Effect of Ionized Calcium Level on the Prognosis and Mortality of Patients with Pulmonary Embolism
American Journal of Internal Medicine
Volume 6, Issue 1, January 2018, Pages: 20-24
Received: Dec. 20, 2017; Accepted: Feb. 9, 2018; Published: Mar. 6, 2018
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Authors
Hatice Seyma Akca, Emergency Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey
Ramazan Koylu, Emergency Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey
Nazire Belgin Akilli, Emergency Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey
Ayse Isik Kinaci, Emergency Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey
Oznur Koylu, Biochemistry Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey
Basar Cander, Emergency Department, Meram Faculty of Medicine, University of Necmettin Erbakan, Konya, Turkey
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Abstract
Objective: The aim of this study was to investigate the effect of ionized calcium level on the prognosis and mortality of patients with pulmonary embolism. Materials and method: A total of 165 patients over 18 years of age, who had been hospitalized due to pulmonary embolism were retrospectively evaluated. A significant relation was determined between mortality and low systolic blood pressure (p<0.05), low diastolic blood pressure (p<0.05) and tachycardia (p<0.05). The relation between mortality and high levels of urea (p<0.05), creatinine (p<0.05), d-dimer (p<0.05), CK-MB (p<0.05), troponin (p<0.05) and lactate (p<0.05) was also significant. The relation between mortality and duration of intensive care unit stay (p<0.05), hospital stay (p<0.05) and duration of mechanical ventilation (p<0.05) was also significant, whereas no relation was determined between the ionized calcium level and mortality (p=0.154). However, a significant relation was determined between the high level of ionized calcium and duration of mechanical ventilation (p=0.019). Additionally, the relation between right bundle branch block in ECG and mortality was found to be significant (p<0.05). Conclusion: Although no direct relation was determined between the level of ionized calcium and mortality in pulmonary embolism, it may be useful in predicting the duration of mechanical ventilation.
Keywords
Pulmonary Embolism, Ionized Calcium, Prognosis
To cite this article
Hatice Seyma Akca, Ramazan Koylu, Nazire Belgin Akilli, Ayse Isik Kinaci, Oznur Koylu, Basar Cander, Effect of Ionized Calcium Level on the Prognosis and Mortality of Patients with Pulmonary Embolism, American Journal of Internal Medicine. Vol. 6, No. 1, 2018, pp. 20-24. doi: 10.11648/j.ajim.20180601.13
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Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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