Year 2020, Volume 4 , Issue 6, Pages 475 - 478 2020-06-01

The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests
Travmatik olmayan kardiyopulmoner arrestlerde kalsiyumun prognostik bir faktör olarak değerlendirilmesi

Levent ŞAHİN [1] , Hüseyin Fatih GÜL [2] , Turgut DOLANBAY [3] , Mesut ÖTERKUŞ [4]


Aim: Cardiopulmonary arrests (CPA) should be rapidly responded to in emergency departments (ED). Arrests associated with coronary cardiac diseases are held responsible for about 90% of sudden mortality over the age of 18 years. In our study, the effect of calcium on prognosis was investigated in patients who were admitted to our emergency department with non-traumatic CPA and underwent cardiopulmonary resuscitation (CPR).
Methods: The data of 132 non-traumatic CPA patients who were admitted to the emergency room between 1 January 2017 and 31 December 2019 were examined from the hospital registry for this cohort study. The demographic features (age, gender, mortality, and the presence of diseases in their medical history) were noted. Blood was collected from patients at the time of admission to the ED. Adjusted serum Ca+2, potassium (K+) and sodium (Na+) electrolyte levels were evaluated among patients who were either admitted to the intensive care unit or died.
Results: Fifty-eight (43.93%) patients died in the emergency department, and 74 (56.07%) were admitted to intensive care units. There were no comorbid diseases in 50.76%. Coronary artery disease, respiratory diseases and others were found in 23.46%, 6.06% and 19.7% of the patients, respectively. In the patient group declared “exitus” in the intensive care unit after CPR, serum adjusted calcium levels were significantly higher compared to the surviving patient group (P=0.041)
Conclusion: It was noted that adjusted Ca+2 concentration can be a beneficial parameter in determining the prognosis in non-traumatic arrest cases. 

Amaç: Kardiyopulmoner arrestler (KPA), acil servislerin en hızlı müdahale edilmesi gereken durumlardan birini oluşturmaktadır. Koroner kalp hastalıklarına bağlı arrestler, 18 yaş üstü ani ölümlerin yaklaşık %90’nından sorumlu tutulmaktadır. Çalışmamızda acil servisimize nontravmatik KPA olarak getirilen ve kardiyopulmoner resüsitasyon (KPR) yapılan hastalar üzerinde, kalsiyumun prognoza olan etkisi araştırdık.
Yöntemler: 1 Ocak 2017-31 Aralık 2019 yılları arasında acil servise başvuran 138 travmatik olmayan KPA hastasının verileri hastanenin otomasyon sisteminden kohort çalışması olarak incelendi. Olguların demografik özellikleri (yaş, cinsiyet, mortalite ve tıbbi geçmişlerinde hastalık varlığı) incelendi. Acil servise başvuru anında serum kalsiyum (Ca+2), potasyum (K) ve sodyum (Na) düzeyleri ölçüldü. Daha sonra, exitus olan grup ile yoğun bakım ünitesine yatırılan hasta grupları arasında düzeltilmiş serum Ca+2 elektrolit düzeyleri değerlendirildi.
Bulgular: Bu hastaların 58'i (%43,93) acil serviste exitus kabul edildi ve 74'ü (%56,07) yoğun bakım ünitelerine yatırıldı. Hastaların %50,76'sında komorbid hastalıklar bulunmadı. Koroner arter hastalığı %23,46, solunum sistemi hastalığı %6,06, diğer hastalıklar %19,7 olarak bulundu. KPR sonrası yoğun bakım ünitesinde exitus olarak bildirilen hasta grubunda serum düzeltilmiş Ca+2 düzeyleri sağ kalan hasta grubuna göre istatistiksel olarak anlamlı derecede yüksek bulundu (P=0,041).
Sonuç: Düzeltilmiş Ca+2 konsantrasyonunun, travmatik olmayan arrest vakalarda prognozun belirlenmesinde faydalı bir parametre olabileceği düşünüldü.

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Primary Language en
Subjects Emergency Medicine
Journal Section Research article
Authors

Orcid: 0000-0003-0193-4393
Author: Levent ŞAHİN (Primary Author)
Institution: Kafkas Üniversitesi, Tıp Fakültesi, Acil Tıp AD
Country: Turkey


Orcid: 0000-0002-9828-1298
Author: Hüseyin Fatih GÜL
Institution: KAFKAS ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Orcid: 0000-0002-4092-1192
Author: Turgut DOLANBAY
Institution: KAFKAS ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Orcid: 0000-0003-1025-7662
Author: Mesut ÖTERKUŞ
Institution: Fethi Sekin Şehir Hastanesi, Anestezi ve Reaminasyon Bölümü
Country: Turkey


Dates

Publication Date : June 1, 2020

Bibtex @research article { josam735652, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {475 - 478}, doi = {10.28982/josam.735652}, title = {The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests}, key = {cite}, author = {Şahi̇n, Levent and Gül, Hüseyin Fatih and Dolanbay, Turgut and Öterkuş, Mesut} }
APA Şahi̇n, L , Gül, H , Dolanbay, T , Öterkuş, M . (2020). The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests . Journal of Surgery and Medicine , 4 (6) , 475-478 . DOI: 10.28982/josam.735652
MLA Şahi̇n, L , Gül, H , Dolanbay, T , Öterkuş, M . "The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests" . Journal of Surgery and Medicine 4 (2020 ): 475-478 <http://jsurgmed.com/en/pub/issue/54767/735652>
Chicago Şahi̇n, L , Gül, H , Dolanbay, T , Öterkuş, M . "The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests". Journal of Surgery and Medicine 4 (2020 ): 475-478
RIS TY - JOUR T1 - The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests AU - Levent Şahi̇n , Hüseyin Fatih Gül , Turgut Dolanbay , Mesut Öterkuş Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.735652 DO - 10.28982/josam.735652 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 475 EP - 478 VL - 4 IS - 6 SN - -2602-2079 M3 - doi: 10.28982/josam.735652 UR - https://doi.org/10.28982/josam.735652 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests %A Levent Şahi̇n , Hüseyin Fatih Gül , Turgut Dolanbay , Mesut Öterkuş %T The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 6 %R doi: 10.28982/josam.735652 %U 10.28982/josam.735652
ISNAD Şahi̇n, Levent , Gül, Hüseyin Fatih , Dolanbay, Turgut , Öterkuş, Mesut . "The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests". Journal of Surgery and Medicine 4 / 6 (June 2020): 475-478 . https://doi.org/10.28982/josam.735652
AMA Şahi̇n L , Gül H , Dolanbay T , Öterkuş M . The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests. J Surg Med. 2020; 4(6): 475-478.
Vancouver Şahi̇n L , Gül H , Dolanbay T , Öterkuş M . The evaluation of calcium as a prognostic factor in non-traumatic cardiopulmonary arrests. Journal of Surgery and Medicine. 2020; 4(6): 475-478.