Yazar "DOLANBAY, TURGUT" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim Yok
    Öğe
    Impact of Initial Admission Location on Ectopic Pregnancy Diagnosis and Management: Gynecologic vs. Adult Emergency Departments
    (2025) VURAL, Abdussamed; DOLANBAY, TURGUT; CUMAOGLU, MUSTAFA OGUZ; ardıç, nazan; KARAMAN, Enes; altay, mustafa cihan; CANBAZ, Hayri
    Objective: This study aimed to evaluate the impact of the initial admission clinic (Gynecologic and Obstetric emergency medicine [GOED] vs. Adult emergency medicine [AED]) on the diagnostic and therapeutic processes of ectopic pregnancy (EP). Additionally, we investigated the influence of clinic-specific factors on the treatment outcomes. Materials and Methods: This retrospective, cross-sectional study included 164 patients diagnosed with EP between October 1, 2021, and October 1, 2023, at a tertiary hospital. Data, including demographics, clinical presentation, time to diagnosis, diagnostic tests used, treatment modality, and patient outcomes, were collected from electronic hospital records. Statistical analyses were performed to determine the relationship between the initial admission clinic and the diagnostic/therapeutic outcomes. Results: Patients admitted to the GOED had significantly shorter median diagnostic times than those admitted to the AED (1 hour vs. 2.5 hours, p<0.001). The surgical intervention rate was higher in the AED group (64.7%) than in the GOED group (36.9%; p=0.004). No significant differences were found in patient out- comes or length of hospital stay based on the time of admission (working vs. nonworking hours). GOED admissions were associated with a higher proportion of outpatient management (87.5%) than were AED admissions. Conclusion: Initial admission to the GOED significantly reduced diagnostic delays and increased the likelihood of noninvasive management of EP. These find- ings highlight the importance of clinic-specific expertise in optimizing EP management and reducing the need for surgical interventions. Further prospective studies are needed to validate these results and to explore the long-term impact of clinic-specific factors on patient outcomes.
  • Küçük Resim Yok
    Öğe
    The Importance of Demographic and Biochemical Parameters on Prognosis in Corrosive Substance Poisonings in Infancy and Play Childhood Period
    (2025) Nogay, Süleyman; DOLANBAY, TURGUT; Demir, Bilgehan; Teksen, Ayse Fulya; Özkan, Asiye
    Objective: Corrosive substances are chemicals with strong acidic or alkaline properties that can cause tissue damage. In children, the most common cause of corrosive exposure is accidental ingestion. Our study presents the demographic, clinical, and laboratory characteristics of pediatric patients admitted due to corrosive intake and investigates the prognostic relevance of these parameters. The primary objective is to highlight corrosive poisonings and emphasize predictive markers for risk and complications to guide emergency management. Methods: Data of patients admitted to the emergency department due to corrosive substance ingestion and subsequently hospitalized were retrospectively analyzed. This study aimed to evaluate the prognostic significance of demographic features, the agent’s chemical nature, and laboratory parameters. Results: The median age of the patients was 27 months, with seven being male. Sixteen patients were discharged within two days and no mortality was recorded. In this study, leukocyte counts were significantly elevated in patients who ingested acidic corrosive agents. No statistically significant relationship was found between gender and admission to the intensive care unit (ICU). Similarly, ICU admission did not differ significantly based on whether the agent was acidic or alkaline. Endoscopy rates showed no significant difference according to whether the substance was a household cleaning product. No association was found between product type and gender. Conclusion: Corrosive poisonings during infancy and early childhood generally result from accidental ingestion of small amounts. Inadequate or delayed intervention may lead to severe complications. Prompt diagnosis and appropriate treatment are essential to prevent these outcomes and reduce morbidity.