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Background: Hemoglobin, albumin, lymphocyte, and platelet (HALP) scores are easily calculable markers that allow the evaluation of systemic inflammation and nutritional status. This study aimed to evaluate and compare the predictive power of HALP scores for 3-month and 1-year mortality in patients admitted to the emergency department with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods: Hospital records of patients aged > 18 years who had been diagnosed with AECOPD in the emergency department (ED) and hospitalized were retrospectively reviewed. The neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and HALP scores of the patients were analyzed. Three month and 1-year mortality rates of the patients were evaluated. Results: Mean age of the 957 patients were 70.6 ± 10.2 and 66.9% (n = 660) were male. The 3-month and 1-year mortality rates were 21.2% and 30.0%, respectively. For 3-month and 1-year mortality, the NLR and PLR were significantly higher and the HALP score was significantly lower in the mortality groups, and the HALP score was found to be a good predictor of 3-month and 1-year mortality. Conclusion: HALP score is a potential prognostic index for patients with AECOPD. Increased NLR and PLR were associated with increased mortality in patients with AECOPD. The HALP score, NLR, and PLR can be used as important predictors of mortality in patients with AECOPD. [ABSTRACT FROM AUTHOR]

Objectives: Dyspnea, a frequently encountered life-threatening symptom in Emergency Department admissions, prompts the utilization of various diagnostic tests such as blood gas analysis, complete blood count, and electrocardiography (ECG) to ascertain its cause and severity. This study aims to assess the association between blood gas parameters, complete blood count results, and electrocardiographic parameters. Additionally, the investigation focuses on identifying malignant arrhythmias and abnormalities in repolarization parameters (PR interval, QRS interval, QTc interval, Tp-e interval, and Tp-e/QTc ratio) in patients admitted to the Emergency Department with dyspnea. Materials and Methods: The study includes individuals aged 18 and above who were admitted to the emergency department due to dyspnea. Upon admission, the patient's electrocardiographic parameters, blood gas results, complete blood count values, and other relevant laboratory findings were documented. Results: Among the 385 patients studied, with a mean age of 64.6±17.7 years, 52.7% (n=199) were male. Analysis of the ECG results revealed a statistically significant prolongation of the QRS interval in acidotic and hypercapnic patients with dyspnea (p=0.041 and p=0.015, respectively). Similarly, the QTc interval was found to be significantly longer in acidotic and hypoxic patients presenting with dyspnea (p=0.011 and p=0.026, respectively). Conclusion: Acidotic, hypoxic, and hypercapnic patients with dyspnea exhibited significantly prolonged QRS and QTc intervals. These findings suggest an elevated probability of ventricular arrhythmias in these patients. [ABSTRACT FROM AUTHOR]

Background: It is known that even if spontaneous circulation returns after cardiopulmonary resuscitation(CPR) in geriatric out-of-hospital cardiac arrests(OHCA), the overall one-year survival rate of these patients is very low. In our study, we aimed to investigate the factors affecting survival in OHCA cases. Methods: OHCA patients over 18 years of age were examined in two different groups as 18-64 years old and over 65 years old. Demographic data, comorbidities, cardiac arrest rhythms and minutes, and the number of days they were hospitalized in the intensive care unit were recorded. Results: The mean age was 65.9 ± 15.8 years and 39.9% (n = 110) of the patients were female. The number of intensive care unit stays was significantly higher in the over-65 age group (p = 0.011). The mortality rate and one-year survival rate were significantly lower in the over-65 age group (p < 0.001). Median CPR time was 21 min (IQR:14-32) in the entire patient population. The duration of CPR was 22 min (IQR:14-35) in patients with in-hospital mortality, and 15 min (IQR:13-25) in patients discharged from the hospital. In this comparison, the difference is statistically significant (p = 0.008). Conclusion: In our study, it was determined that especially over 65 years of age, coronary artery disease, and post-arrest CPR duration were determinant and predictive factors in in-hospital and long-term survival. [ABSTRACT FROM AUTHOR]

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