The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome
Yıl: 2023 Cilt: 9 Sayı: 3 Sayfa Aralığı: 265 - 270 Metin Dili: İngilizce DOI: 10.53394/akd.1032104 İndeks Tarihi: 05-09-2023
The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome
Öz: Objective: This study investigated the role of the reference value of ultra-sensitive troponin kits used in daily practice in determining mortality. Material and Methods: This study was conducted in the emergency department (ED) of Akdeniz University Hospital between January 1 2018 and June 30 2019. All patients admitted to the emergency department within a period of eighteen months and who had the result of the ultra-sensitive troponin level in the range of 0.06-0.1 ng/mL were included in the study. The recurrent admissions of the patients to the ED were included, and only the first troponin values of the patients were taken as s reference for the study. Results: It was determined that 1029 troponin values of 591 patients with initial troponin I value in the range 0.06-0.1 ng/mL were measured. It was found that 332 of these patients were discharged from the emergency department, and the others were hospitalized. It was found that 168 (28.43%) of the patients died. Considering the gender distribution of the patients who died, it was observed that 101 (60.11%) patients were male, and 67 (39.89%) patients were female. A statistically significant difference was found between the ages of the patients who died (mean 71.38±12.25) and the age of patients alive (mean 61.78 ± 15.89) (p <0.019). In univariate analysis, in addition to the positive troponin value, DM (p<0.022) and hyperlipidemia (p<0.018) were found to be statistically significant. Conclusion: For high-sensitive troponin worked in the ED, the upper value of 0.06 ng/mL effectively determines mortality.
Anahtar Kelime: Akut Koroner Sendrom Şüpheli Hastalarda Mortalitenin Belirlenmesinde Ultra-Duyarlı Troponin-I'in Değeri
Öz: Amaç: Bu çalışmada, günlük pratikte kullanılan ultra-duyarlı troponin kitlerinin referans değerinin mortaliteyi belirlemedeki rolü araştırıldı. Gereç ve Yöntemler: Bu çalışma 1 Ocak 2018-30 Haziran 2019 tarihleri arasında Akdeniz Üniversitesi Hastanesi acil servisinde (AS) yapılmıştır. On sekiz ay içinde acil servise başvuran ve ultrasensitif troponin sonucu 0,06-0,1 ng/mL aralığında olan tüm hastalar çalışmaya dahil edildi. Hastaların acil servise tekrarlayan başvuruları dahil edildi ve hastaların sadece ilk troponin değerleri çalışma için referans olarak alındı. Bulgular: Başlangıç troponin I değeri 0,06-0,1 ng/mL aralığında olan 591 hastanın 1029 troponin değerinin ölçüldüğü belirlendi. Bu hastalardan 332'sinin acil servisten taburcu edildiği, diğerlerinin ise hastaneye kaldırıldığı öğrenildi. Hastaların 168'inin (%28,43) öldüğü belirlendi. Ölen hastaların cinsiyet dağılımına bakıldığında 101 (%60,11) hastanın erkek, 67 (%39,89) hastanın kadın olduğu görüldü. Ölen hastaların yaşları (ortalama 71,38±12,25) ile yaşayan hastaların yaşları (ortalama 61,78±15,89) arasında istatistiksel olarak anlamlı fark bulundu (p<0,019). Tek değişkenli analizde pozitif troponin değerine ek olarak DM (p<0,022) ve hiperlipidemi (p<0,018) istatistiksel olarak anlamlı bulundu. Sonuç: Acil serviste çalışılan yüksek duyarlı troponin için 0,06 ng/mL'lik üst değer etkin bir şekilde mortaliteyi belirler.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Aracı Ç, DUYAN M, KARTAL M, Göksu E (2023). The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. , 265 - 270. 10.53394/akd.1032104 |
| Chicago | Aracı Çeral Efe,DUYAN Murat,KARTAL MUTLU,Göksu Erkan The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. (2023): 265 - 270. 10.53394/akd.1032104 |
| MLA | Aracı Çeral Efe,DUYAN Murat,KARTAL MUTLU,Göksu Erkan The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. , 2023, ss.265 - 270. 10.53394/akd.1032104 |
| AMA | Aracı Ç,DUYAN M,KARTAL M,Göksu E The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. . 2023; 265 - 270. 10.53394/akd.1032104 |
| Vancouver | Aracı Ç,DUYAN M,KARTAL M,Göksu E The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. . 2023; 265 - 270. 10.53394/akd.1032104 |
| IEEE | Aracı Ç,DUYAN M,KARTAL M,Göksu E "The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome." , ss.265 - 270, 2023. 10.53394/akd.1032104 |
| ISNAD | Aracı, Çeral Efe vd. "The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome". (2023), 265-270. https://doi.org/10.53394/akd.1032104 |
| APA | Aracı Ç, DUYAN M, KARTAL M, Göksu E (2023). The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. Akdeniz Tıp Dergisi, 9(3), 265 - 270. 10.53394/akd.1032104 |
| Chicago | Aracı Çeral Efe,DUYAN Murat,KARTAL MUTLU,Göksu Erkan The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. Akdeniz Tıp Dergisi 9, no.3 (2023): 265 - 270. 10.53394/akd.1032104 |
| MLA | Aracı Çeral Efe,DUYAN Murat,KARTAL MUTLU,Göksu Erkan The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. Akdeniz Tıp Dergisi, vol.9, no.3, 2023, ss.265 - 270. 10.53394/akd.1032104 |
| AMA | Aracı Ç,DUYAN M,KARTAL M,Göksu E The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. Akdeniz Tıp Dergisi. 2023; 9(3): 265 - 270. 10.53394/akd.1032104 |
| Vancouver | Aracı Ç,DUYAN M,KARTAL M,Göksu E The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome. Akdeniz Tıp Dergisi. 2023; 9(3): 265 - 270. 10.53394/akd.1032104 |
| IEEE | Aracı Ç,DUYAN M,KARTAL M,Göksu E "The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome." Akdeniz Tıp Dergisi, 9, ss.265 - 270, 2023. 10.53394/akd.1032104 |
| ISNAD | Aracı, Çeral Efe vd. "The Value Of Ultra-Sensitive Troponin-I In Determining Mortality In Patients With Suspected Acute Coronary Syndrome". Akdeniz Tıp Dergisi 9/3 (2023), 265-270. https://doi.org/10.53394/akd.1032104 |
