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dc.contributor.authorArer, Ilker Murat
dc.contributor.authorAkkapulu, Nezih
dc.contributor.authorHargura, Abdirahman Sakulen
dc.contributor.authorKus, Murat
dc.contributor.authorYabanoglu, Hakan
dc.contributor.authorAytac, Huseyin Ozgur
dc.date.accessioned2019-05-25T13:20:07Z
dc.date.available2019-05-25T13:20:07Z
dc.date.issued2018
dc.identifier.issn1309-0720
dc.identifier.urihttps://www.researchgate.net/publication/321715061_Factors_affecting_mortality_in_rectus_sheath_hematoma_A_retrospective_study
dc.identifier.urihttp://hdl.handle.net/11727/3297
dc.description.abstractAim: Rectus sheath hematoma is a rare clinical condition. Because it could mimic various intra-abdominal pathologies suspicious approach and attention is needed for proper diagnosis and management of rectus sheath hematoma. The aim of this study is a review of factors affecting mortality in patients with rectus sheath hematoma besides clinical features, diagnosis modalities, treatment periods and results of patients with rectus sheath hematoma. Material and Method: Twenty-three patients with rectus sheath hematoma from January 2012 to March 2017 in a tertiary care center were included in the study. Patients' files were reviewed retrospectively. Reviewed variables were demographic and clinical features, symptom and findings, co-morbidities, medications, laboratory findings, diagnostic modalities, APACHE II scores, treatment approaches, transfused blood products and length of hospital stay. Results: Fifteen (65.2%) of the patients were women, and 8 (34.8%) of the patients were men. The mean age was 61.9 +/- 13.5. Seventeen (74%) of the patients had abdominal pain. Twenty (87%) of the patients had anticoagulant and antiplatelet therapy. The mean hematoma diameter was 6.3 +/- 3.6 cm. The mean APACHE II score for the patients was 13.1 +/- 7.3. One patient had undergone surgery. There was mortality in 3 (13%) of the patients. The median length of stay in hospital was 5 (5) days. Discussion: The diagnosis of rectus sheath hematoma should be kept in mind while assessing old female patients and patients on anticoagulants with a complaint of abdominal pain. In our study, we identify risk factors such as higher APACHE - II scores, the presence of a transient ischemic attack, need for transfusion of more units of packed erythrocytes and more extended hospital stay as factors associated with mortality.en_US
dc.language.isoengen_US
dc.relation.isversionof10.4328/JCAM.5453en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectRectus Abdominisen_US
dc.subjectHematomaen_US
dc.subjectMortalityen_US
dc.titleFactors affecting mortality in rectus sheath hematoma: A retrospective studyen_US
dc.typearticleen_US
dc.relation.journalJOURNAL OF CLINICAL AND ANALYTICAL MEDICINEen_US
dc.identifier.volume9en_US
dc.identifier.issue1en_US
dc.identifier.startpage69en_US
dc.identifier.endpage72en_US
dc.identifier.wos000426502700017en_US
dc.contributor.orcID0000-0002-3583-9282en_US
dc.contributor.orcID0000-0001-7392-961Xen_US
dc.contributor.orcID0000-0002-1161-3369en_US
dc.contributor.orcID0000-0001-6529-7579en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.contributor.researcherIDAAJ-7913-2021en_US
dc.contributor.researcherIDAAM-8548-2021en_US
dc.contributor.researcherIDAAJ-7865-2021en_US
dc.contributor.researcherIDAAJ-7870-2021en_US


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