American Journal of Internal Medicine

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Effect of Ionized Calcium Level on the Prognosis and Mortality of Patients with Pulmonary Embolism

Received: 20 December 2017    Accepted: 09 February 2018    Published: 06 March 2018
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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.

DOI 10.11648/j.ajim.20180601.13
Published in American Journal of Internal Medicine (Volume 6, Issue 1, January 2018)
Page(s) 20-24
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Pulmonary Embolism, Ionized Calcium, Prognosis

References
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Author Information
  • Emergency Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey

  • Emergency Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey

  • Emergency Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey

  • Emergency Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey

  • Biochemistry Department, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey

  • Emergency Department, Meram Faculty of Medicine, University of Necmettin Erbakan, Konya, Turkey

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  • APA Style

    Hatice Seyma Akca, Ramazan Koylu, Nazire Belgin Akilli, Ayse Isik Kinaci, Oznur Koylu, et al. (2018). Effect of Ionized Calcium Level on the Prognosis and Mortality of Patients with Pulmonary Embolism. American Journal of Internal Medicine, 6(1), 20-24. https://doi.org/10.11648/j.ajim.20180601.13

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    ACS Style

    Hatice Seyma Akca; Ramazan Koylu; Nazire Belgin Akilli; Ayse Isik Kinaci; Oznur Koylu, et al. Effect of Ionized Calcium Level on the Prognosis and Mortality of Patients with Pulmonary Embolism. Am. J. Intern. Med. 2018, 6(1), 20-24. doi: 10.11648/j.ajim.20180601.13

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    AMA Style

    Hatice Seyma Akca, Ramazan Koylu, Nazire Belgin Akilli, Ayse Isik Kinaci, Oznur Koylu, et al. Effect of Ionized Calcium Level on the Prognosis and Mortality of Patients with Pulmonary Embolism. Am J Intern Med. 2018;6(1):20-24. doi: 10.11648/j.ajim.20180601.13

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  • @article{10.11648/j.ajim.20180601.13,
      author = {Hatice Seyma Akca and Ramazan Koylu and Nazire Belgin Akilli and Ayse Isik Kinaci and Oznur Koylu and Basar Cander},
      title = {Effect of Ionized Calcium Level on the Prognosis and Mortality of Patients with Pulmonary Embolism},
      journal = {American Journal of Internal Medicine},
      volume = {6},
      number = {1},
      pages = {20-24},
      doi = {10.11648/j.ajim.20180601.13},
      url = {https://doi.org/10.11648/j.ajim.20180601.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajim.20180601.13},
      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.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Effect of Ionized Calcium Level on the Prognosis and Mortality of Patients with Pulmonary Embolism
    AU  - Hatice Seyma Akca
    AU  - Ramazan Koylu
    AU  - Nazire Belgin Akilli
    AU  - Ayse Isik Kinaci
    AU  - Oznur Koylu
    AU  - Basar Cander
    Y1  - 2018/03/06
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ajim.20180601.13
    DO  - 10.11648/j.ajim.20180601.13
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 20
    EP  - 24
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20180601.13
    AB  - 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.
    VL  - 6
    IS  - 1
    ER  - 

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