Browsing by Author "Karadag, F"

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    Relationship between nutrition and ASA-classification in the elderly
    Sakarya, M; Karadag, F; Lüleci, N; Keles, GT; Topçu, I; Erinçler, T
    Objective: Old age and bad nourishment are risk factors for the postoperative period. In this study, the mini nutritional assessment (MNA) of elderly patients was evaluated before the operation and compared with their ASA-classification. Methods: 215 outpatients (age > 60 years) were included. MNA-score was fixed as follows: MNA 24 - 30 = normal (MNA I); MNA 17-23.5 = risk of malnutrition (MNA II) MNA < 17 = undernourished (MNA III). In addition, the ASA-score of all patients was registered. chi(2)-, Mann-Whitney-U- and correlation analysis were used for statistical analysis. A cut off-value of 24 was fixed for MNA and correlated with the ASA-score. Results: 34,9% of all patients were allocated to MNA II or III, but only 19.9% to ASA III or IV. The sensivity of the ASA-classification for evaluation of the nutritional status was 0.33, selectivity was 0.87, positive predictive value was 0.58 and negative predictive value was 0.70. Conclusion: ASA evaluation is not suitable for assessment of the nutritional status. With regard to typical postoperative complications, the nutritional status of patients should be assessed separately.
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    Psychiatric disorders and functioning in hepatitis B virus carriers
    Atesci, FC; Cetin, BC; Oguzhanoglu, NK; Karadag, F; Turgut, H
    The authors compared asymptomatic hepatitis B virus carriers and healthy subjects in terms of their psychological state. Participants (43 asymptomatic hepatitis B virus carriers and 43 healthy comparison subjects) completed self-report questionnaires. Psychiatric disorders and psychosocial-functioning were evaluated with structured clinical interviews and the Global Assessment of Functioning scale. Hepatitis B virus carriers were more likely to have psychiatric disorders than comparison subjects (30.2% vs. 11.6%). Also, carriers had significantly higher depression and anxiety scores and lower Global Assessment of Functioning scores than did comparison subjects. Worries about contamination and illnesses related to hepatitis B infection were associated with the presence of psychiatric disorder The results suggest that asymptomatic hepatitis B virus carriers need emotional support.