difference in terms of alcohol abuse and coronary artery disease between the two groups (p=0.038 and p=0.049 respectively). The most frequent endoscopic lesions were peptic ulcer and gastroduodenal erosions in both groups. Conservative medical treatments were applied in most of the patients in both groups, but there were no statistically significant differences in terms of response to conservative medical treatment between the two groups (p=0.892). The overall mortality rate was 11.7% in group A and 19.7% in group B. There were no statistically significant differences in mortality between the two groups (p=0.134). Conclusions Evaluation of risk factors and clinical characteristics of elderly patients with upper gastrointestinal hemorrhage is extremely important. Comorbid diseases and multiple drug use are commonly observed in the elderly patients.Öğe Nutritional Situation Assessment of 65 Years Old Patient Who Applicate to Emergency Department(Derman Medical Publ, 2014) Nalbur, Ismail Hakki; Sayhan, Mustafa Burak; Ozguz, Serhat; Sayhan, Esin Secgin; Huseyin, SerhatAim: In this study. we want to purpose that nutritinos and socio-demographic situations who over 65 years old patients come in one of the most important 3rd degree hospital emergeny department. Material and Method: We practice Mini Nutritional Assessment test descriptive and forward-looking on 93 women and 111 men totally 204 patients between 15.03.2014-30.03.2014 who applicate emergency department. Results: In these group % 68.61 of patient was between 65-79 years old; % 31.39 of was patient over 80 years old. After Mini Nutritional Assessment test results patient of % 60.8 in Group 1; % 18.6 in Group 2; % 20.6 in Group 3. However in Goup1 and 2 there was no important difference between gender (p=0.196, p=0.216); in Group 3 male gender was meaningful more than female (p=0.024). In Group 1 and Group 2 65-79 years old patient group was meaningful more than 80 years ol patient group (p=0.02, p=0.017). In Group 3 there was no difference beween in these groups (p=0.109). In this study groups there was meaningful difference between age and weight (p< 0.001),there was no diffeence for height (p=0.722). In Group 2 avarege of arm circumference and calf circumference higher than Group 3 (p=0.010, p=0.016). In this study patients who hospitalized in intensive care unit after this treatmet in emergengy department meaningful more than Group 1 and 2 (p=0.038). Discussion: Early diagnosis of malnutrition in elderly patient who applicate emergengy department is important for treatment.Öğe Occupational injuries admitted to the Emergency Department(Pakistan Medical Assoc, 2013) Sayhan, Mustafa Burak; Sayhan, Esin Secgin; Yemenici, Serap; Oguz, SerhatObjective: To categorise the characteristics, causes and rates of occupational injuries referred to the Emergency Department of a Turkish hospital. Methods: The cross-sectional study was conducted at a university-based hospital in Edirne, Turkey, from January 1, 2010 to May 1, 2011. Parameters evaluated included: gender, age, occurrence mechanism, injury type, injury localisation, sector, season, day of week, injury hours, the types of health insurance, working experience, educational level and outcome. SPSS 15 was used for statistical analysis. Results: A total of 552 patients sustained occupational injuries. The male-to-female ratio was 11.54:1.The mean age of the patients was 36.03 +/- 11.77 years. The injury rate was the highest in the 18-29 age group (n=418; 75.7%). Most cases occurred in the summers (n=172; 31.2%).The largest number of injuries occurred on weekdays (n=184; 33.3%). Most injuries occurred between 8AM and 4PM (n=343; 62.1%). The construction industry had the highest injury rate (n=222; 40.2%). The most common mechanism of injuries was penetrating sharp-object injury (n=224; 40.6%). The most common type of injury in the general injury group was multiple-type (n=162; 29.4%). Of the total, 379 (71.7%) patients were discharged after treatment in the Emergency Department. Five patients died during the study period. Conclusion: Further studies in the Emergency Department may contribute to the prevention of occupational injuries in the future.