Publications by authors named "Mehmet A Karaca"

Article Synopsis
  • In 2021, a lot of people died from violence, and stabbings made up about 25% of those deaths.
  • A study at Hacettepe University looked at 648 patients who were stabbed to understand their injuries, treatments, and outcomes.
  • Most patients were young men, and while many had injuries to their arms and legs, serious injuries were more common in the chest and stomach areas. Some patients had to have major surgeries, and a few even died from their injuries.
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Article Synopsis
  • This study investigates out-of-hospital cardiac arrest (OHCA) data in Türkiye, focusing on prognostic outcomes and influencing factors for patients aged 18 and older who were treated at 28 medical centers.
  • It found a survival rate upon hospital discharge of only 4.4%, with a significant majority of patients not receiving bystander CPR, which was only performed in 2.9% of cases.
  • Key predictors for better outcomes included male gender, initial shockable heart rhythms, shorter prehospital CPR duration, and no need for CPR in the emergency department, highlighting the importance of timely and effective CPR in emergencies.
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Osteoporosis, a terminal illness, has emerged as a global public health problem in recent years. The long-term use of bone anabolic drugs to treat osteoporosis causes multi-morbidity in elderly patients. Alternative therapies, such as allogenic and autogenic tissue grafts, face important issues, such as a limited source of allogenic grafts and tissue rejection in autogenic grafts.

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Background: During cardiopulmonary resuscitation (CPR), some parameters (e.g., intraarterial pressure measurement and end-tidal carbon dioxide (EtCO)) indicate the quality and outcome of resuscitation.

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Introduction: This study examined emergency physicians across the country in terms of Impostor Phenomenon (IP) and Burnout Syndrome (BoS). We aimed to evaluate the possible relationship between IP and BoS and determine which demographic characteristics pose a risk for IP and BoS.

Methods: This quantitative cross-sectional study consists of Clance Impostor Phenomenon Scale (CIPS) and Maslach Burnout Inventory (MBI) which were filled out online by the participants.

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Objective: End tidal carbon dioxide (EtCO) is measured to confirm the placement of an endotracheal tube and evaluate the efficacy of cardiopulmonary resuscitation (CPR), and as an assistive tool for terminating CPR. However, there are no highly accurate or definitive recommendations for its use when deciding on the termination of CPR. We aimed to merge EtCO values with existing termination of resuscitation (TOR) rules to obtain a more accurate combination for terminating resuscitation.

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Cell transplants in therapeutic studies do not preserve their long-term function inside the donor body. In mesenchymal stem cell (MSC) transplants, transplanted cells disperse through the body and are prone to degradation by immune cells after the transplant process. Various strategies, such as usage of the immunosuppressive drugs to eliminate allograft rejection, are designed to increase the efficiency of cell therapy.

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Aim: To determine the prognostic risk factors of gastrointestinal bleeding in emergency department cases.

Methods: The trial was a retrospective single-center study involving 600 patients over 18-years-old and carried out with approval by the Institutional Ethics Committee. Patient data included demographic characteristics, symptoms at admission, past medical history, vital signs, laboratory results, endoscopy and colonoscopy results, length of hospital stay, need of intensive care unit (ICU) admission, and mortality.

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Background: This study aimed to evaluate injury patterns of patients admitted to the emergency department with gunshot wounds, results of imaging studies, treatment modalities, outcomes, mortality ratios, and complications.

Methods: A retrospective descriptive study was carried out including a total number of one hundred and forty-two patients admitted to Hacettepe University Emergency Department with gunshot injuries between January 1, 1999 and December 31, 2013. The Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Injury Severity Score (ISS), and the Trauma and Injury Severity Score (TRISS) probability of survival for penetrating trauma were calculated for all patients.

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Objectives: High International Normalized Ratio (INR) level resulting from warfarin use increases the risk of gastrointestinal hemorrhages. We aimed to compare the efficacy of prothrombin complex concentrates (PCC) and fresh frozen plasma (FFP) at lowering the INR level, decreasing active hemorrhages visible by endoscopy, and shortening the length of stay at the emergency department (ED).

Method: This study is a prospective cohort study of consecutive patents with gastrointestinal hemorrhages that received either PCC or FFP.

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Aim: To study a retrospective analysis of patients who presented to the emergency departments (ED) with complaints related to foreign body ingestions.

Methods: Patients older than 16 years of age who presented to the ED between January 1(st) and December 31(st) of 2010 with complaints related to swallowed foreign bodies were identified from electronic health records and patient charts.

Results: A total of 100 patients presented with a complaint of foreign body ingestion during the study period.

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Background: To compare ESI Five-Level Triage System with 5-Level Hacettepe Emergency Triage System (HETS), which was developed for Overcrowded EDs in our country.

Methods: Over a period of six days, patients were assessed by a different ED staff everyday using HETS, then re-evaluated blindly by an emergency physician using HETS. Then patients were evaluated blindly for a third time by an independent, ESI-using emergency physician.

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Objective: Smoking is an important risk factor in the development of community-acquired pneumonia (CAP). This study was designed to investigate the relationship between nicotine dependence level and the development of CAP.

Materials And Methods: The Fagerstrom test for nicotine dependence (FTND) was performed to measure nicotine dependence level (NDL).

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