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Differences between men and women in the clinical and laboratory findings of patients diagnosed with pulmonary embolism

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dc.contributor.author Dursunoǧlu, Neşe.
dc.contributor.author Başer, Sevin.
dc.contributor.author Dursunoǧlu, Dursun.
dc.contributor.author Moray, Aylin.
dc.contributor.author Kiter, Göksel.
dc.contributor.author Özkurt, Sibel.
dc.contributor.author Evyapan, Fatma.
dc.contributor.author Karabulut, Nevzat.
dc.date.accessioned 2019-08-16T11:32:24Z
dc.date.available 2019-08-16T11:32:24Z
dc.date.issued 2007
dc.identifier.issn 04941373 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/4149
dc.description.abstract Pulmonary embolism (PE) could not be diagnosed correctly in 2/3 of patients saving of that pathology, and unfortunately mortality in them could be as high as 30%. In the present study, we aimed to investigate the gender differences in clinical, electrocardiography (ECG) and laboratory findings of PE patients diagnosed with contrast-enhanced helical computerized tomography of thorax. 31 patients (18 females, 58% and 13 males, 42%) were Included into the study. Symptoms, risk factors, ECG and arterial blood gases were evaluated, and then Wells, Geneva and ECG scores were obtained in each subject. Alveolo-arterial (A-a) oxygen gradient was calculated as P(A-a)O2= 150-(PCO 2/0.8)-PO2. Mean pulmonary artery pressure (PAP) was measured by echocardiography. In female and male patients, Weils score (4.8 ± 1.9 and 3.2 ± 2.2, p= 0.017); ECG score (5.9 ± 3.6 and 3.1 ± 1.8, p= 0.036) and mean PAP (33.5 ± 12.3 mmHg and 23.2 ± 10.0 mmHg, p= 0.017) were significantly different. However, between female and male patients Geneva score (4.8 ± 1.7 and 5.0 ± 1.6), A-a gradient (35.2 ± 17.3 and 42.9 ± 12.3) and PaCO2 (33.5 ± 15.1 and 29.8 ± 5.4) did not differ significantly (p> 0.05). Immobilization and surgical interventions as risk factors for PE were established significantly higher In females than males (50%-30.8%, p= 0.02 and 50%-23.1%, p= 0.01). In female patients with PE, Wells and ECG scores, Immobilization, surgical interventions and mean PAP are significantly higher than male patients. So, In the clinical practice, these parameters may help to diagnose acute PE especially in females.
dc.language.iso Turkish
dc.rights info:eu-repo/semantics/closedAccess
dc.subject Arterial blood gases
dc.subject ECG score
dc.subject Gender
dc.subject Geneva score
dc.subject Mortality
dc.subject Pulmonary artery pressure
dc.subject Pulmonary embolism
dc.subject Wells score
dc.subject arterial gas
dc.subject article
dc.subject clinical article
dc.subject clinical study
dc.subject controlled study
dc.subject electrocardiography
dc.subject female
dc.subject human
dc.subject laboratory diagnosis
dc.subject lung artery pressure
dc.subject lung embolism
dc.subject male
dc.subject sex difference
dc.subject spiral computer assisted tomography
dc.subject thorax radiography
dc.subject Aged
dc.subject Blood Gas Analysis
dc.subject Echocardiography
dc.subject Electrocardiography
dc.subject Female
dc.subject Gender Identity
dc.subject Humans
dc.subject Male
dc.subject Middle Aged
dc.subject Pulmonary Embolism
dc.subject Risk Factors
dc.subject Severity of Illness Index
dc.subject Sex Factors
dc.subject Tomography, X-Ray Computed
dc.subject Turkey
dc.title Differences between men and women in the clinical and laboratory findings of patients diagnosed with pulmonary embolism
dc.type Article
dc.relation.journal Tuberkuloz ve Toraks
dc.contributor.authorID 0000-0002-6323-3456
dc.contributor.authorID 0000-0002-5232-7078
dc.identifier.volume 55
dc.identifier.issue 3
dc.identifier.startpage 246
dc.identifier.endpage 252
dc.relation.publicationCategory Uluslararası Hakemli Dergi
dc.identifier.index Scopus
dc.identifier.index PubMed

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