Hocagil A.C. | Hocagil H. | Ülker V.

Article | 2018 | Turk Noroloji Dergisi24 ( 1 ) , pp.32 - 37

Objective: To determine the priority in the treatment of patients with primary headaches accompanied by high blood pressure. In our study, we investigated whether there was a relationship between the decline in headache after treatment and the change in the average arterial pressure. Materials and Methods: This prospective observational study was performed with 101 patients who were admitted to the hospital emergency department with primary headache accompanied by high blood pressure. After treatment, the decrease in the severity of headaches, mean arterial pressure, and percentage value for the drop of mean arterial pressure were c . . .alculated for all patients. Results: In the study, 25 (24.8%) patients’ headache decreased 3 levels, 43 (42.6%) patients’ headache decreased 2 levels, and 23 (22.8%) patients’ headache decreased one level. The mean arterial pressure value at admission was 118.58±12.65 mmHg, and after treatment at the 30th minute decreased to 98.41±13.43 mmHg. Although there was a statistically significant (p<0.001) decrease in the mean arterial pressure value of patients with 2-3 level decrease in the headache severity, there was no statistically significant (p>0.05) drop in the mean arterial pressure value of the patients with one level decrease in headache severity after treatment. Conclusion: This study showed that when a primary headache, which is often associated with high blood pressure, was treated instead of treating high blood pressure as a secondary cause of headache, blood pressure decreased spontaneously. © 2018 by Turkish Neurological Societ Daha fazlası Daha az

Hocagil, Abdullah Cuneyt | Hocagil, Hilal | Ulker, Volkan

Article | 2018 | TURKISH JOURNAL OF NEUROLOGY24 ( 1 ) , pp.32 - 37

Objective: To determine the priority in the treatment of patients with primary headaches accompanied by high blood pressure. In our study, we investigated whether there was a relationship between the decline in headache after treatment and the change in the average arterial pressure. Materials and Methods: This prospective observational study was performed with 101 patients who were admitted to the hospital emergency department with primary headache accompanied by high blood pressure. After treatment, the decrease in the severity of headaches, mean arterial pressure, and percentage value for the drop of mean arterial pressure were c . . .alculated for all patients. Results: In the study, 25 (24.8%) patients' headache decreased 3 levels, 43 (42.6%) patients' headache decreased 2 levels, and 23 (22.8%) patients' headache decreased one level. The mean arterial pressure value at admission was 118.58 +/- 12.65 mmHg, and after treatment at the 30th minute decreased to 98.41 +/- 13.43 mmHg. Although there was a statistically significant (p0.05) drop in the mean arterial pressure value of the patients with one level decrease in headache severity after treatment. Conclusion: This study showed that when a primary headache, which is often associated with high blood pressure, was treated instead of treating high blood pressure as a secondary cause of headache, blood pressure decreased spontaneously Daha fazlası Daha az

Hocagil, Abdullah Cuneyt | Hocagil, Hilal

Article | 2018 | EURASIAN JOURNAL OF EMERGENCY MEDICINE17 ( 3 ) , pp.118 - 121

https://dx.doi.org/10.5152/eajem.2018.43534 https://hdl.handle.net/20.500.12628/2356

Ozpolat, Cigdem | Denizbasi, Arzu | Akoglu, Haldun | Onur, Ozge | Eroglu, Serkan Emre | Demir, Hasan

Article | 2013 | JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION63 ( 9 ) , pp.1142 - 1146

Objective: To determine the 3-day stroke risk of patients presenting to emergency department with transient ischaemic attack, and to evaluate the predictive value of ABCD(2) (Age, Blood pressure, Clinical features, Duration of symptoms and Diabetes) score for these patients. Methods: The prospective study was conducted on patients with diagnosis of transient ischaemic attack who were divided into low (0-3 points), medium (4-5 points) and high (6-7 points) risk groups according to their ABCD(2) scores. The sensitivity of the scoring system on estimation of the risk of stroke in 3 days was evaluated through receiver operating characte . . .ristic curve. SPS5 15 was used for data analysis. Results: Of the 64 patients in the study, none of the low-risk group had stroke. Stroke was present in 4 of 33 (12.12%) medium-risk patients, while there were 4 in 18 (22.22%) in the high-risk group. Sensitivity and specificity of each ABCD(2) score for 3rd day stroke risk was calculated. In the receiver operating curve generated by these calculations, the c statistics was determined as 0.76 (95% CI: 0.64, 0.86; Daha fazlası Daha az

Hocagil A.C. | Bildik F. | Kılıçaslan İ. | Hocagil H. | Karabulut H. | Keleş A. | Demircan A.

Article | 2016 | Balkan Medical Journal33 ( 1 ) , pp.72 - 79

Background: The readmission in the early period (RAEP) is defined as the admission of a patient to emergency department (ED) for the second time within 72 hours after discharge from the ED. Aims: The aim of this study was to determine the disease, patient, doctor, and system related causes of RAEP. Study Design: Descriptive study. Methods: This study is a two-stage study that was conducted at Department of Emergency, Gazi University Faculty of Medicine. The causes of RAEP were defined as disease, patient, doctor, and system related causes. Results: A total of 46,800 adult patients admitted to ED during the study period and 779 (1.66 . . .%) patients required RAEP. After the exclusion criteria, 429 of these patients were included the study. The most common reasons for RAEP were renal colic in 46 (10.7%) patients. It was detected that 60.4% of the causes of RAEP were related to disease, 20.0% were related to the doctor, 12.1% were related to the patient, and 7.5% were related to the hospital management system. Conclusion: This study revealed that there are patient-, doctor-, and system-related preventable reasons for RAEP and the patients requiring RAEP constitute the high risk group. © 2016 Trakya University Faculty of Medicine Daha fazlası Daha az

Eroglu, Serkan Emre | Toprak, Siddika Nihal | Akoglu, Ebru | Onur, Ozge Ecmel | Denizbasi, Arzu | Ozpolat, Cigdem | Akoglu, Haldun

Article | 2013 | ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY19 ( 5 ) , pp.423 - 428

BACKGROUND: Of overall traffic accidents in 2011 in Turkey, 7.58% (n=2 1,107) were motorcycle accidents. Motorcycle accidents and their impact on healthcare costs are investigated in our study. METHODS: Motorcycle accidents that occurred with/without a collision between 1 July 2010 and 30 June 2011 were studied prospectively through the inspection of patients visiting the Emergency Service. The healthcare costs relevant to each person injured in a motorcycle accident were investigated via forms. Data were analyzed using frequencies, Kolmogorov-Smirnov, Mann-Whitney U, and chi-square tests on the SPSS v16.0 program. RESULTS: Ninety-o . . .ne people involved in accidents, with a mean age of 28.47 years, were studied. The average healthcare expenditure for the 91 patients studied between reception and discharge was US$253.02 (median, US$55.90; range, US$11.52 - 7137.19). According to our study, there was no definitive correlation between the healthcare costs and the time of the accident, motorcycle type, nature of the road surface, protective equipment, weather, or daylight. CONCLUSION: According to the current study, the risk of an accident increases with young adults. Concordantly, healthcare costs increase. Thus, it is important that the legal rules with respect to the age and education necessary for receiving a license to operate a motorcycle should be redefined, and if necessary, regulated Daha fazlası Daha az