Browsing by Author "tiraje tuncer"

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    Demographic and clinical characteristics of inpatient stroke patients in Turkey
    (2022) tiraje tuncer; Neşe Özgirgin; Saliha Eroğlu demir; Sibel Basaran; Gulcan Ozturk; Özlem ALTINDAĞ; Berrin GÜNDÜZ; Nurdan Paker; hulya ARIKAN; Necmettin Yıldız; Figen Yilmaz; OZLEM SATIR; Derya Bugdayci; Duygu Geler Külcü; banu kuran; ali yavuz karahan; AYSE YALIMAN; Serpil Savaş; canan Tıkız; Ilknur Aktas; Ayşe Nur Bardak; Berna Celik; gülgün durlanık; jülide öncü; Berrin Hüner; belgin erhan; nurten eskiyurt; Fatma Merih Akpınar; Nilgun Simsir Atalay; erkan kaya; Aylin SARI; Gulcin Kaymak Karatas; Ozden Ozyemisci-Taskiran; Beril DOĞU; Demet UÇAR; Feyza Unlu Ozkan
    Objectives: This study aims to assess the stroke rehabilitation facilities provided by university hospitals (UHs) and training and research hospitals (TRHs) and to evaluate the geographical disparities in stroke rehabilitation. Patients and methods: Between April 2013 and April 2014 a total of 1,529 stroke patients (817 males, 712 females; mean age: 61.7±14.0 years; range, 12 to 91 years) who were admitted to the physical medicine and rehabilitation clinics in 20 tertiary care centers were retrospectively analyzed. Demographic, regional and clinical characteristics, details of rehabilitation period, functional status, and complications were collected. Results: The median duration of stroke was five (range, 1 to 360) months. The ratio of the patients treated in the TRH in the Marmara region was 77%, but only 25% of the patients were living in the Marmara region. Duration of hospitalization was longer in the TRHs with a median of 28 days compared to those of UHs (median: 22 days) (p<0.0001). More than half of the patients (55%) were rehabilitated in the Marmara region. Time after stroke was the highest in the Southeast region with a median of 12 (range, 1 to 230) months and the lowest in the Aegean region with a median of four (range, 1 to 84) months. Conclusion: This study provides an insight into the situation of stroke rehabilitation settings and characteristics of stroke patients in Turkey. A standard method of patient evaluation and a registry system may provide data about the efficacy of stroke rehabilitation and may help to focus on the problems that hinder a better outcome.
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    Correlation of clinical signs and magnetic resonance imaging findings in patients with lumbar spondylosis
    (2023) Lale Altan; Burcu Metin Okmen; tiraje tuncer; Dilsad Sindel; Hasan Fatih Çay; Simin Hepgüler; Selda Sarıkaya; Fikriye Figen Ayhan; Ajda Bal; meral bilgilisoy filiz; erhan capkin; Lale Cerrahoglu; REMZİ ÇEVİK; Deniz Erdoğdu; Berrin Durmaz; Mehmet Tuncay Duruöz; gülcan gurer; Savas Gursoy; sami hizmetli; cahit kacar; Ece Kaptanoğlu; Hilal Ecesoy; Meltem Alkan Melikoğlu; Kemal NAS; Hakan Nur; Şüheda ÖZÇAKIR; Nilay Sahin; Özlem Şahin; Merih Saridogan; OMER FARUK SENDUR; Ilhan Sezer; gulnur tasci bozbas; canan Tıkız; Hatice Ugurlu
    Objectives: The purpose of the study was to contribute further to this debated topic by investigating the correlation of magnetic resonance imaging (MRI) findings with the clinical picture in lumbar spondylosis patients. Patients and methods: This multicenter retrospective study (as part of the epidemiological project of the TLAR-OASG [Turkish League Against Rheumatism-Osteoarthritis Study Group]) included 514 patients (101 males, 413 females; mean age: 63.6±10.8 years; range, 40 to 85 years) who were diagnosed as lumbar spondylosis by clinical examination and direct X-ray between December 2016 and June 2018. Demographic characteristics of patients, Visual Analog Scale for pain, presence of radiating pain, Roland-Morris disability questionnaire, straight leg raise test, deep tendon reflexes, neurogenic intermittent claudication symptoms, any decrease of muscle strength, and abnormality of sensation were recorded. Lumbar MRI findings of the patients were recorded as positive or negative in terms of disc herniation, intervertebral disc degeneration, root compression, osteophytes, spinal stenosis. Statistical analysis was done to assess the correlation between the clinical symptoms, physical examination, and MRI findings. Results: Correlation analysis of the MRI results and the clinical findings showed a significant correlation between straight leg raise test and root compression (p<0.001, r=0.328) and a significant correlation between neurogenic intermittent claudication and spinal stenosis (p<0.001, r=0.376). Roland-Morris disability questionnaire had a significant correlation with all MRI findings (p<0.05, r<0.200). Conclusion: The results of this study corroborate the notion that diligent patient history and physical examination are more valuable than MRI findings, even though a higher incidence of abnormal MRI findings have been obtained in patients with disability and dermatomal radiating pain.