Objective: The coronavirus disease 2019 (COVID-19) has placed huge strains on medical systems. Therefore, it is essential to determine the predictors of the long hospital stay. We sought to investigate whether alterations in left ventricular (LV) geometry in COVID-19 patients are associated with the length of stay (LoS) and a long hospital stay. Materials and Methods: 108 consecutive hospitalized COVID-19 patients were incorporated in the study and 89 patients remained for statistical analysis. All participants underwent standard two-dimensional (2D) and Doppler echocardiographic examinations. Patients were classified according to LV geometry characteristics namely normal geometry (NG), concentric remodeling, concentric hypertrophy and eccentric hypertrophy. Results: Multiple binary logistic regression model adjusted for clinical and laboratory variables yielded significant and independent association of LV mass index (LVMI) (OR: 1.12, 95% CI: 1.06-1.19, p<0.001), 10 g/m(2) increase in LVMI (OR: 3.63, 95% CI: 2.00-6.59, p<0.001), LV geometry patterns (OR: 2.92, 95% CI: 1.46-5.34, p=0.002), and altered geometric patterns compared to NG (OR: 3.97, 95% CI: 1.08-14.5, p=0.037) with long hospital stay. Correlation analysis of LVMI and LoS demonstrated significant and moderate correlation (rho=0.58, p<0.001). Conclusion: LVMI and LV geometric patterns independently predict long hospital stays in COVID-19 patients. The significant correlation between LoS and LVMI underlies the significance of LV geometry in this infection.
{"title":"The Impact of Left Ventricle Geometry Patterns on Length of Hospital Stay in COVID-19 Patients","authors":"M. Erdoğan","doi":"10.14744/etd.2022.08365","DOIUrl":"https://doi.org/10.14744/etd.2022.08365","url":null,"abstract":"Objective: The coronavirus disease 2019 (COVID-19) has placed huge strains on medical systems. Therefore, it is essential to determine the predictors of the long hospital stay. We sought to investigate whether alterations in left ventricular (LV) geometry in COVID-19 patients are associated with the length of stay (LoS) and a long hospital stay. Materials and Methods: 108 consecutive hospitalized COVID-19 patients were incorporated in the study and 89 patients remained for statistical analysis. All participants underwent standard two-dimensional (2D) and Doppler echocardiographic examinations. Patients were classified according to LV geometry characteristics namely normal geometry (NG), concentric remodeling, concentric hypertrophy and eccentric hypertrophy. Results: Multiple binary logistic regression model adjusted for clinical and laboratory variables yielded significant and independent association of LV mass index (LVMI) (OR: 1.12, 95% CI: 1.06-1.19, p<0.001), 10 g/m(2) increase in LVMI (OR: 3.63, 95% CI: 2.00-6.59, p<0.001), LV geometry patterns (OR: 2.92, 95% CI: 1.46-5.34, p=0.002), and altered geometric patterns compared to NG (OR: 3.97, 95% CI: 1.08-14.5, p=0.037) with long hospital stay. Correlation analysis of LVMI and LoS demonstrated significant and moderate correlation (rho=0.58, p<0.001). Conclusion: LVMI and LV geometric patterns independently predict long hospital stays in COVID-19 patients. The significant correlation between LoS and LVMI underlies the significance of LV geometry in this infection.","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":"74 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85340834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Transcatheter Ventricular Septal Defect Closure on Children's Appetite, Hormones and Growth","authors":"O. Taşcı","doi":"10.14744/etd.2022.41848","DOIUrl":"https://doi.org/10.14744/etd.2022.41848","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":"9 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82156462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Miller Fisher Syndrome is a variant of Guillain-Barre Syndrome, classically characterized by the triad of ataxia, areflexia and ophthalmoplegia. However, many conditions can mask the presentation of Miller Fisher Syndrome, potentially leading to grave consequences due to delayed diagnosis or even misdiagnosis. Case Report: We describe a case of Miller Fisher Syndrome mimicking acute sphenoid sinusitis with intracranial com-plications in an otherwise healthy 19-year-old man. Accurate diagnosis with prompt treatment led to full clinical recovery of our patient. Conclusion: Sphenoid sinusitis warrants great vigilance and thorough neurological examination due to its proximity to structures such as the cavernous sinus and its associated cranial nerves. This case highlights its potential to mask more devastating conditions like Miller Fisher Syndrome and the successful role of medical management without the need for sphenoidotomy.
{"title":"Anti-GQ1b Negative Miller Fisher Syndrome Mimicking Acute Sphenoid Sinusitis","authors":"K. Ramasamy","doi":"10.14744/etd.2022.80932","DOIUrl":"https://doi.org/10.14744/etd.2022.80932","url":null,"abstract":"Background: Miller Fisher Syndrome is a variant of Guillain-Barre Syndrome, classically characterized by the triad of ataxia, areflexia and ophthalmoplegia. However, many conditions can mask the presentation of Miller Fisher Syndrome, potentially leading to grave consequences due to delayed diagnosis or even misdiagnosis. Case Report: We describe a case of Miller Fisher Syndrome mimicking acute sphenoid sinusitis with intracranial com-plications in an otherwise healthy 19-year-old man. Accurate diagnosis with prompt treatment led to full clinical recovery of our patient. Conclusion: Sphenoid sinusitis warrants great vigilance and thorough neurological examination due to its proximity to structures such as the cavernous sinus and its associated cranial nerves. This case highlights its potential to mask more devastating conditions like Miller Fisher Syndrome and the successful role of medical management without the need for sphenoidotomy.","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":"2 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80496697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Co-existence of Behçet's Disease and Sarcoidosis in a Young Man with Femoral Artery Aneurysm: an Uncommon Case","authors":"Ümit Arslan","doi":"10.14744/etd.2022.42375","DOIUrl":"https://doi.org/10.14744/etd.2022.42375","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":"96 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87150181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship Between Heart Rate Recovery and Mean Platelet Volume in Healthy Individuals","authors":"H. Aktas","doi":"10.14744/etd.2022.32585","DOIUrl":"https://doi.org/10.14744/etd.2022.32585","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":"31 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87678724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of genistein supplementation to oral/enteral nutrition on inflammatory cytokines in septic ICU patients: a prospective, single center, randomized controlled, pilot study","authors":"Gulseren Elay","doi":"10.14744/etd.2022.55492","DOIUrl":"https://doi.org/10.14744/etd.2022.55492","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":"176 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74231063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19: Infection Control and Treatment Strategy in Pediatric Age Group in Turkey","authors":"H. Tezer","doi":"10.14744/etd.2020.84565","DOIUrl":"https://doi.org/10.14744/etd.2020.84565","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":"291 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72486145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The aim of this study is to evaluate the risk factors, clinical findings, treatment methods and short-term outcomes of infants born to mothers with COVID-19 infection and infants with COVID-19 infection. Materials and Methods: Data of infants born to mothers with COVID-19 infection and infants with COVID-19 infection treated in our Newborn Intensive Care Unit between 1 March 2020 and 1 April 2021 were retrospectively reviewed. Results: A total of 60 newborns were included in the study. Of these, 46 were born to mothers with COVID-19 infection, the gestational week was 36.8 +/- 3.3 weeks, 28 were girls. All newborns born to mothers with COVID-19 tested negative for reverse transcriptase-polymerase chain reaction (RT-PCR). The premature birth rate was 30%, the low birth weight rate was 19.4%, maternal mortality was 8.7% and neonatal mortality was 2.2%. 14 of the infants included in the study had community-acquired COVID-19 infection, the gestational age was 38.9 +/- 0.9 weeks, 6 of them were girls. The most frequent clinical findings were fever and runny nasal discharge. Most neonates in both groups were formula-fed (65.2% vs. 64.3%, respectively). Conclusion: We found that pregnant women with COVID-19 infection had a higher maternal mortality rate, preterm birth, and caesarean section. Families should be informed and encouraged about breast milk and breastfeeding during the COVID-19 pandemic.
{"title":"Clinical characteristics and outcomes of infants born to mothers with COVID-19 infection and those with COVID-19 infection: A retrospective study","authors":"B. Hekimoğlu","doi":"10.14744/etd.2022.44969","DOIUrl":"https://doi.org/10.14744/etd.2022.44969","url":null,"abstract":"Objective: The aim of this study is to evaluate the risk factors, clinical findings, treatment methods and short-term outcomes of infants born to mothers with COVID-19 infection and infants with COVID-19 infection. Materials and Methods: Data of infants born to mothers with COVID-19 infection and infants with COVID-19 infection treated in our Newborn Intensive Care Unit between 1 March 2020 and 1 April 2021 were retrospectively reviewed. Results: A total of 60 newborns were included in the study. Of these, 46 were born to mothers with COVID-19 infection, the gestational week was 36.8 +/- 3.3 weeks, 28 were girls. All newborns born to mothers with COVID-19 tested negative for reverse transcriptase-polymerase chain reaction (RT-PCR). The premature birth rate was 30%, the low birth weight rate was 19.4%, maternal mortality was 8.7% and neonatal mortality was 2.2%. 14 of the infants included in the study had community-acquired COVID-19 infection, the gestational age was 38.9 +/- 0.9 weeks, 6 of them were girls. The most frequent clinical findings were fever and runny nasal discharge. Most neonates in both groups were formula-fed (65.2% vs. 64.3%, respectively). Conclusion: We found that pregnant women with COVID-19 infection had a higher maternal mortality rate, preterm birth, and caesarean section. Families should be informed and encouraged about breast milk and breastfeeding during the COVID-19 pandemic.","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":"74 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77471709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A New Clue on Chest Radiography for Late Saphenous Vein Graft Failure Saphenous Vein Graft Failure","authors":"Ertan Akbay","doi":"10.14744/etd.2022.84484","DOIUrl":"https://doi.org/10.14744/etd.2022.84484","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":"59 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76547102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：