R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ  OLABİLİR Mİ?

Kayacan Yıldırım; Yazar Hayrullah; Özdin Mehmet

doi:https://dx.doi.org/10.26650/IUITFD.2021.824074

Araştırma Makalesi

DOI :10.26650/IUITFD.2021.824074 IUP :10.26650/IUITFD.2021.824074 Tam Metin (PDF)

R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?

Yıldırım Kayacan, Hayrullah Yazar, Mehmet Özdin

Amaç: Çalışmanın amacı, COVID-19 hastalarında R oranının bir gösterge olup olamayacağını belirlemektir. Gereç ve Yöntem: Tüm hastaların (n=314) ilk kan serumunda alkalin fosfataz (ALP) ve alanin aminotransferaz (ALT) ölçülerek R değerleri belirlendi ve gruplandı. Daha sonra tespit edilen parametreler arasındaki korelasyonlar incelenerek ve farklılıklar cinsiyete göre analiz edildi. Ayrıca hastalar referans aralığın ALT ve ALP üst değerlerine göre karşılaştırıldı. Alfa değeri <0,05 olarak kabul edildi. Bulgular: Tüm hastalarda, ALT ve ALP normal referans aralıklarının oldukça üzerinde tespit edildi (p=0,000). R-değeri oranı, ALT ve ALP ile önemli ölçüde ilişkiliydi (p<0,001). R grupları istatistiksel olarak anlamlı ve yaşla ters orantılıydı (p=0,049). Kadınlarda ≥5 R oranının erkeklere göre daha yüksek olduğu tespit edildi. Sonuç: Bulgularımıza göre COVID-19 tanısı alan hastalarda ölçülen ALT ve ALP normalden çok daha yüksekti. Araştırmamızın bir başka ilginç sonucu da hastalarımızın çoğunda R-oranının ≤2 olarak bulunmasıydı. Akut karaciğer hasarının bir göstergesi olarak kabul edilen R≤2 bulgusu, COVID-19 için bu değerin izlenmesinin önemli bir gösterge olabileceğini düşündürmektedir

Anahtar Kelimeler: SARS-CoV-2, COVID-19, R-Oranı, ALT, ALP

DOI :10.26650/IUITFD.2021.824074 IUP :10.26650/IUITFD.2021.824074 Tam Metin (PDF)

COULD THE R-RATIO BE AN INDICATOR OF ACUTE LIVER INJURY FOR THE TREATMENT OF COVID-19?

Yıldırım Kayacan, Hayrullah Yazar, Mehmet Özdin

Objective: The aim of the study was to determine whether the R-ratio could be an indicator in COVID-19 patients. Material and Method: Alkaline phosphatase (ALP) and alanine aminotransferase (ALT) were measured in the first blood serum of all patients (n=314), and R-values were determined and grouped. Then, the correlations between the detected parameters were examined and the differences were analyzed by gender. Patients were compared according to the ALT and ALP upper values of the reference interval. Alpha value was accepted as <0.05. Results: In all patients, ALT and ALP were detected well above normal reference ranges (p=0.000). The R-value ratio was significantly associated with ALT and ALP (p<0.001). R-groups were statistically significant and inversely proportional to age (p=0.049). It was detected that the R-ratio of ≥5 was higher in women than in men. Conclusion: According to our findings, ALT and ALP measurements in patients diagnosed with COVID-19 were much higher than normal. Another interesting result of our research was that the R-ratio was found to be ≤2 in the majority of our patients. The R≤2 finding, which is accepted as an indicator of acute liver injury, suggested that tracking of this value for COVID-19 could be an important indicator.

Anahtar Kelimeler: SARS-CoV-2, COVID-19, R-Ratio, ALT, ALP

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DIŞA AKTAR

APA

Kayacan, Y., Yazar, H., & Özdin, M. (2021). R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?. İstanbul Tıp Fakültesi Dergisi, 84(3), 311-317. https://doi.org/10.26650/IUITFD.2021.824074

AMA

Kayacan Y, Yazar H, Özdin M. R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?. İstanbul Tıp Fakültesi Dergisi. 2021;84(3):311-317. https://doi.org/10.26650/IUITFD.2021.824074

ABNT

Kayacan, Y.; Yazar, H.; Özdin, M. R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?. İstanbul Tıp Fakültesi Dergisi, [Publisher Location], v. 84, n. 3, p. 311-317, 2021.

Chicago: Author-Date Style

Kayacan, Yıldırım, and Hayrullah Yazar and Mehmet Özdin. 2021. “R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?.” İstanbul Tıp Fakültesi Dergisi 84, no. 3: 311-317. https://doi.org/10.26650/IUITFD.2021.824074

Chicago: Humanities Style

Kayacan, Yıldırım, and Hayrullah Yazar and Mehmet Özdin. “R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?.” İstanbul Tıp Fakültesi Dergisi 84, no. 3 (Dec. 2024): 311-317. https://doi.org/10.26650/IUITFD.2021.824074

Harvard: Australian Style

Kayacan, Y & Yazar, H & Özdin, M 2021, 'R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?', İstanbul Tıp Fakültesi Dergisi, vol. 84, no. 3, pp. 311-317, viewed 23 Dec. 2024, https://doi.org/10.26650/IUITFD.2021.824074

Harvard: Author-Date Style

Kayacan, Y. and Yazar, H. and Özdin, M. (2021) ‘R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?’, İstanbul Tıp Fakültesi Dergisi, 84(3), pp. 311-317. https://doi.org/10.26650/IUITFD.2021.824074 (23 Dec. 2024).

MLA

Kayacan, Yıldırım, and Hayrullah Yazar and Mehmet Özdin. “R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?.” İstanbul Tıp Fakültesi Dergisi, vol. 84, no. 3, 2021, pp. 311-317. [Database Container], https://doi.org/10.26650/IUITFD.2021.824074

Vancouver

Kayacan Y, Yazar H, Özdin M. R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?. İstanbul Tıp Fakültesi Dergisi [Internet]. 23 Dec. 2024 [cited 23 Dec. 2024];84(3):311-317. Available from: https://doi.org/10.26650/IUITFD.2021.824074 doi: 10.26650/IUITFD.2021.824074

ISNAD

Kayacan, Yıldırım - Yazar, Hayrullah - Özdin, Mehmet. “R ORANI, COVID-19 TEDAVİSİNDE AKUT KARACİĞER HASARININ BİR GÖSTERGESİ OLABİLİR Mİ?”. İstanbul Tıp Fakültesi Dergisi 84/3 (Dec. 2024): 311-317. https://doi.org/10.26650/IUITFD.2021.824074

Cilt 84, Sayı 32021, S. 311-317

ZAMAN ÇİZELGESİ

Gönderim	10.11.2020
Kabul	17.02.2021
Çevrimiçi Yayınlanma	02.07.2021

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