Browsing by Author "Serinken M."

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    Epidemiological characteristics of geriatric patients in emergency departments: Results of a multicenter study; [Acil servislerdeki geriatrik hastalarin epidemiyolojik özellikleri: Çok merkezli çalişma sonuçlari]
    (Geriatrics Society, 2015) Ergin M.; Karamercan M.A.; Ayranci M.; Yavuz Y.; Yavaşi Ö.; Serinken M.; Acar T.; Avcil M.; Al B.; Bayramoğlu A.; Durgun H.M.; Gölcük Y.; Arziman İ.; Dündar Z.D.
    Introduction: The increasing proportion of elderly individuals in the population due to increased life expectancy has necessitated greater provision of health care. Here we aimed to determine patient characteristics, reasons for referral, and outcomes of emergency department visits and hospitalization in patients aged ?65 years with referrals to emergency departments. Materials and Method: This prospective, multicenter observational study was conducted over one week at the emergency departments of 13 Turkey hospitals. All patients aged ?65 years who were referred to emergency departments with acute medical or surgical issues during the study period were included. Patients aged <65 years or those referred for trauma were excluded. Results: In total, 1299 patients with a mean age of 74.8±7.3 years were included. Of these 51.9% (n=674) were aged 65–74 years, 67.5% (n=877) were discharged from the hospital and 5.8% (n=75) died during admission. The most frequently diagnosed disorders in the emergency departments were cardiovascular, gastrointestinal, and pulmonary diseases. A significant difference in age was observed between the survival and non-survival groups (p=0.001), with no significant differences in gender distribution (p=0.259), length of stay in intensive care units (p=0.605), or length of stay in hospital (p=0.055). Conclusion: With an increased proportion of elderly individuals in the general population the number of elderly patients referred to emergency departments continues to increase. This study presents the demographic features and clinical course of elderly patients referred to study centers. © 2015, Geriatrics Society. All rights reserved.
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    Ketoprofen gel improves low back pain in addition to IV dexketoprofen: a randomized placebo-controlled trial
    (W.B. Saunders, 2016) Serinken M.; Eken C.; Tunay K.; Golcuk Y.
    Objective Oligoanalgesia is common in emergency departments (EDs), and pain management is of concern for ED physicians. The aim of this study was to reveal the effect of ketoprofen gel in patients presenting with mechanical low back pain to the ED. Method All the study patients received intravenous dexketoprofen additional to study drugs. After dexketoprofen, 2 g of 2.5% ketoprofen gel or placebo was administered to the site with pain and tenderness. Pain relief at 15 and 30 minutes was measured by visual analog scale scores. Rescue drug need and adverse effects were also recorded. Results A total of 140 patients were enrolled into the study. The mean age of the study patients was 35 ± 12, and 56% (n = 79) of them were male. The mean pain reduction at 30 minutes was 52 ± 18 for ketoprofen gel and 37 ± 17 for placebo, and ketoprofen gel was better than placebo at 30 minutes (mean difference, 16 mm; 95% confidence interval, 10-21). Ten patients (14%) in the placebo group and 2 patients (3%) in the ketoprofen gel group needed rescue drug (P = .35). Conclusion Ketoprofen gel improves pain in patients presenting with mechanical low back pain to ED at 30 minutes in addition to intravenous dexketoprofen when compared to placebo. © 2016 Elsevier Inc.
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    Topical ketoprofen versus placebo in children presenting with ankle sprain to the Emergency Department: A randomized controlled study
    (Lippincott Williams and Wilkins, 2020) Serinken M.; Eken C.; Tünay K.; Gölcük Y.
    Objective Despite the favorable data concerning topical agents use in outpatient clinics, they are not commonly in emergency departments (EDs). The present study aimed to compare the effect of 2.5% topical ketoprofen (gel form) to placebo in children presenting with ankle sprain to the ED. Study Design Children between 7 and 18 years old presenting with ankle sprain composed the study population. Study patients were randomized into 2 study arms: 2.5% ketoprofen gel and placebo administered in a 5-cm area locally. Pain improvements at 15 and 30 minutes were measured by visual analog scale. Results Median pain reductions at 15 minutes for ketoprofen and placebo groups were 27.5 (16-39) and 5 (4-10), respectively. Median changes in pain intensity at 30 minutes for ketoprofen and placebo gel groups were 48 (43-52) and 9 (6-16), respectively. When compared 2 arms for the pain improvement at 15 and 30 minutes, the differences between 2 study drugs were 20 (13-28) and 35 (29-41), respectively. There were 7 (12.7%) rescue drug needs in the placebo group and 1 (1.7%) in the ketoprofen group (difference, 10.9%; 95% confidence interval, -6% to 7%; P = 0.83). There were no adverse effects in either group. Conclusions Ketoprofen gel is superior to placebo in ceasing pain in children presenting with ankle sprain to the ED with a high safety profile. © Wolters Kluwer Health, Inc. All rights reserved.