Aksay, Ersin
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Aksay, E.
Aksay, E
Aksay, E
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ersin.aksay@ieu.edu.tr
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09.02. Internal Sciences
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Current Staff
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Sustainable Development Goals
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81
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768
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16
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4
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4
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3
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4 results
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Now showing 1 - 4 of 4
Article Determining the Factors Affecting the Satisfaction of Patient in Sedoanalgesia Due to Distal Radius Fracture in Emergency Department(Galenos Publ House, 2025) Ellidokuz, Hülya; Aksay, Ersin; Oray, Nese Colak; Özgür, Sefer; Güzelce, Mustafa CanIntroduction: Patients with distal radius fractures (DRF) are frequently admitted to the emergency departments (EDs). Reduction with procedural sedation and analgesia (PSA) and followed by plaster/splint are the treatment of choice. We aimed to determine the factors affecting the satisfaction in patients with DRF undergoing PSA. Methods: This prospective, observational, cross-sectional study included 70 patients with DRF. The socio-demographic features, comorbidities, level of satisfaction with PSA procedure, physical factors of the environment, physician and patient satisfaction were evaluated. PSA satisfaction scores “1, 2 and, 3” were grouped as “dissatisfied group” and “4-5” points as “satisfied group” with the Likert scale. Patient satisfaction was compared between the groups according to the satisfaction levels. Results: The median satisfaction level was found 4 (interquartile range 4-5). Their satisfaction with the given information about the PSA procedure and the cleanliness of the area where the procedure was performed was higher in the satisfied group than the dissatisfied group (p=0.014 and p=0.007, respectively). Also, as the level of residents of emergency physicians, the satisfaction of the patients increased (p=0.025). There was no significant difference between the groups in terms of age, gender, educational status, comorbidities, fracture type, additional injury, selected sedo-analgesic drugs, Richmond Agitation Sedation Scale and, complications (p>0.05). Satisfaction was high in all physicians. Conclusion: PSA procedure was satisfactory by a majority and can be performed safely in the ED. The residency period of the physician who performed the PSA, satisfaction with the given information about PSA and the cleanliness of the area were affecting the patient satisfaction.Article An Analysis of Sample Size Calculations in Randomized Control Trials in Emergency Medicine(W B Saunders Co-Elsevier Inc, 2025) Limon, Onder; Dogan, Nurettin Ozgur; Limon, Gulsum; Aksay, ErsinIntroduction: Sample size calculation enhances the quality of randomized clinical trials (RCTs) and, according to the CONSORT statement, should be reported and justified in published articles. This study aimed to evaluate the current quality of sample size calculation reporting in RCTs published in emergency medicine journals. Methods: The Web of Science (WoS) database was used for article retrieval. Journals indexed in WoS, published in English, categorized under "emergency medicine," and ranked in Q1 were included in the search. The sample size calculation method, power value, alpha value, effect size, and consideration of missing data were evaluated. Results: A total of 252 RCTs from 12 emergency medicine journals were included in the study. Only 30% of the articles explicitly stated compliance with CONSORT guidelines. Sample size calculations were reported in 84% of the articles. Alpha values were omitted in 12 % and beta (power) values in 8% of the articles. Effect sizes were not reported in 90 % of the studies. Notably, 11 % of the articles claiming CONSORT compliance did not include a sample size analysis. In the logistic regression analysis, none of the variables showed a statistically significant association with the presence of sample size analysis. Conclusion: Although emergency medicine journals show relatively better adherence to sample size calculation reporting compared to some other disciplines, their overall performance remains suboptimal. The findings highlight ongoing and significant deficiencies in the quality of RCT reporting, indicating that even leading journals in the field fall short of fully meeting recommended standards. (c) 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Article Identifying High-Risk Undifferentiated Emergency Department Patients With Hyperlactatemia: Predictors of 30-Day In-Hospital Mortality(Wolters Kluwer Medknow Publications, 2024) Kacar, Aysen Aydin; Aksay, Ersin; Bayram, Basak; Kiran, Emre; Guldali, Bahar ElifBACKGROUND: Hyperlactatemia has been recognized as a significant prognostic indicator in critically ill patients. Nonetheless, there remains a gap in understanding the specific risk factors contributing to increased mortality among undifferentiated emergency department (ED) patients presenting with elevated lactate levels. OBJECTIVES: The objective of the study is to investigate potential risk factors for 30-day in-hospital mortality in ED patients with hyperlactatemia. METHODS: All nontraumatic adult presentations to the ED who had a lactate level of >= 2.5 mmol/L were included. Comorbidities, vital signs, lactate levels, lactate clearance, lactate normalization, and final diagnosis were compared with 30-day in-hospital mortality. RESULTS: A 30-day in-hospital mortality rate of 10.4% was observed in 979 patients. The mortality rate was higher in hypotensive patients (odds ratio [OR] 4.973), in nursing home patients (OR 5.689), and bedridden patients (OR 3.879). The area under the curve for the second lactate level (0.804) was higher than the first lactate level (0.691), and lactate clearance (0.747) for in-hospital mortality. A second lactate level >3.15 mmol/l had a sensitivity of 81.3% in predicting in-hospital mortality. The OR for mortality was 6.679 in patients without lactate normalization. A higher mortality rate was observed in patients with acute renal failure (OR 4.305), septic shock (OR 4.110), and acute coronary syndrome (OR 2.303). CONCLUSIONS: A second lactate measurement more accurately predicts in-hospital mortality than lactate clearance and the first lactate level in ED patients. Nursing home patients, bed-ridden patients, hypotensive patients on initial ED presentation, patients without lactate normalization, and patients with a final diagnosis of acute renal failure, septic shock, and acute coronary syndrome had a higher mortality rate.Article Nontraumatic Subdural Hemorrhage Due to Arachnoid Cyst Rupture(Wolters Kluwer Medknow Publications, 2026) Erdoğan, H.K.; Aksay, E.; Guzelce, M.C.; Ozgur, S.Arachnoid cysts (ACs) are benign congenital lesions that are often detected incidentally during imaging studies performed for various etiological reasons. These cysts are typically asymptomatic, and in most cases do not require surgical intervention. Although ACs are commonly encountered, they are rarely complicated by intracystic hemorrhage or subdural hematoma. In this report, we present a case of a nontraumatic rupture of an AC, which remained undiagnosed until the age of 52 years. © 2026 Turkish Journal of Emergency Medicine.
