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ABSTRACT: This study aimed to determine the expected treatment benefits from the patient’s perspective before and after percutaneous
transluminal coronary angioplasty (PTCA). Descriptive study. The sample consisted of 60 patients that underwent PTCA in the
cardiology department of a university hospital in Bolu province in Turkey. The patients were interviewed one hour before the
procedure and a week after discharge from hospital. The proportion of patients that perceived their health as good after the
PTCA was two-fold in comparison to before (48.3%, 88.3%) (P<0.05). The rate of patients taking heart disease seriously decreased by half after PTCA compared to before (40.0%, 83.3%)
(P<0.05). Almost all of the patients had the wrong interpretation of complete recovery from the diseases before and after
PTCA (100.0%, 96.7%) (P>0.05). Expectations of not having chest pain (P>0.05), not having MI (P>0.05), not having fear of death (P<0.05), and not having stress (P>0.05) were lower after PTCA in comparison to before. The expectation of not having chest pain was higher in women (60.9%,
47.8%) (P>0.05), in those not having MI (56.1%, 48.8%) (P>0.05), and in those having chronic diseases (59.0%, 43.6%) (P>0.05) before PTCA compared with after. The majority of the patients had the wrong interpretation regarding their PTCA expectations,
which decreased dramatically after the procedure. Continuing individualized health education programs on angioplasty for patients
and their families will be an important way of dealing with patients’ inaccurate interpretations.
The International Journal of Cardiovascular Imaging 04/2012; 24(6):567-575. · 2.29 Impact Factor
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[show abstract]
[hide abstract]
ABSTRACT: This study aimed to determine the expected treatment benefits from the patient's perspective before and after percutaneous transluminal coronary angioplasty (PTCA). Descriptive study. The sample consisted of 60 patients that underwent PTCA in the cardiology department of a university hospital in Bolu province in Turkey. The patients were interviewed one hour before the procedure and a week after discharge from hospital. The proportion of patients that perceived their health as good after the PTCA was two-fold in comparison to before (48.3%, 88.3%) (P < 0.05). The rate of patients taking heart disease seriously decreased by half after PTCA compared to before (40.0%, 83.3%) (P < 0.05). Almost all of the patients had the wrong interpretation of complete recovery from the diseases before and after PTCA (100.0%, 96.7%) (P > 0.05). Expectations of not having chest pain (P > 0.05), not having MI (P > 0.05), not having fear of death (P < 0.05), and not having stress (P > 0.05) were lower after PTCA in comparison to before. The expectation of not having chest pain was higher in women (60.9%, 47.8%) (P > 0.05), in those not having MI (56.1%, 48.8%) (P > 0.05), and in those having chronic diseases (59.0%, 43.6%) (P > 0.05) before PTCA compared with after. The majority of the patients had the wrong interpretation regarding their PTCA expectations, which decreased dramatically after the procedure. Continuing individualized health education programs on angioplasty for patients and their families will be an important way of dealing with patients' inaccurate interpretations.
The International Journal of Cardiovascular Imaging 08/2008; 24(6):567-75. · 2.29 Impact Factor
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T S Yildiz,
F Korkmaz,
M Solak,
K Toker,
N Erciyes,
F Bayrak,
S Ganidagli,
M Tekin,
M Kizilkaya,
B Karsli,
A Turan, U Ozcan
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ABSTRACT: Preoperative evaluation is important in the detection of patients at risk for difficult airway management. It is still unclear whether true prediction is possible and which variables should be chosen for evaluation. The aim of this prospective, multi-centre study was to investigate the incidence of difficult intubation, the sensitivity and positive predictive values of clinical screening tests and whether combining two or more of these tests will improve the prediction of difficult intubation in Turkish patients.
Seven study sites from six regions in Turkey participated in this study. One thousand six hundred and seventy-four ASA physical status I-III patients, scheduled to undergo elective surgery under general anaesthesia, were included.
The incidence of difficult intubation was 4.8% and increased with age (P < 0.05). The incidence of difficult intubation was significantly higher in patients who had a Mallampati III or IV score, a decreased average thyromental and sternomental distance, decreased mouth opening, or decreased protrusion of the mandible (P < 0.05). Mouth opening and Mallampati III-IV were found to be the most sensitive criteria when used alone (43% and 35%, respectively). Combination of tests did not improve these results.
There is still no individual test or a combination of tests that predict difficult intubations accurately. Tests with higher specificity despite low positive predictive value are needed.
European Journal of Anaesthesiology 12/2007; 24(12):1034-40. · 2.23 Impact Factor
