4 results on '"Recovery time"'
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2. Etiology, Laboratory and Clinical Course of Elevated Transaminases in Pediatric Emergency Department
- Author
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Anıl Er, Sevim Çakar, Nebahat Ermiş, Duygu Özkerim, Aykut Çağlar, Tanju Çelik, and Hurşit Apa
- Subjects
emergency department ,child ,recovery time ,elevated transaminase ,Medicine ,Pediatrics ,RJ1-570 ,Medical emergencies. Critical care. Intensive care. First aid ,RC86-88.9 - Abstract
Introduction:Elevated transaminases has been frequently observed in pediatric emergency department admissions due to increasing utilization of routine laboratory packages. There are limited data about clinical features, underlying conditions and clinical course of these patients. This study aims to evaluate clinical characteristics, etiologies, recovery time and length of stay in hospital of children with elevated transaminases in pediatric emergency department.Methods:We included 1-month- 18-year-old children who were followed in observation unit of Pediatric Emergency Department of University of Health Sciences Turkey, Dr. Behçet Uz Pediatrics and Surgery Training and Research Hospital and had increased transaminases between 2016 January and 2017 January. Increased aspartate aminotransferase and alanine aminotransferase were defined as values above 60 U/L and 45 U/L. The clinical and laboratory data were obtained retrospectively from electronic medical records.Results:We included 89 patients. The median age was 36 months (1-216 months). The most common symptoms were vomiting (n=31), fever (n=27) and abdominal pain (n=25), the most frequent physical examination finding was dehydration (n=20). Etiologies were infections (40.5%), metabolic disorders (11.2%), drug induced liver injury (9.0%), hepatobiliary diseases (5.6%), others (9.0%) and unexplained in 24.7%. Transaminases were elevated under 5 times in 62.5%. N-acetylcystein and ursodeoxycolic acid were administered in 9.0% and 18.0%. The median recovery time was 5 days (1-61 days) and length of stay was 3.7±9.2 days. Recovery time and length of stay were not significantly different according to etiologies (p=0.107 and p=0.952).Conclusion:This study has indicated that mild elevation of transaminases is common in pediatric emergency department. Although most common reason is infections, it can be related to various conditions such as trauma and inherited metabolic disorders. Also, we have found that the recovery time is short and does not change according to etiologies. However, multi-center studies in a large population are still required to form algorithms for the assessment of elevated transaminases in pediatric emergency department .
- Published
- 2021
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3. Araştırmalar. Bir Yaz Mevsiminde Kliniğimizde Takip Ettiğimiz Aseptik Menenjitli Çocuklar.
- Author
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Demirci, Ali, Macar, Tamer, Öztürk, Zilha, Gök, Çağrı Cumhur, Erkum, İlyas Tolga, and Hatipoğlu, Sami
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MENINGITIS diagnosis , *ASEPSIS & antisepsis , *CEREBROSPINAL fluid , *CONVALESCENCE , *LENGTH of stay in hospitals , *MENINGITIS , *SEASONS , *TIME - Abstract
Objective: in this study we evaluate our aseptic meningitis patients regarding age group, sex, clinic sign of meningitis, recovery time of disease, patients hospital length of stay, cerebrospinal fluid (CSF) findings. Material and Methods: During the period of June-August 2009 in Bakırköy Dr. Sadi Konuk Training and Research Hospital, Clinics of Pediatry, 29 aseptic meningitis patients were treated and retrospectively evaluated epidemiologically, clinically and laboratory findings (CSF microscopic and biochemical evaluation). Findings: All patients were between 1 month and 10 year old and mean age was 4.67±2.84 year old. 22 of patients (75.9%) are male, 7 of patients (24.1%) are female. Male/femaie ratio was calculated as 3.15. Complaints of patients who were admitted to the hospital were fever (89.7%), nausea-vomiting (82.89%) and headache (9665.5). In the physical examination 79.3% of patients had got meningeal irritation findings (neck sifness, Kernig sing, Brudzinski phenomenon). Only 1 patient had ataxic walking. Results: The length of aseptic meningitis patients hospital stay depends on patients' clinic recovery more than CSF findings recovery. CSF findings recovery may took more time than clinic recovery time. In our evaluation the aseptic meningitis patients' hospital discharge is more dependent on clinic recovery than the CSF findings recovery [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
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4. Comparison of different sedoanalgesic drug administered in lower gastrointestinal tract attempts
- Author
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Şavluk, Ömer Faruk, Kayacan Örki, Tülay, Güzelmeriç, Füsun, Oğuş, Halide, Erkılınç, Atakan, Koçak, Tuncer, and Maltepe Üniversitesi, Tıp Fakültesi
- Subjects
Remifentanil ,Remifentanyl ,Kolonoskopi ,Derlenme süresi ,colonoscopy ,alfentanyl ,Sedonaljezik etki ,Alfentanil ,recovery time ,sedoanalgesic effect - Abstract
Bu prospektif klinik çalışma, hastanemiz etik kurul izni ile hastaların yazılı onayları alınarak, ASA I - II grubu, 18- 65 yaş arası, alt gastro intestinal sistem endoskopisi (kolonoskopi) uygulanan 60 hastada randomize olarak gerçekleştirildi. Sedasyon ve analjezi amacı ile Grup I'deki hastalara 0.02 mg/kg midazolam ve 5-10 Ì/kg alfentanil, Grup II'deki hastalara 0.02 mg/kg midazolam ve 0.5-1Ì/kg remifentanil intravenöz yoldan bolus olarak uygulandı. İşlemden önce, ilaç verilmesinden 5 dakika sonra, derlenme ve taburcu döneminde olmak üzere kalp tepe atımı (KTA), ortalama arter basıncı (OAB), periferik oksijen saturasyonu, solunum sayısı, Ramsey sedasyon skalası kaydedildi. İşlem sonrası derlenme süreleri, hasta ve doktor memnuniyeti kaydedildi ve karın ağrısı vizüel anolog skala (VAS) ile değerlendirildi. Demografik veriler, solunum sayısı, RSS, VAS değerleri açı- sından her iki grup benzer bulundu. İlaç uygulandıktan 5 dakika sonra ve derlenme döneminde OAB ve KTA değerlerinde Grup II'de Grup I'e göre daha fazla azalma saptandı. (p, Sixty patients (ASA I-II) were randomly divided into two groups following the ethical committee approval and written informed consent. Patients in group I (n=30) received 0.02 mg/kg midazolam and 5-10 mcg/kg alfentanil, patients in group II (n=30) received 0.02 mg/kg midazolam and 0.5- 1 mcg/kg remifentanil intravenously for sedation and analgesia. Heart rate (HR), mean arterial pressure (MAP), peripheral oxygen saturation, respiratory rate, Ramsey Sedation Scala were recorded before the procedure, at five minutes after drug administration and at the time of recovery and discharge. Recovery time, the patient and physician satisfaction after the procedure were recorded and abdominal pain was evaluated with visual analogue scale (VAS). Demographic data, respiratory rate, RSS, VAS values were found similar in both groups. At five minutes after drug administration and the recovery period, MAP and HR values showed more decrease in Group II compared to that in Group I (p
- Published
- 2012
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