Publications by authors named "R Guven"
The aim of this study was to determine the factors affecting the return of spontaneous circulation (ROSC) in cardiac arrest patients who underwent quality chest compressions as recommended by international guidelines. In this retrospective observational study, the data of nontraumatic out-of-hospital cardiac arrest (OHCA) patients (n = 784) brought by an ambulance to emergency between January 2018 and December 2019 were extracted from the validated hospital automation system. About 452 patients met inclusion criteria.
View Article and Find Full Text PDFBackground: The objective was to investigate the predictive ability of traditional clinical, radiological scores, and combined grading systems for 28-day mortality in patients with nontraumatic subarachnoid hemorrhage (SAH).
Methods: This multicenter cohort study enrolled 451 adults who presented to the emergency departments of six major tertiary care hospitals in Istanbul with nontraumatic aneurysmal SAH. Demographic data; clinical characteristics; and traditional clinical grading scores were recorded, including the Glasgow Coma Scale (GCS), Hunt and Hess scale (HHS), World Federation of Neurological Surgeons (WFNS) scale, modified Fisher scale (mFS), and two combined grading systems, the VASOGRADE and Ogilvy-Carter scales.
Article Synopsis
- The study highlights the low rate of frailty screening among older Emergency Department patients, with only 50% receiving the necessary assessments.
- A comparison of frailty data revealed significant discrepancies between routine and targeted screening, with a notable portion of entries missing, particularly among non-white patients and those who self-present.
- These findings indicate potential biases in the screening process, suggesting a need for improvements to ensure fair and effective assessments for all patients.
Purpose: This study had two main goals: to determine which rhabdomyolysis patients need haemodialysis; and to highlight the significance of blood gas parameters, particularly base excess, as predictors of the need for haemodialysis.
Method: A total of 270 patients were included in this multicentre, retrospective study. Among the patients who were transferred in from the earthquake region and developed rhabdomyolysis, those with creatine kinase (CK) values >1000 U/L were included in our study.