Objective ST-segment elevation myocardial infarction (STEMI) is a serious, life-threatening disease. Inflammatory markers have recently become the focus of attention in the assessment of severity in the early stages of STEMI. This study aimed to evaluate the importance of immature granulocytes (IG) as a prognostic marker in STEMI. Methods Patients admitted to the coronary care unit with a diagnosis of STEMI and who underwent primary percutaneous coronary intervention (pPCI) within the period from January 1, 2019 to January 1, 2020, were retrospectively scanned. A total of 146 patients were analised; of these, 112 (76.7%) were male and 34 (33.3) were female, with a mean age of 62.65±14.06 years. Patients’ age, gender, haemogram, biochemistry, and mortality results were recorded. The patients were divided into two groups as low (<0.6) and high (≥0.6) IG levels and compared. Results The mean IG levels were significantly higher in the non-survivor group compared to the survivor group (1.12±0.22 vs. 0.50±0.28, P<0.001). Mortality rates were significantly higher in the high IG group compared to the low IG group (26.9% vs. 9.6%, P=0.006). IG was shown to predict mortality with a sensitivity of 72.2% and a specificity of 77.8% at a cut-off value of 0.65 (area under the curve: 0.740, 95% CI: 0.635-0.846, P<0.001). Conclusion High IG values in the blood collected at the time of admission to the emergency department are a marker of mortality in patients with STEMI.
IntroductionTrauma is a important cause of mortality and morbidity in the world. Lay out and prevent the causes of trauma will significantly affect the quality of patient care and the quality of patients' lives. The purpose of this study is to identify the characteristics of trauma patients who refer to the emergency room and assess the mortality impact of pathologies that patients have. Materials and MethodsIn this study, 14423 trauma patients who admitted to tertiary care emergency department between January 1, 2019 and December 31, 2019 were retrospectively evaluated by using the hospital information management system. The trauma types of these patients were evaluated together with their radiological imaging, and their effects on hospital discharge, hospitalization and survival were evaluated. The analysis of the data obtained has reached by SPSS and MEDCALC program. ResultsIt was determined that 8948 (62%) of 14423 patients included in our study were male and 5475 (38%) were female. It was found that the median age of the patients was 24 (IQR:25). 1680 (11.6%) of patients had head trauma, spinal trauma in 203 (1.4%), thorax trauma in 461 (3.2%), abdomen trauma in 209 (1.5%), and extremity related trauma in 4157 (28.8%) patients were found in the study. In our study, 12630 (87.6%) were discharged from the emergency department, 1747 (12.1%) were hospitalized, 16 (0.111%) died in the emergency room, and 30 (0,2%) of patients were transferred to another hospital. 1747 patients who were hospitalized, 40 (53.8%) of them were operated at least once during their hospitalization. 43 patients (2.4%) died after hospitalization. When the effects of the pathologies of the patients included in the study on mortality were evaluated; presence of scalp incisions, ventricular hemorrhage, subarachnoid hemorrhage, spinal fracture, rib fracture, lung contusion, presence of intra-abdominal fluid were statistically significant with mortality. ConclusionKnowing the epidemiological characteristics, current trauma and trauma mechanisms of trauma patients with a significant share in emergency services admissions will be important in predicting morbidity and mortality. Comprehensive and multicenter studies are needed more to increase the quality of patient care and to effect morbidity and mortality.
Coronavirus disease 2019 (COVID-19) has become a massive epidemic affecting millions of people worldwide. The common radiological findings of COVID-19 are peripheral ground glass or consolidative opacities, but pneumomediastinum is a very rare finding of COVID-19, especially in patients not receiving mechanical ventilation support. Our aim was to present cases of spontaneous pneumomediastinum in two patients with COVID-19 and to discuss the potential mechanism underlying it.
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