Browsing by Author "Gurmen E.S."

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    The role of the perfusion index in patients with thoracic trauma
    (Second Affiliated Hospital, Zhejiang University School of Medicine, 2022) Uzkuç İ.; Gurmen E.S.; Tulay C.M.
    Traumatic injuries range from simple to complicated multiple injuries. The identification of patients with critical injuries and disrupted organ perfusion is essential to prevent tissue hypoxia. A study estimated that a fast and accurate response to thoracic trauma should reduce the mortality by 30%.[1] The tissue perfusion value is an essential indicator of mortality and morbidity for patients admitted to the hospital with thoracic trauma. Thus, this study aimed to show the role of the perfusion index (PI) in predicting the prognosis of patients admitted to the emergency department for thoracic trauma. © 2017 22 World Journal of Emergency Medicine.
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    Dyspnea: perfusion index and triage status
    (Springer Science and Business Media B.V., 2023) Tulay C.M.; Gurmen E.S.
    Purpose: To determine the relationship between perfusion index and the emergency triage classification in patients admitted to the emergency department with dyspnea. Methods: Adult patients who presented with dyspnea and whose perfusion index values ​​were measured with Masimo Radical-7 device at the time of admission, at the first hour and the second hour of admission were included in the study. The PI and oxygen saturation measured by finger probes were compared and the superiority of their effects on the emergency triage classification was compared. Results: For the 0.9 cut- off value of the arrival PI level according to the triage status; sensitivity 79.25%; specificity 78.12%; positive predictive value is 66.7 and negative predictive value is 87.2. A statistically significant correlation was found between the triage status and the 0.9 cut- off value of the admission PI level. We can say that the ODDS rate of red triage is 13.63 times (95% CI: 5.99–31.01) times higher in cases with a PI level of 0.9 and below. In the ROC analysis, the cut-off value of 1.1 and above the admission PI level was determined as the most appropriate point for discharge. Conclusion: The perfusion index can help to determine the triage classification in emergency departments for dyspnea. © 2023, The Author(s), under exclusive licence to Springer Nature B.V.
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    Correction to: Dyspnea: perfusion index and triage status (Journal of Clinical Monitoring and Computing, (2023), 37, 4, (1103-1108), 10.1007/s10877-023-00995-6)
    (Springer Science and Business Media B.V., 2023) Tulay C.M.; Gurmen E.S.
    In the original article, the title was incorrectly published, hence the correct title has been updated which is Dyspnea: perfusion index and triage status. The original article has been corrected © 2023, Springer Nature B.V.
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    Prognostic Value of Serum Neuron Specific Enolase and Pentraxin-3 In Acute Pulmonary Embolism
    (Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Şaşmaz M.İ.; Tulay C.M.; Gurmen E.S.; Angin A.; Ulman C.
    The aim of this study is to investigate whether serum neuron-specific enolase (NSE) and pentraxin-3 (PTX-3) values are effective in the diagnosis and prognosis of acute pulmonary embolism. In addition, in the light of significant results, we aimed to determine a cut-off value for NSE and PTX-3 in acute pulmonary embolism and to try to determine the sensitivity-specificity in the diagnosis of pulmonary embolism according to these values. In this prospective study, patients who applied to the Emergency Department of Manisa Celal Bayar University School of Medicine between September 2019 and January 2021 and were diagnosed with acute pulmonary embolism constituted the study group and healthy volunteers without any chronic disease or drug use constituted the control group. Serum NSE and PTX-3 values of the patient and control groups were compared. In addition, demographic data, vital signs, laboratory findings, PESI (pulmonary embolism severity index) scores and prognoses of the patients were investigated. In this study 70 patients diagnosed with pulmonary embolism were included to the patient group. 36 (51.4%) of them were women and the mean age was 67.01 ± 14. 74 healthy volunteers were included to the control group; 45 of them (60.8%) were women and the mean age was 44.99 ± 12.85. In patient group the mean PTX-3 value of the was 1.753±1.91 ng/ml, the mean NSE value was 182.13±14.99 ng/ml. In control group, the mean PTX-3 value was 0.429±0.035 ng/ml, the mean NSE value was 166.51±5.14 ng/ml. While there was a statistical difference between two groups in terms of pentraxin-3 value, there was no difference in terms of NSE value. When the cut-off value of 1.115 ng/ml for serum pentraxin-3 in the ROC analysis in order to distunguish the patients with pulmonary embolism from the control group, sensitivity was found to be 58.6% and specificity to be 96%. In our study, we found that serum PTX-3 level is a powerful biomarker with high specificity in the diagnosis of acute pulmonary embolism and is positively associated with the severity and prognosis of the disease. Therefore, we believe that serum PTX-3 may be a guiding biomarker in the diagnosis and prognosis of acute pulmonary embolism in clinical practice. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.