Evaluation of the Relationship between Early Troponin Clearance and Short-Term Mortality in Patients with Chronic Renal Failure

المؤلفون المشاركون

Algın, Abdullah
Ozbek, Ahmet
Tas, Gokhan
Erdogan, Mehmet Ozgür

المصدر

Emergency Medicine International

العدد

المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-4، 4ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2020-01-31

دولة النشر

مصر

عدد الصفحات

4

التخصصات الرئيسية

الطب البشري

الملخص EN

Objective.

In patients with CKD, cTn concentrations may be elevated in the absence of AMI, which is a predicted finding caused by chronic structural heart disease rather than acute injury.

The increase in troponin level observed in noncardiac conditions provides conflicting results when predicting mortality.

Low lactate clearance was associated with increased mortality.

Lactate clearance is calculated as follows: (early lactate − late lactate/early lactate) ∗ 100.

We aimed to investigate whether troponin clearance calculated according to this formula had an effect on short-term mortality.

Methods.

The study included 300 patients with chronic renal failure who had a sepsis-related organ failure assessment (SOFA) score ≥3.

By taking the baseline troponin at the time of emergency presentation as reference and comparing them with the fourth-hour troponin values, troponin clearance was investigated in the evaluation of mortality among hospitalized patients with CKD within the first month after discharge.

The data obtained were analyzed using the SPSS data analysis software version 20.0.

Student’s t-test was used for the parametric data, and the Chi-squared test for the nonparametric data.

Results.

Of the 300 patients evaluated, 189 patients survived (mean age 66.20 ± 14.597 years), and 111 died (mean age 74.81 ± 12.916 years).

Troponin clearance was detected in 40 of the 111 patients in the mortality group and 119 of the 189 patients in the survival group.

Troponin clearance was significantly more frequent in surviving patients (P=0.0000083).

Conclusion.

Troponin clearance can be considered as a valuable leading indicator of survival, but higher levels of troponin clearance did not lead to higher survival rates.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Ozbek, Ahmet& Algın, Abdullah& Tas, Gokhan& Erdogan, Mehmet Ozgür. 2020. Evaluation of the Relationship between Early Troponin Clearance and Short-Term Mortality in Patients with Chronic Renal Failure. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1159066

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Ozbek, Ahmet…[et al.]. Evaluation of the Relationship between Early Troponin Clearance and Short-Term Mortality in Patients with Chronic Renal Failure. Emergency Medicine International No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1159066

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Ozbek, Ahmet& Algın, Abdullah& Tas, Gokhan& Erdogan, Mehmet Ozgür. Evaluation of the Relationship between Early Troponin Clearance and Short-Term Mortality in Patients with Chronic Renal Failure. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1159066

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1159066