Mortality in Acute Arterial Mesenteric Ischemia: A Single-Center Experience
Abstract Background : Acute mesenteric ischemia (AMI) is a life-threatening pathology that often requires urgent surgical intervention. It is frequently faced in elderly patients. Despite advances in the diagnosis of AMI morbidity, and mortality rates are still high. The presence of comorbidities...
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| Format: | Article |
| Language: | English |
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Sakarya University
2021-09-01
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| Series: | Sakarya Tıp Dergisi |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/1806435 |
| _version_ | 1797350386943655936 |
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| author | Kayhan Özdemir Guner Cakmak Barış Mantoğlu Merve Yiğit Uğur Can Dülger |
| author_facet | Kayhan Özdemir Guner Cakmak Barış Mantoğlu Merve Yiğit Uğur Can Dülger |
| author_sort | Kayhan Özdemir |
| collection | DOAJ |
| description | Abstract
Background : Acute mesenteric ischemia (AMI) is a life-threatening pathology that often requires urgent surgical intervention. It is frequently faced in elderly patients. Despite advances in the diagnosis of AMI morbidity, and mortality rates are still high. The presence of comorbidities delayed surgical intervention due to diagnostic difficulties, and in most cases, older patients with heart problems may be remarkable factors for higher mortality rates. Diagnostic challenges are tried to be overcome with both imaging methods and laboratory findings. Unfortunately, to date, no clear laboratory parameters have been described in diagnosing or predicting mortality of mesenteric ischemia.
Materials and Methods : The patients diagnosed with acute arterial mesenteric ischemia between the dates 2010-2019 were enrolled in the study. Demographic characteristics, diagnostic biochemical parameters (lymphocyte, neutrophil, albumin, C-reactive protein, lactate, lactate dehydrogenase, Di-Dimer, troponin, white blood count, platelet, fibrinogen, creatine kinase-MB) levels, as well as comorbidities of the patients, were evaluated.
Results : A total of 149 patients was enrolled in the study, with a mean age of 66.11 . In the non-survivor group, neutrophil, RDW, lactate, DDM, Fibrinogen, and CK-MB levels, furthermore albumin levels were defined as significantly elevated in the survivor group (p0.05). Hypertension was the major comorbidity by far in both groups.
Conclusion : High levels of fibrinogen, lactate, DDM, CK-MB levels and low levels of albumin levels may be predictors of mortality in mesenteric ischemia. |
| first_indexed | 2024-03-08T12:44:09Z |
| format | Article |
| id | doaj.art-30d2e494c48a4cf081908e1a92884c64 |
| institution | Directory Open Access Journal |
| issn | 2146-409X |
| language | English |
| last_indexed | 2024-03-08T12:44:09Z |
| publishDate | 2021-09-01 |
| publisher | Sakarya University |
| record_format | Article |
| series | Sakarya Tıp Dergisi |
| spelling | doaj.art-30d2e494c48a4cf081908e1a92884c642024-01-21T07:40:10ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2021-09-0111360160710.31832/smj.94780428Mortality in Acute Arterial Mesenteric Ischemia: A Single-Center ExperienceKayhan Özdemir0Guner Cakmak1Barış Mantoğlu2Merve Yiğit3Uğur Can Dülger4SAKARYA ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, GENEL CERRAHİ ANABİLİM DALISAKARYA ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, GENEL CERRAHİ ANABİLİM DALISAKARYA ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, GENEL CERRAHİ ANABİLİM DALISAKARYA ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, GENEL CERRAHİ ANABİLİM DALISAKARYA ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, GENEL CERRAHİ ANABİLİM DALIAbstract Background : Acute mesenteric ischemia (AMI) is a life-threatening pathology that often requires urgent surgical intervention. It is frequently faced in elderly patients. Despite advances in the diagnosis of AMI morbidity, and mortality rates are still high. The presence of comorbidities delayed surgical intervention due to diagnostic difficulties, and in most cases, older patients with heart problems may be remarkable factors for higher mortality rates. Diagnostic challenges are tried to be overcome with both imaging methods and laboratory findings. Unfortunately, to date, no clear laboratory parameters have been described in diagnosing or predicting mortality of mesenteric ischemia. Materials and Methods : The patients diagnosed with acute arterial mesenteric ischemia between the dates 2010-2019 were enrolled in the study. Demographic characteristics, diagnostic biochemical parameters (lymphocyte, neutrophil, albumin, C-reactive protein, lactate, lactate dehydrogenase, Di-Dimer, troponin, white blood count, platelet, fibrinogen, creatine kinase-MB) levels, as well as comorbidities of the patients, were evaluated. Results : A total of 149 patients was enrolled in the study, with a mean age of 66.11 . In the non-survivor group, neutrophil, RDW, lactate, DDM, Fibrinogen, and CK-MB levels, furthermore albumin levels were defined as significantly elevated in the survivor group (p0.05). Hypertension was the major comorbidity by far in both groups. Conclusion : High levels of fibrinogen, lactate, DDM, CK-MB levels and low levels of albumin levels may be predictors of mortality in mesenteric ischemia.https://dergipark.org.tr/tr/download/article-file/1806435mesenteric ischemia, mortality, predictive factorsmezenterik iskemimortaliteprediktif faktörler |
| spellingShingle | Kayhan Özdemir Guner Cakmak Barış Mantoğlu Merve Yiğit Uğur Can Dülger Mortality in Acute Arterial Mesenteric Ischemia: A Single-Center Experience Sakarya Tıp Dergisi mesenteric ischemia, mortality, predictive factors mezenterik iskemi mortalite prediktif faktörler |
| title | Mortality in Acute Arterial Mesenteric Ischemia: A Single-Center Experience |
| title_full | Mortality in Acute Arterial Mesenteric Ischemia: A Single-Center Experience |
| title_fullStr | Mortality in Acute Arterial Mesenteric Ischemia: A Single-Center Experience |
| title_full_unstemmed | Mortality in Acute Arterial Mesenteric Ischemia: A Single-Center Experience |
| title_short | Mortality in Acute Arterial Mesenteric Ischemia: A Single-Center Experience |
| title_sort | mortality in acute arterial mesenteric ischemia a single center experience |
| topic | mesenteric ischemia, mortality, predictive factors mezenterik iskemi mortalite prediktif faktörler |
| url | https://dergipark.org.tr/tr/download/article-file/1806435 |
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