Institutional Incidence of Severe tPA-Induced Angioedema in Ischemic Cerebral Vascular Accidents
المؤلفون المشاركون
Sczepanski, Matthew
Bozyk, Paul
المصدر
Critical Care Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-09-27
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Introduction.
Tissue plasminogen activator (tPA) is commonly used in ischemic cerebral vascular accidents (CVAs).
tPA is generally well tolerated; however, orolingual angioedema is a well-documented adverse effect.
Angioedema is generally mild, transient, and unilateral but can manifest as severe, life-threatening upper airway obstruction requiring intubation.
Reported incidence for all severities ranges from one to five percent, whereas reported incidence of severe cases ranges from 0.18 to 1 percent of patients receiving tPA for ischemic CVA.
Angiotensin-converting enzyme (ACE) inhibitors and middle cerebral artery distribution have been associated with a higher risk of developing angioedema.
The aim of this study is to evaluate the incidence of severe tPA-induced angioedema and its effects on length of stay (LOS) and death.
Methods.
A retrospective chart review of patients receiving tPA for ischemic CVA from January 2014 through December 2016 was conducted at a large tertiary center with Comprehensive Stroke Center designation.
Subjects were eighteen or older.
Baseline demographics and clinical data were collected.
Results.
147 patients were included with four developing severe angioedema due to tPA resulting in an incidence of 2.72%.
All four were female.
The median LOS was thirty days for patients with angioedema and twelve days for those without.
The survival probability was higher in the angioedema group and mean time to death was twenty-two days in the angioedema group and twenty-one days in the nonangioedema group.
Twenty-five patients died, one from the angioedema group.
ACE inhibitor use was found to have an OR of 7.72.
Conclusion.
This study found a higher incidence of severe angioedema than that reported.
Development of severe angioedema increased length of stay but was not shown to worsen outcomes in regards to death.
Consistent with previous studies, ACE inhibitor use was associated with a higher risk of developing angioedema.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Sczepanski, Matthew& Bozyk, Paul. 2018. Institutional Incidence of Severe tPA-Induced Angioedema in Ischemic Cerebral Vascular Accidents. Critical Care Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1130460
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Sczepanski, Matthew& Bozyk, Paul. Institutional Incidence of Severe tPA-Induced Angioedema in Ischemic Cerebral Vascular Accidents. Critical Care Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1130460
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Sczepanski, Matthew& Bozyk, Paul. Institutional Incidence of Severe tPA-Induced Angioedema in Ischemic Cerebral Vascular Accidents. Critical Care Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1130460
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1130460
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر