Factors affecting mortality in rectus sheath hematoma: A retrospective study
dc.contributor.author | Arer, Ilker Murat | |
dc.contributor.author | Akkapulu, Nezih | |
dc.contributor.author | Hargura, Abdirahman Sakulen | |
dc.contributor.author | Kus, Murat | |
dc.contributor.author | Yabanoglu, Hakan | |
dc.contributor.author | Aytac, Huseyin Ozgur | |
dc.contributor.orcID | 0000-0002-3583-9282 | en_US |
dc.contributor.orcID | 0000-0001-7392-961X | en_US |
dc.contributor.orcID | 0000-0002-1161-3369 | en_US |
dc.contributor.orcID | 0000-0001-6529-7579 | en_US |
dc.contributor.researcherID | AAJ-7913-2021 | en_US |
dc.contributor.researcherID | AAM-8548-2021 | en_US |
dc.contributor.researcherID | AAJ-7865-2021 | en_US |
dc.contributor.researcherID | AAJ-7870-2021 | en_US |
dc.date.accessioned | 2019-05-25T13:20:07Z | |
dc.date.available | 2019-05-25T13:20:07Z | |
dc.date.issued | 2018 | |
dc.description.abstract | Aim: Rectus sheath hematoma is a rare clinical condition. Because it could mimic various intra-abdominal pathologies suspicious approach and attention is needed for proper diagnosis and management of rectus sheath hematoma. The aim of this study is a review of factors affecting mortality in patients with rectus sheath hematoma besides clinical features, diagnosis modalities, treatment periods and results of patients with rectus sheath hematoma. Material and Method: Twenty-three patients with rectus sheath hematoma from January 2012 to March 2017 in a tertiary care center were included in the study. Patients' files were reviewed retrospectively. Reviewed variables were demographic and clinical features, symptom and findings, co-morbidities, medications, laboratory findings, diagnostic modalities, APACHE II scores, treatment approaches, transfused blood products and length of hospital stay. Results: Fifteen (65.2%) of the patients were women, and 8 (34.8%) of the patients were men. The mean age was 61.9 +/- 13.5. Seventeen (74%) of the patients had abdominal pain. Twenty (87%) of the patients had anticoagulant and antiplatelet therapy. The mean hematoma diameter was 6.3 +/- 3.6 cm. The mean APACHE II score for the patients was 13.1 +/- 7.3. One patient had undergone surgery. There was mortality in 3 (13%) of the patients. The median length of stay in hospital was 5 (5) days. Discussion: The diagnosis of rectus sheath hematoma should be kept in mind while assessing old female patients and patients on anticoagulants with a complaint of abdominal pain. In our study, we identify risk factors such as higher APACHE - II scores, the presence of a transient ischemic attack, need for transfusion of more units of packed erythrocytes and more extended hospital stay as factors associated with mortality. | en_US |
dc.identifier.endpage | 72 | en_US |
dc.identifier.issn | 1309-0720 | |
dc.identifier.issue | 1 | en_US |
dc.identifier.startpage | 69 | en_US |
dc.identifier.uri | https://www.researchgate.net/publication/321715061_Factors_affecting_mortality_in_rectus_sheath_hematoma_A_retrospective_study | |
dc.identifier.uri | http://hdl.handle.net/11727/3297 | |
dc.identifier.volume | 9 | en_US |
dc.identifier.wos | 000426502700017 | en_US |
dc.language.iso | eng | en_US |
dc.relation.isversionof | 10.4328/JCAM.5453 | en_US |
dc.relation.journal | JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Rectus Abdominis | en_US |
dc.subject | Hematoma | en_US |
dc.subject | Mortality | en_US |
dc.title | Factors affecting mortality in rectus sheath hematoma: A retrospective study | en_US |
dc.type | article | en_US |