5-Years of Thrombolytic Treatment Experience

Authors : Alpay TUNCAR, Hakan GÜNER, Hayri CANBAZ, Attila BEŞTEMİR

Pages : 297-303

Doi:10.5798/dicletip.1360596

View : 28 | Download : 32

Publication Date : 2023-09-15

Article Type : Research Paper

Abstract :Objective: Thrombolytic therapy has a vital role in saving both life and vital functions in emergency room patients. Our aim in our study is to reveal the thrombolytic practice experience of a 3rd level hospital in a long period of 5 years. Methods: Adult patients who applied to the emergency department between 2017-2022 and were given thrombolytic therapy were selected. Demographic information, risk factors, laboratory and radiological parameters, diagnoses and thrombolytic use of the patients were examined. Results: 56 patients were included in the study. Survival in patients with comorbidity was lower than in patients without comorbidity insert ignore into journalissuearticles values(p=0.0036);. Survival of patients with a history of cerebrovascular occlusion was lower than those without insert ignore into journalissuearticles values(p=0.01);. There was no statistically significant difference in survival between patients who received coagulation therapy in their history and patients insert ignore into journalissuearticles values(p>0.05);. Survival analysis was performed according to the diagnosis of the patients in the emergency department. There was no statistical significance in terms of survival among patients with different diagnosis types insert ignore into journalissuearticles values(p=0.098);. No statistically significant difference was found in the survival analysis for different application sites of thrombolytic therapy as emergency room, clinical service and intensive care unit insert ignore into journalissuearticles values(p=0.85);. It was observed that doctors started thrombolytic practice as of 2017, and the number of applications increased over the years. Conclusion: The favorable outcomes thrombolytic therapy have led an increase in the number of thrombolytic therapy conducted by ED clinicians while it was also seen that there was a reduction in morbidity and mortality over time.
Keywords : Emergency department, thrombolytic treatment, comorbidity, mortality