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Pruc M, Peacock FW, Rafique Z, Swieczkowski D, Kurek K, Tomaszewska M, Katipoglu B, Koselak M, Cander B, Szarpak L. The Prognostic Role of Platelet-to-Lymphocyte Ratio in Acute Coronary Syndromes: A Systematic Review and Meta-Analysis. J Clin Med 2023; 12:6903. [PMID: 37959368 PMCID: PMC10650024 DOI: 10.3390/jcm12216903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 10/31/2023] [Accepted: 10/31/2023] [Indexed: 11/15/2023] Open
Abstract
This study aimed to investigate the potential prognostic role of the platelet-to-lymphocyte (PLR) ratio in patients presenting with suspected acute coronary syndromes (ACS). A systematic search of PubMed Central, Scopus, EMBASE, and the Cochrane Library from conception through 20 August 2023 was conducted. We used odds ratios (OR) as the effect measure with 95% confidence intervals (CIs) for dichotomous data and mean differences (MD) with a 95% CI for continuous data. If I2 was less than 50% or the p value of the Q tests was less than 0.05, a random synthesis analysis was conducted. Otherwise, a fixed pooled meta-analysis was performed. Nineteen studies fulfilled the eligibility criteria and were included in the meta-analysis. PLR was higher in MACE-positive (164.0 ± 68.6) than MACE-negative patients (115.3 ± 36.9; MD = 40.14; 95% CI: 22.76 to 57.52; p < 0.001). Pooled analysis showed that PLR was higher in AMI patients who died (183.3 ± 30.3), compared to survivors (126.2 ± 16.8; MD = 39.07; 95% CI: 13.30 to 64.84; p = 0.003). It was also higher in the ACS vs. control group (168.2 ± 81.1 vs. 131.9 ± 37.7; MD = 39.01; 95% CI: 2.81 to 75.21; p = 0.03), STEMI vs. NSTEMI cohort (165.5 ± 92.7 vs. 159.5 ± 87.8; MD = 5.98; 95% CI: -15.09 to 27.04; p = 0.58), and MI vs. UAP populations (162.4 ± 90.0 vs. 128.2 ± 64.9; MD = 18.28; 95% CI: -8.16 to 44.71; p = 0.18). Overall, our findings confirmed the potential prognostic role of the plate-let-to-lymphocyte (PLR) ratio in patients presenting with suspected acute coronary syndromes (ACS). Its use as a risk stratification tool should be examined prospectively to define its capability for evaluation in cardiovascular patients.
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Affiliation(s)
- Michal Pruc
- Department of Public Health, International European University, 03187 Kyiv, Ukraine
| | - Frank William Peacock
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA
| | - Damian Swieczkowski
- Department of Toxicology, Faculty of Pharmacy, Medical University of Gdansk, 80-416 Gdansk, Poland
| | - Krzysztof Kurek
- Department of Clinical Research and Development, LUXMED Group, 02-676 Warsaw, Poland
| | - Monika Tomaszewska
- Department of Clinical Research and Development, LUXMED Group, 02-676 Warsaw, Poland
| | - Burak Katipoglu
- Department of Emergency Medicine, Ufuk University Medical Faculty, 06510 Ankara, Turkey
| | - Maciej Koselak
- Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, 00-136 Warsaw, Poland
| | - Basar Cander
- Department of Emergency Medicine, Bezmialem Vakif University, Fatih, 34093 Istanbul, Turkey
| | - Lukasz Szarpak
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA
- Department of Clinical Research and Development, LUXMED Group, 02-676 Warsaw, Poland
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Çetin M, Acehan F, Kundi H, Yakıcı IE, Katipoglu B, Duran G, Yazıcı B, Cetin ZG, Ates I. A novel risk prediction tool for contrast-induced nephropathy in patients with chronic kidney disease who underwent diagnostic coronary angiography. Eur Rev Med Pharmacol Sci 2023; 27:3430-3437. [PMID: 37140292 DOI: 10.26355/eurrev_202304_32113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
OBJECTIVE The incidence of contrast-induced nephropathy (CIN) is higher than 20% in patients with chronic kidney disease. In this study, we sought to define the predictors of CIN and develop a risk prediction tool in patients with chronic kidney disease. PATIENTS AND METHODS Patients aged 18 years and older who underwent invasive coronary angiography with an iodine-based contrast media between March 2014 and June 2017 were retrospectively analyzed. Independent predictors for CIN development were identified and a new risk prediction tool was created that included these predictors. RESULTS In total, 283 patients included in the study were divided into those who developed CIN (n=39, 13.8%) and those who did not (n=244, 86.2%). Male gender (OR: 4.874, 95% CI: 2.044-11.621), LVEF (OR: 0.965, 95% CI: 0.936-0.995), diabetes mellitus (OR: 1.711, 95% CI: 1.094-2.677), and e-GFR (OR: 0.880, 95% CI: 0.845-0.917), were identified as independent predictors for the development of CIN in the multivariate analysis. A new scoring system has been designed that can score a minimum of 0 and a maximum of 8 points. Patients with a new scoring system score of ≥4 were at approximately 40 times higher risk of developing CIN than others (OR: 39.9, 95% CI: 5.4-295.3). The area under the curve value of CIN's new scoring system was 0.873 (95% CI, 0.821-0.925). CONCLUSIONS We found that four easily accessible and routinely collected variables, including sex, diabetes status, e-GFR, and LVEF, were independently associated with the development of CIN. We believe that using this risk prediction tool in routine clinical practice may guide physicians to use preventive medications and techniques in high-risk patients for CIN.
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Affiliation(s)
- M Çetin
- Department of Cardiology, Ankara Bilkent City Hospital, Ankara, Turkey.
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Evrin T, Katipoglu B. COVID-19 are dangerous to the kidneys in any situation, not only in a pandemic: LONG-COVID-19 and kidney disease. Cardiol J 2021; 28:1005-1006. [PMID: 34897635 PMCID: PMC8747820 DOI: 10.5603/cj.a2021.0163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Accepted: 12/04/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- Togay Evrin
- Department of Emergency Medicine, Ufuk University Medical Faculty, Dr Ridvan Ege Education and Research Hospital, Ankara, Turkey, Turkey.
| | - Burak Katipoglu
- Department of Emergency Medicine, Ufuk University Medical Faculty, Dr Ridvan Ege Education and Research Hospital, Ankara, Turkey, Turkey
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Sarac F, Yeniocak S, Buyukbese Sarsu S, Sahin K, Yucetas E, Koldas M, Katipoglu B. The diagnostic value of ischaemia-modified albumin in acute abdominal pain. J Paediatr Child Health 2019; 55:1247-1250. [PMID: 30723978 DOI: 10.1111/jpc.14394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Revised: 01/06/2019] [Accepted: 01/09/2019] [Indexed: 11/30/2022]
Abstract
AIM The differential diagnosis of paediatric patients admitted to the emergency department presenting with acute abdominal pain may be difficult. This study aims to investigate the diagnostic value of ischaemia-modified albumin (IMA) in the differential diagnosis of acute abdominal pain in children and in distinguishing surgical from non-surgical cases. METHODS The study was conducted with a total of 152 subjects who provided informed consent, including 112 patients admitted to the paediatric emergency department and paediatric surgical clinic and 40 healthy control subjects. Blood samples were collected after initial examination to determine IMA, white blood cell (WBC) and C-reactive protein (CRP) values. RESULTS Mean IMA values of patients with acute appendicitis (AA), perforated appendicitis (PA) and non-specific abdominal pain were significantly higher compared to the control group. Mean IMA values of the AA and PA cases were also significantly higher compared to the group with non-specific abdominal pain. No significant difference was determined in mean IMA between the AA and PA groups. WBC and CRP levels of the AA and PA groups were significantly higher compared to the group with non-specific abdominal pain. CONCLUSION Our study shows that IMA, together with WBC and CRP, may be a biomarker capable of assisting the differential diagnosis of acute abdominal pain in children and distinguishing surgical from non-surgical cases.
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Affiliation(s)
- Fatma Sarac
- Department of Pediatric Surgery, Haseki Research and Education Hospital, Istanbul, Turkey
| | - Selman Yeniocak
- Department of Emergency Medicine, Haseki Research and Education Hospital, Istanbul, Turkey
| | - Sevgi Buyukbese Sarsu
- Department of Pediatric Surgery, Cengiz Gökcek Obstetrics and Children's Hospital, Gaziantep, Turkey
| | - Kamil Sahin
- Department of Pediatrics, Haseki Research and Education Hospital, Istanbul, Turkey
| | - Esma Yucetas
- Department of Biochemistry, Haseki Research and Education Hospital, Istanbul, Turkey
| | - Macit Koldas
- Department of Biochemistry, Haseki Research and Education Hospital, Istanbul, Turkey
| | - Burak Katipoglu
- Department of Emergency Medicine, Ufuk University Faculty of Medicine, Ankara, Turkey
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Katipoglu B, Madziala MA, Evrin T, Gawlowski P, Szarpak A, Dabrowska A, Bialka S, Ladny JR, Szarpak L, Konert A, Smereka J. How should we teach cardiopulmonary resuscitation? Randomized multi-center study. Cardiol J 2019; 28:439-445. [PMID: 31565794 DOI: 10.5603/cj.a2019.0092] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Accepted: 08/20/2019] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND A 2017 update of the resuscitation guideline indicated the use of cardiopulmonary resuscitation (CPR) feedback devices as a resuscitation teaching method. The aim of the study was to compare the influence of two techniques of CPR teaching on the quality of resuscitation performed by medical students. METHODS The study was designed as a prospective, randomized, simulation study and involved 115 first year students of medicine. The participants underwent a basic life support (BLS) course based on the American Heart Association guidelines, with the first group (experimental group) performing chest compressions to observe, in real-time, chest compression parameters indicated by software included in the simulator, and the second group (control group) performing compressions without this possibility. After a 10-minute resuscitation, the participants had a 30-minute break and then a 2-minute cycle of CPR. One month after the training, study participants performed CPR, without the possibility of observing real-time measurements regarding quality of chest compression. RESULTS One month after the training, depth of chest compressions in the experimental and control group was 50 mm (IQR 46-54) vs. 39 mm (IQR 35-42; p = 0.001), compression rate 116 CPM (IQR 102-125) vs. 124 CPM (IQR 116-134; p = 0.034), chest relaxation 86% (IQR 68-89) vs. 74% (IQR 47-80; p = 0.031) respectively. CONCLUSIONS Observing real-time chest compression quality parameters during BLS training may improve the quality of chest compression one month after the training including correct hand positioning, compressions depth and rate compliance.
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Affiliation(s)
- Burak Katipoglu
- Department of Emergency Medicine, Ufuk University Medical Faculty, Dr Ridvan Ege Education and Research Hospital, Ankara, Turkey., Turkey
| | | | - Togay Evrin
- Department of Emergency Medicine, Ufuk University Medical Faculty, Dr Ridvan Ege Education and Research Hospital, Ankara, Turkey., Turkey
| | - Pawel Gawlowski
- Department of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland
| | | | - Agata Dabrowska
- Department of Rescue Medical Service, Poznan University of Medical Sciences, Poznan
| | - Szymon Bialka
- Department of Anaesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland
| | - Jerzy Robert Ladny
- Department of Emergency Medicine and Disaster, Medical University Bialystok, Bialystok, Poland
| | - Lukasz Szarpak
- Medical Simulation Center, Lazarski University, Swieradowska 43 Str, 02-662 Warsaw, Poland
| | | | - Jacek Smereka
- Department of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland
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Abstract
OBJECTIVES Hypophysitis is a heterogeneous inflammatory disease of pituitary gland. As it causes headache and visual defects, it mimics sellar tumors in clinical and radiological aspects. It may occur due to primary or secondary causes. Tuberculosis is one of the rare secondary causes of the hypophysitis. Subject and Results. A 30-year-old male patient presented with fatigue and headache. Panhypopituitarism was considered due to the results and the diagnostic magnetic resonance (MR) imaging revealed sagittal section diamater of pituitary gland higher than normal. Biopsy of the pituitary gland was concordant with the granulomatous hypophysitis. Other possible diagnosis was excluded. CONCLUSION The tubercular hypophysitis, as a result of performed tests, is discussed hereby, in the case report.
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Katipoglu B, Aygın A, Demir S, Tatli O, Mentese A, Mentese U, Altun G, Orem A, Gunduz A, Korkut S, Evrin T. Relationship of Serum Pentraxin-3 with Peripheral Arterial Disease. EAJEM 2018. [DOI: 10.5152/eajem.2017.06977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Ozturk Sonmez L, Giray Sonmez M, Ayranci MK, Evrin T, Katipoglu B, Cander B. Is There a Difference Between the Readabilities of Informed Consent Forms Used for Procedures in the Emergency Services of State and University Hospitals in Turkey? EAJEM 2018. [DOI: 10.5152/eajem.2018.17363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Evrin T, Fahri Erkan A, Ekic B, Demirtas S, Korkmaz S, Korkmaz A, Kuday Kaykisiz E, Katipoglu B. Relationship between Heart-Type Fatty Acid-Binding Protein Levels and Severity and Extent of Coronary Atherosclerosis in Patients with Acute Myocardial Infarction. EAJEM 2018. [DOI: 10.5152/eajem.2018.62534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Kavak H, Surum N, Unluer EE, Aksay E, Yilmaz A, Katipoglu B. Impact of NEXUS Low-Risk Criteria on Cervical Injuries in a Turkish Tertiary-Care Hospital. EAJEM 2018. [DOI: 10.5152/eajem.2018.85057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Kurt IS, Unluer EE, Evrin T, Katipoglu B, Eser U. Urine Dipstick of Sputum for the Rapid Diagnosis of Community Acquired Pneumonia. J Natl Med Assoc 2018; 110:579-582. [PMID: 30129493 DOI: 10.1016/j.jnma.2018.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Accepted: 03/28/2018] [Indexed: 10/17/2022]
Abstract
INTRODUCTION Community acquired pneumonia (CAP) is responsible for an important part of treatment costs across the world. Even though posterior-anterior lung radiography (PALG) and direct sputum smear microscopy are required or routine diagnoses. The purpose of this study is to determine the diagnostic value of the bedside urine strip tests in CAP. METHODS Patients who attended the emergency department (ED) between from February 2016 to September 2016 with expectoration complaints and suspicion of pneumonia. The sensitivity, specificity, and accuracy rate of the urine strip tests, direct sputum smear microscopy, and PALG were calculated and analyzed using SPSS 15.0. RESULTS During the study period, 100 patients with pneumonia suspicion were evaluated in the ED. The sample was divided into two groups: negative and positive diagnosis of CAP. The leukocytes detecting by urine strip tests are statistical differences between the two groups (p: 0.003). The results show that the sensitivity, specificity, and accuracy rate of leukocytes detected in sputum with urine strip tests in the pneumonia diagnosis were 83.3%, 44.2% and 63% respectively. CONCLUSION According to the study, it is believed that the method of determination of leukocytes with urine strip tests in sputum combined with more detailed results. They can become part of CAP diagnosis methods.
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Affiliation(s)
- Ilgim Seval Kurt
- Department of Emergency Medicine, Izmir Katip Celebi University Ataturk Education and Research Hospital, 35360, Karabaglar, Izmir, Turkey
| | - Erden Erol Unluer
- Department of Emergency Medicine, Usak University Research and Training Hospital, Usak, Turkey
| | - Togay Evrin
- Department of Emergency Medicine, Ufuk University Medical Faculty, Dr Ridvan Ege Education and Research Hospital, 06520, Cankaya, Ankara, Turkey.
| | - Burak Katipoglu
- Department of Emergency Medicine, Ufuk University Medical Faculty, Dr Ridvan Ege Education and Research Hospital, 06520, Cankaya, Ankara, Turkey
| | - Utku Eser
- Department of Family Medicine, Izmir Katip Celebi University Medical Faculty, Ataturk Education and Research Hospital, 35360, Karabağlar, İzmir, Turkey
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Unluer EE, Evrin T, Katipoglu B, Bayata S. A bedside ultrasound technique for fluid therapy monitoring in severe hypovolemia: Tissue Doppler imaging of the right ventricle. Interv Med Appl Sci 2018; 9:212-214. [PMID: 29951288 PMCID: PMC6016210 DOI: 10.1556/1646.9.2017.23] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Fluid therapy is one of the main issues for hemodynamic resuscitation. Tissue Doppler imaging (TDI) of the right ventricle (RV) with bedside ultrasound (BUS) technique is a new dynamic method to identify fluid responsiveness in patients with hypotension. Here, we present the case of a hypotensive patient monitored with TDI measurements of RV. A 75-year-old male patient was admitted to the emergency department (ED) with the complaint of diarrhea. He was in severe hypovolemia, with hypotension, tachycardia, and tachypnea. His laboratory results were normal. BUS was performed on the patient by the ED physician. The velocity of the excursion of the tricuspid valve measured at presentation was 14.47 cm/s and, together with collapsed inferior vena cava (IVC), this finding led to the decision to begin fluid therapy immediately. The patient underwent 2 L of fluid therapy with 0.9% NaCl in a 2-h period. Control BUS after fluid therapy revealed decreased TDI velocity of tricuspid annulus to 11.81 cm/s and dilated IVC not collapsing sufficiently with respiration. The patient received his maintenance therapy after admission to the internal medicine department and was discharged from the service after 3 days. TDI in fluid responsiveness may find a clinical role in the future by the clinical studies.
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Affiliation(s)
- Erden Erol Unluer
- Department of Emergency Medicine, Usak University Medical Faculty, Usak, Turkey
| | - Togay Evrin
- Department of Emergency Medicine, Ufuk University Medical Faculty, Dr Ridvan Ege Education and Research Hospital, Ankara, Turkey
| | - Burak Katipoglu
- Department of Emergency Medicine, Ankara Education and Research Hospital, Ankara, Turkey
| | - Serdar Bayata
- Department of Cardiology, Izmir Katip Çelebi University, Ataturk Research and Training Hospital, Izmir, Turkey
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Kocak AO, Betos Kocak M, Cakir Z, Akbas I, Katipoglu B. Investigating the Effect of Emergency Medicine Internship on Vocational Anxiety and Depression in Sixth Grade Students of the Medical Faculty. EAJEM 2017. [DOI: 10.5152/eajem.2017.52824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Katipoglu B, Dagal A, Korkut S, Kocak AO. Acute Management of Spinal Cord Injury at the Out-of-Hospital and Emergency Department Settings. EAJEM 2017. [DOI: 10.5152/eajem.2017.98698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Aygun A, Katipoglu B, Ïmamoglu M, Demir S, Yadigaroglu M, Tatli O, Yurtsever S, Usta A, Mentese A, Turkmen S. Diagnostic Value of Plasma Pentraxin-3 in Acute Appendicitis. J INVEST SURG 2017; 32:143-148. [PMID: 29020470 DOI: 10.1080/08941939.2017.1381789] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
PURPOSE To measure serum PTX3 levels in patients admitted with right lower quadrant pain to emergency department and to investigate whether this parameter will be helpful for the diagnosis of acute appendicitis. MATERIALS AND METHODS This study was conducted with a group of 89 patients over 17 years of age who were admitted with the complaint of right lower quadrant pain to ED and had a preliminary diagnosis of acute appendicitis clinically and the control group of 31 healthy volunteers in a tertiary university hospital for 3 months. RESULTS Median PTX3 levels were 3.28 (1.08-30.24) ng/mL in the acute appendicitis groups and 0.97 (0.34-2.62) ng/mL in the control group. A significant difference was observed between acute appendicitis groups and the control group (p < 0.05). CONCLUSION PTX3 was found to be significantly higher in patient with acute appendicitis compared to the control group and the patients with non-specific abdominal pain. PTX3 can be used as an aid in the diagnosis of acute appendicitis.
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Affiliation(s)
- Ali Aygun
- a Department of Emergency Medicine , Ordu University Education and Research Hospital , Ordu , Turkey
| | - Burak Katipoglu
- b Department of Emergency Medicine , Ankara Education and Research Hospital , Ankara , Turkey
| | - Melih Ïmamoglu
- c Department of Emergency Medicine , Rize State Hospital , Rize , Turkey
| | - Selim Demir
- d Department of Nutrition and Dietetics, Faculty of Health Sciences , Karadeniz Technical University , Trabzon , Turkey
| | - Metin Yadigaroglu
- e Department of Emergency Medicine, Faculty of Medicine , Karadeniz Technical University , Trabzon , Turkey
| | - Ozgur Tatli
- e Department of Emergency Medicine, Faculty of Medicine , Karadeniz Technical University , Trabzon , Turkey
| | - Selim Yurtsever
- f Department of Emergency Medicine , Rize Recep Tayyip Erdogan University Education and Research Hospital , Rize , Turkey
| | - Arif Usta
- g Department of General Surgery, Faculty of Medicine , Karadeniz Technical University , Trabzon , Turkey
| | - Ahmet Mentese
- h Program of Medical Laboratory Techniques, Vocational School of Health Sciences , Karadeniz Technical University , Trabzon , Turkey
| | - Suha Turkmen
- i Department of Emergency Medicine, Faculty of Medicine , Acibadem University , Istanbul , Turkey
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Ozaydin V, Dogruyol S, Bagdigen SN, Katipoglu B, Gul M. Does Neutrophil Lymphocyte Ratio Have a Clinical Value to Determine the Seriousness of the Acute Appendicitis Cases? EAJEM 2017. [DOI: 10.5152/eajem.2017.86548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Kavak H, Surum N, Unluer EE, Aksay E, Yilmaz A, Katipoglu B. Impact of NEXUS Low-Risk Criterias on cervical injuries in Turkish tertiary care hospital. EAJEM 2017. [DOI: 10.5152/eajem.2017.85057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Argin CE, Aygun A, Katipoglu B, Tatli O, Yaman H, Mentese A, Gazioglu G, Altunayoglu Cakmak V, Orem A, Gunduz A. Diagnostic Value of Pentraxin-3 in Patients with Spontaneous Subarachnoid and Intracerebral Hemorrhage. EAJEM 2017. [DOI: 10.5152/eajem.2017.70707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Evrin T, Katipoglu B, Szarpak L, Yilmaz A, Unluer EE. A New Tool in the Examination of Lungs in the Emergency Department: Lung Ultrasound. EAJEM 2017. [DOI: 10.5152/eajem.2017.95967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Aygun A, Katipoglu B, Imamoglu M, Kilic M, Karapolat BS, Turkyilmaz A. Acute Respiratory Distress Syndrome and Pneumothorax after Synthetic Cannabinoid Intoxication. EAJEM 2017. [DOI: 10.5152/eajem.2017.00719] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Tatli O, Kurt NBK, Karaca Y, Sahin A, Aygün A, Sahin E, Katipoglu B, Eryigit U, Turkmen S. The diagnostic value of serum pentraxin 3 levels in pulmonary contusion. Am J Emerg Med 2016; 35:425-428. [PMID: 27955970 DOI: 10.1016/j.ajem.2016.11.030] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Revised: 11/07/2016] [Accepted: 11/10/2016] [Indexed: 10/20/2022] Open
Abstract
PURPOSE To investigate the difference in pentraxin 3 (PTX 3) levels between patients with pulmonary contusion and healthy volunteers. MATERIALS AND METHODS This study was conducted with a group of 20 trauma patients diagnosed with pulmonary contusion and 30 healthy individuals enrolled as a control group in a tertiary university hospital. RESULTS Median PTX 3 levels were 7.05 (3.29-13.1), ng/ml in the contusion group and 1.03 (0.7-1.58) ng/ml in the control group. PTX 3 titers were significantly higher in patients with pulmonary contusion compared to those of the control group (p<0.001). An area under the curve (AUC) value of 0.968 investigated using ROC analysis to determine the diagnostic value of the PTX-3 in pulmonary contusion patients was measured. A PTX-3 cut-off value of 2.06 produced 95.5% sensitivity and 86.7% specificity. CONCLUSION PTX 3 levels in pulmonary contusion increased significantly compared to the healthy control group. If supported by wider series, PTX 3 may be expected to be capable of use as a marker in pulmonary contusion.
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Affiliation(s)
- Ozgur Tatli
- Karadeniz Technical University, Faculty of Medicine, Department of Emergency Medicine, Trabzon, Turkey.
| | - Nur Banu Keha Kurt
- Karadeniz Technical University, Faculty of Medicine, Department of Emergency Medicine, Trabzon, Turkey
| | - Yunus Karaca
- Karadeniz Technical University, Faculty of Medicine, Department of Emergency Medicine, Trabzon, Turkey
| | - Aynur Sahin
- Karadeniz Technical University, Faculty of Medicine, Department of Emergency Medicine, Trabzon, Turkey
| | - Ali Aygün
- Ordu University, Training and Research Hospıtal, Turkey; Department of Emergency Medicine, Ordu, Turkey
| | - Elif Sahin
- Karadeniz Technical University, Faculty of Medicine, Department of Medical Biochemistry, Trabzon, Turkey
| | - Burak Katipoglu
- Ankara Training and Research Hospital, Department of Emergency Medicine, Ankara, Turkey
| | - Umut Eryigit
- Karadeniz Technical University, Faculty of Medicine, Department of Emergency Medicine, Trabzon, Turkey
| | - Suha Turkmen
- Acıbadem University, Faculty of Medicine, Department of Emergency Medicine, İstanbul, Turkey
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