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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


    Annals of Medical Research indexed in

  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is It is published monthly.

Editor-in-Chief
Cuneyt Kayaalp

 

Pattern of coagulation in pediatric and adult multiple trauma patients (p. 1744-50)

Pattern of coagulation in pediatric and adult multiple trauma patients (p. 1744-50)

Yusuf Kenan Tekin1, Neslihan Yucel2
1Cumhuriyet University, Medical of Medicine, Department of Emergency Medicine, Sivas, Turkey
2Inonu University, Medical of Medicine, Department of Emergency Medicine, Malatya, Turkey

Abstract

Aim: Aim of this study was evaluated changes in coagulation parameters in adult and pediatric multiple trauma patients.
Material and Methods: A prospective observational study was conducted of adult and pediatric patients with blunt multiple trauma. The platelet count, prothrombin time (PT), international normalized ratio (INR), activated partial thromboplastin time (aPTT), fibrinogen, D-dimer, tissue factor (TF), factor VII and factor X were evaluated.
Results: For our pediatric trauma patients, platelet count, factor VII and factor X were inversely related to the APACHE II score, whereas aPTT, D-dimer and INR and APACHE II scores were positively correlated. Furthermore, we found that aPTT, D-dimer, INR and TF in adults positively correlated with the APACHE II score. We also found that factor X, aPTT, and platelet count were strongly associated with adverse outcomes in pediatric trauma patients, and remained independently associated in the multivariate analysis.
Conclusion: TF and INR are strongly associated with adverse outcomes after multiple traumas in adults. However, in pediatric patients, platelet count, aPTT, TF and factor X are associated with adverse outcomes. Therefore, early assessment of TF and INR in adult trauma patients, and platelet count, aPTT, TF and factor X in pediatric trauma patients, may significantly improve the accuracy of assessments of the severity of traumatic injuries.

Keywords: Coagulopathy; clotting factors; posttraumatic coagulopathy; trauma.

 

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doi: 10.5455/annalsmedres.2019.03.156

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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