Yazar "Hamamci, Mehmet" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim
    Öğe
    Analysis of the neurology consultations in the emergency department and diagnostic accuracy of emergency physicians for the neurologic emergencies
    (2020) Vural, Sevilay; Hamamci, Mehmet; Kilic, Nuray
    Aim: The aims of this study are twofold: Firstly, it aims at determining the profile of patients who are requested to consult neurology in the emergency department. Secondly, it aims at evaluating the concordance between the pre-consultation neurologic diagnoses and the post-consultation diagnoses in the emergency department.Material and Methods: The study presents a retrospective evaluation of the records of the patients who were admitted to the emergency department and requested neurology consultation between July 1st, 2018 and July 1st, 2019. Demographic characteristics, admission types, diagnostic imaging procedures, requested consultations, pre-consultation diagnoses, duration of neurology consultation, post-consultation diagnoses, and outcome of patients in the emergency department are included in the analysis.Results: Neurology consultation was requested for 347 (0.83%) patients among 41,850 emergency department admissions during the study period. The female/male distribution of consulted patients was 50.7% vs. 49.3%. The ambulatory admission and ambulance arrival rates to the emergency department were 51.9% (n = 180) and 48.1% (n = 167), respectively. Only neurology consultation was requested for 227 patients (65.4%), while the additional consultation/consultations other than neurology consultation were needed for 120 (34.6%) patients. Diagnostic accuracy was 60.8% for the study sample and 71.2% for the patients requiring neurology consultation only. The diagnostic accuracy of ischemic stroke was 84.7%. The hospitalization rate of the study sample was 64% (n = 222). The majority of hospitalized patients were admitted by the neurology department (n = 182). Conclusion: The high accuracy of the diagnosis of ischemic stroke in this study may result from all neurology consultations in our emergency department being requested by the emergency physician specialists. On the other hand, carefully integrated algorithms and neurological examination training will be useful to improve diagnostic accuracy in other neurological emergencies.
  • Küçük Resim
    Öğe
    Evaluation of cognitive impairment in relapsing-remitting multiple sclerosis patients by using the montreal cognitive assessment test
    (2019) Hamamci, Mehmet
    Aim: Evaluating the cognitive functions of patients with relapsing-remitting multiple sclerosis (RRMS) by using the Montreal Cognitive Assessment (MoCA) Test.Material and Methods: This cross-sectional study consisted of 28 RRMS patients who were diagnosed based on the revised McDonald 2017 criteria and 30 healthy volunteers. The MoCA test and the Expanded Disability Status Scale (EDSS) were applied.Results: The mean age of the RRMS patients was 37.21±5.61, while the mean age of the healthy volunteers was 35.6±10.09 (p=0.459). 17 (60.7%) of the RRMS patients were female, 11 (39.3%) were male, while 16 (63.3%) of the control group were female, and 14 (46.7%) were male (p=0.571). The median total MoCA score was 24 (min: 15, max: 30) for the RRMS patients and 27 (min: 19, max: 30) for the healthy volunteers, and the difference was significant (p=0.006). The scores of the RRMS patients were significantly lower in terms of the MoCA sub-dimensions of executive functions, attention, language and delayed recall. There was a negative, medium-level significant correlation between the total MoCA scores and EDSS scores (r: -0.583; p0.001).Conclusion: The results of this study showed that, in the cognitive dysfunction process in RRMS patients, especially executive functions, attention, language and delayed recall are affected, and there is also a relationship between cognitive dysfunction and disability. Furthermore, these results emphasize the significance of cognitive impairment in RRMS patients and show that the MoCA test may be a practical test that can be used for cognitive monitoring of RRMS patients.Keywords: Orientation; language; memory; learning; attention; cognitive dysfunction.