ECG Evaluation in Patients with Pneumothorax Admitted to the Emergency Department: A Three years Analysis

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dc.contributor.authorKarakoyun, Salih
dc.contributor.authorBoran, Mertay
dc.contributor.authorSaritas, Ayhan
dc.contributor.authorBoran, Ertay
dc.date.accessioned2021-12-01T18:48:05Z
dc.date.available2021-12-01T18:48:05Z
dc.date.issued2021
dc.department[Belirlenecek]en_US
dc.description.abstractObjective: Pneumothorax is one of the life-threatening differential diagnoses of patients presenting to emergency department (ED) with shortness of breath and chest pain. The place of dynamic electrocardiography (ECG) changes in diagnosis of pneumothorax was not well defined. The aim of our study was to reveal the clinical importance of ECG in pneumothorax. Methods: Between 01.04.2014 and 01.04.2017, 147 patients who applied to our ED and take a diagnosis of pneumothorax were retrospectively examined. The patients were divided as Group 1 (with pneumothorax volume <20%), and group 2 (with pneumothorax volume >= 20%). Patient demographics, mechanism of pneumothorax formation (traumatic or spontaneous), X-ray and tomographic findings, ECG findings, hospitalization-follow-up periods, treatment methods; were derived from the hospital's data recording system and compared between groups. Results: 109 (74.1 %) of 147 patients had a traumatic pneumothorax, and 38 (25.8%) had a spontaneous pneumothorax (p <0.001). 21 (55.2%) of the spontaneous pneumothorax cases are primary spontaneous pneumothorax. 64.6% (n=95) of the patients had chest pain. The two groups were similar in terms of age, hemoglobin level, GCS, number of days followed, gender and smoking status, (p> 0.05). When the ECG data was analyzed, a difference was found between the two groups. While 52.8% of the patients in group 1 had ECG changes, all of the patients in group-2 (100%) had unusual ECG findings (p = 0.004). Conclusions: Pneumothorax is a condition that should not be overlooked at ED. Pneumothorax especially with large volume size (size >= 20%) should be remembered in cases with abnormal findings in their ECG.en_US
dc.identifier.doi10.18521/ktd.895831
dc.identifier.endpage639en_US
dc.identifier.issn1309-3878
dc.identifier.issue3en_US
dc.identifier.startpage634en_US
dc.identifier.urihttps://doi.org/10.18521/ktd.895831
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10454
dc.identifier.volume13en_US
dc.identifier.wosWOS:000709040200022en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherDuzce Univ, Fac Medicineen_US
dc.relation.ispartofKonuralp Tıp Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectElectrocardiographyen_US
dc.subjectSpontaneous Pneumothoraxen_US
dc.subjectTraumatic Pneumothoraxen_US
dc.subjectElectrocardiographic Changesen_US
dc.subjectManagementen_US
dc.titleECG Evaluation in Patients with Pneumothorax Admitted to the Emergency Department: A Three years Analysisen_US
dc.typeArticleen_US

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