Is in-hospital mortality associated with neurological outcomes in patients with endovascular aortic repair? Results from a single centre
| dc.authorid | 0000-0003-4689-1032 | en_US |
| dc.authorid | 0000-0002-2275-639X | en_US |
| dc.authorid | 0000-0001-5570-2585 | en_US |
| dc.contributor.author | Altınay, Levent | |
| dc.contributor.author | İnce, İlker | |
| dc.contributor.author | Sungur, Elif Coşkun | |
| dc.date.accessioned | 2022-12-23T11:30:12Z | |
| dc.date.available | 2022-12-23T11:30:12Z | |
| dc.date.issued | 2022 | en_US |
| dc.department | Başka Kurum | en_US |
| dc.description.abstract | Aim: Herein, we aimed to present our results of thoracic and abdominal endovascular aortic repair (EVAR/TEVAR) procedures for thoracoabdominal aortic pathologies and the relation between the post-procedural neurological adverse events and in-hospital mortality. Material and Method: Patients who underwent EVAR/TEVAR procedures between November 2016 and May 2021 were included in this retrospective study. Patients with a history of any cerebrovascular event before the intervention were excluded. Patients were divided into two groups according to the occurrence of any early neurological complications in the postoperative period in hospital. Results: A total of 47 patients were included in this retrospective study. Group 1 included 37 (78.7%) patients who had no neurological complications in the early postoperative period. Group 2 included 10 (21.3%) patients who had a postoperative neurological complication. The intensive care unit (ICU) stay time was significantly longer in Group 2 compared with Group 1 (1.7 ± 2.0 days in Group 1 vs 6.2 ± 5.1 days in Group 2, p = 0.021). The overall mortality rate was 19.1% (9 of 47 patients). The mortality rate of Group 2 was significantly higher than Group 1 (2 of 37 [5.4%] patients in Group 1 vs 7 of 10 [70%] patients in Group 2, p = 0.001). The American Society of Anesthesiologists (ASA) physical classification score was significantly higher in Group 2 than Group 1 (3.5 ± 0.6 in Group 1 vs 4.1 ± 0.3 in Group 2, p = 0.016). The most common early postoperative neurological complication was a lack of recovery of consciousness in the postoperative period (no postoperative consciousness). Conclusion: The occurrence of any postoperative neurological adverse event is associated with in-hospital mortality following TEVAR/EVAR procedures. | en_US |
| dc.description.abstract | Amaç: Torakoabdominal aort patolojilerinde EVAR/TEVAR sonuçlarımızı ve post-prosedural nörolojik olaylar ile hastane mortalitesi arasındaki ilişkiyi sunmak. Gereç ve yöntem: Kasım 2016 – Mayıs 2021 arasında EVAR/TEVAR işlemi uygulanmış hastalar bu retrospektif çalışmaya alındı. İşlem öncesi herhangi bir nörolojik olay öyküsü olan hastalar çalışmaya alınmadı. Post-prosedural erken nörolojik komplikasyonların oluşuna göre hastalar iki gruba ayrıldı. Bulgular: Toplam 60 hasta değerlendirildi. Grup 1 nörolojik komplikasyon olmayan 37 (%78.7) hasta, Grup 2 post-prosedural nörolojik komplikasyon olan 10 (%21.3) hastadan oluştu. Yoğunbakımda kalış süresi Grup 2’de anlamlı derecede uzundu (1.7 ± 2.0 gün Group 1 vs 6.2 ± 5.1 gün Group 2, p=0.021). genel mortalite oranı %19.1 (47 hastada 9) idi. Grup 2 mortalite oranı anlamlı derecede yüksekti (37 hastada 2 (%5.4) Group 1’de vs 10 hastada 7 (%70) Group 2’de, p=0.001). Amerikan Anesteziyolojistler Birliği fiziksel sınıflama skoru Grup 2’de anlamlı derecede yüksekti (3.5 ± 0.6 Group 1 vs 4.1 ± 0.3 Group 2, p=0.016). En sık erken postprosedural nörolojik komplikasyon bilinç olmamasıydı. Sonuç: Erken postprosedural nörolojik komplikasyon oluşması, TEVAR ve EVAR prosedürlerinin hastane mortalitesini artmasına katkı yapmaktadır. | en_US |
| dc.identifier.citation | Altınay L., Sungur, E. C., İnce İ., (2022). The relation between neurological outcomes and in-hospital mortality rates of endovascular aortic repair patients. Genel Tıp Dergisi, 32 (1), 102-107. DOI: 10.54005/geneltip.1022644 | en_US |
| dc.identifier.doi | 10.54005/geneltip.1022644 | en_US |
| dc.identifier.endpage | 107 | en_US |
| dc.identifier.issn | 2602-3741 | en_US |
| dc.identifier.issue | 1 | en_US |
| dc.identifier.startpage | 102 | en_US |
| dc.identifier.uri | https://hdl.handle.net/20.500.12395/44000 | |
| dc.identifier.volume | 32 | en_US |
| dc.language.iso | en | en_US |
| dc.publisher | Selçuk Üniversitesi | en_US |
| dc.relation.ispartof | Selçuk Genel Tıp Dergisi | en_US |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Başka Kurum Yazarı | en_US |
| dc.rights | info:eu-repo/semantics/openAccess | en_US |
| dc.selcuk | 20240510_oaig | en_US |
| dc.subject | EVAR | en_US |
| dc.subject | TEVAR | en_US |
| dc.subject | neurological deficit | en_US |
| dc.subject | in-hospital mortality | en_US |
| dc.subject | nörolojik komplikasyon | en_US |
| dc.subject | hastane mortalitesi | en_US |
| dc.title | Is in-hospital mortality associated with neurological outcomes in patients with endovascular aortic repair? Results from a single centre | en_US |
| dc.title.alternative | Endovasküler aort onarımı yapılan hastalarda nörolojik sonuçlar ile hastane mortalitesi arasındaki ilişki | en_US |
| dc.type | Article | en_US |
