Browsing by Author "Dayangaç, HI"

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    PREDICTING THE 28-DAY MORTALITY RATE IN ELDERLY PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA: EVALUATION OF 11 RISK PREDICTION SCORES
    Elbi, H; Bilge, A; Dayangaç, HI; Dikmen, O
    Introduction: Community-acquired pneumonia frequently causes infectious disease-related morbidity and mortality among patients. Elderly patients are at a higher risk of developing severe Community-acquired pneumonia due to underlying diseases and changes in health status. We evaluated the performance of existing risk scores for predicting the 28-day mortality rate in elderly patients presenting with Community-acquired pneumonia to Emergency Department. Materials and Method: We evaluated 151 elderly patients [mean age, 76.6 +/- 7.8 years (range, 65-94 years); 65.6% men] with Community-acquired pneumonia. There were 30 deaths by day 28, with an all-cause mortality rate of 19.9%. All scores, except the CAP-PIRO, achieved an area under the receiver operating characteristic curve >0.700. Z-test was used to determine significant differences between the scores. Results: We evaluated 151 elderly patients [mean age, 76.6 +/- 7.8 years (range, 65-94 years); 65.6% men] with Community-acquired pneumonia. There were 30 deaths by day 28, with an all-cause mortality rate of 19.9%. All scores, except the CAP-PIRO, achieved an area under the receiver operating characteristic curve >0.700. Z-test was used to determine significant differences between the scores. Conclusion: Of the existing scores, 4 had good discriminatory power to predict the 28-day mortality rate. The best discrimination was demonstrated by CURB-age, a score designed for elderly patients with Community-acquired pneumonia. Additional research is necessary to determine the best risk score for predicting early mortality rates in elderly patients with Community-acquired pneumonia.
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    Diagnosis of delayed diffuse axonal Injury
    Kokko, Ç; Irik, M; Dayangaç, HI; Hayran, M; Bilge, A; Çavus, M
    Diffuse axonal injury is usually caused by head trauma, and patients have significant clinical symptoms during admission to the emergency department. In our case, we present a five-year-old patient who was involved in a car accident. During admission to the emergency department, the patient had no symptoms of trauma. However, 6 h after admission to emergency service, neurological symptoms occurred, and mental status changed. Diffuse axonal injury (DAI) is characterized by diffuse nerve axon injury in the brain and brainstem. This is one of the worst results of a head trauma and occurs in one-third of the patients admitted to the hospital with head trauma. In some studies, it has been reported that diffuse axonal injury is permanent in accelerated and decelerated head traumas without accompanying loss of consciousness. Neurological sequels have occurred in the recovery phase of some patients with diffuse axonal damage. In this study, we present a delayed diffuse axonal injury case accompanying a head trauma. (C) 2017 Elsevier Inc. All rights reserved.