Minimizing short-term complications in patients who have undergone cardiac invasive procedure: a randomized controlled trial involving position change and sandbag

Symposium on Saglik Bilimlerinde Sureli Yayincilik -- 2007 -- Ankara, TURKEYWOS: 000254244200007PubMed ID: 18065335Objective: The study aimed to evaluate the effects of putting a sandbag on femoral access site after cardiac invasive procedure and changing patients' position in bed on vascular complications rate and the severity of back pain related to the duration of bed rest after procedure. Methods: This randomized controlled study included 169 patients divided into five different groups assigned randomly. Group 1 patients were applied 4.5 kg sandbag for 30 minutes and Group 2 patients were applied 2.3 kg sandbag for 2 hours on femoral access site after procedure. Group I and 2 patients' body positions were changed every hour beginning from the second hour. Group 3 patients received application of 4.5 kg sandbag for 30 minutes and Group 4 patients were applied 2.3 kg sandbag for 2 hours on femoral access site after procedure and these patients' body positions were not changed after catheterization. Group 5 patients remained in supine position without changing position and had no application of a sandbag. Results: The incidence of vascular complications was not significantly different in the group with application of sandbag when compared with the group without application of sandbag. Back pain was reported more often in the patients whose positions were not changed and whose heads of beds were not raised (p < 0.05). Conclusion: Sandbag was not effective in decreasing the incidence of the vascular complications after procedure. To increase the comfort and to decrease the back pain of the patient, the patient's position should be changed and the head of the bed should be raised about 30 or 45 degrees

Stability of blood eosinophilia and neutrophil-to-lymphocyte ratio in COPD

28th International Congress of the European-Respiratory-Society (ERS) -- SEP 15-19, 2018 -- Paris, FRANCEWOS: 000455567107224European Respiratory So

PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

WOS: 000328934700012Introduction: Pulmonary rehabilitation has been shown to improve exercise capacity, health status, anxiety and depression in patients with chronic obstructive pulmonary disease (COPD), but the response in younger and elderly patients has not been fully established. The aim of this study was to investigate the effectiveness of pulmonary rehabilitation in elderly people. Materials and Method: Younger (>= 65 years) and older (>65 years) patients with stable COPD underwent an 8 week outpatient pulmonary rehabilitation procedure twice weekly, along with home exercise training. Dyspnea, incremental shuttle walk distance, health status with St. George's Respiratory Questionnaire, anxiety and depression score were assessed before and after pulmonary rehabilitation. A comparison was made between younger and elderly patients. Results: The study group included 109 patients with COPD. There were 52 patients (mean age 58.96+/-4.63 yrs) in the younger group and 57 patients (mean age 73.58+/-5.75 yrs) in the elderly one. The increase in walking distance in younger patients was 76.86+/-93.18m (p<0.0001) and 34.64+/-60.35m (p<0.0001) in the elderly group after the data was compared to the baseline. In the younger group, the decrease in BORG score was -0.46+/-1.50 (p=0.04) whereas it was -0.12+/-0.96 (p=0.35) among the elderly patients. Although St. George's Respiratory Questionnaire and hospital anxiety-depression score improved significantly after pulmonary rehabilitation in younger patients, the improvement was only on the 'total' score in the elderly. Comparing the mean changes after pulmonary rehabilitation, both age groups showed similar improvements in dyspnea, St. George's Respiratory Questionnaire and hospital anxiety-depression score (p=NS). Only walking distance increased more in the younger ages after pulmonary rehabilitation (p=0.006). Conclusion: Elderly patients with COPD can benefit from pulmonary rehabilitation just as younger patients can and need not be excluded because of age

Hypereosinophilic Syndrome Presenting with Large Left Ventricular Apical Thrombus and Pulmonary Embolism

WOS: 000295971900002PubMed ID: 21854430A 45-year-old man presented with dyspnea on exertion, fatigue, and cough. Transthoracic echocardiography showed a large apical thrombus in the left ventricle. The laboratory results showed prominent eosinophilia on blood smear, elevated acute phase reactants and D-dimer serum levels. Bone marrow examination showed a Fip1-like platelet-derived growth factor receptor alfa fusion gene mutation. The case was diagnosed as myeloproliferative variant hypereosinophilic syndrome. Contrast-enhanced computed tomography demonstrated thrombi not only in left ventricle but also in multiple segmental pulmonary arteries. Cardiac magnetic resonance imaging showed left ventricular apical thrombus without subendocardial fibrosis. Cardiopulmonary manifestations of hypereosinophilic syndrome completely resolved after treatment. (Echocardiography 2011;28:E180-E182

A cross-sectional study in severe COPD patients in the Middle East and Africa (MEA): Methodology and patients' profile

28th International Congress of the European-Respiratory-Society (ERS) -- SEP 15-19, 2018 -- Paris, FRANCEWOS: 000455567107428European Respiratory SocAstraZenecaAstraZenecaSupported by AstraZenec

Pulmonary Rehabilitation Response in Elderly and Younger Patients With COPD

CHEST Annual Meeting -- OCT 22-26, 2016 -- Los Angeles, CAWOS: 000400118602240CHES