Disease activity in rheumatoid arthritis as a predictor of difficult intubation?

Basit Öğe Kaydı
dc.contributor.authorAkkurt, B. Cagla Ozbakis
dc.contributor.authorGuler, H.
dc.contributor.authorInanoglu, K.
dc.contributor.authorTurhanoglu, A. Dicle
dc.contributor.authorTurhanoglu, S.
dc.contributor.authorAsfuroglu, Z.
dc.date.accessioned2024-09-18T20:28:09Z
dc.date.available2024-09-18T20:28:09Z
dc.date.issued2008
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground and objectives: Rheumatoid arthritis is a lifelong systemic disease that can affect any Joint with a synovium. Managing intubation in patients with rheumatoid disease is a special challenge in these patients especially if specific joints, which play an important role during intubation, are affected. We aimed to investigate if there was a correlation between the activity and duration of the disease and the commonly used predictors of difficult intubation in rheumatoid arthritis. Methods: Sixty-six patients with the diagnosis of rheumatoid arthritis and 60 control patients were Included in the study. Patient characteristics were recorded. Body mass index, disease activity scores, Mallampati classification, sternomental distance, thyromental distance, inter-incisor distance and atlanto-occipital joint extension were measured for each patient. Every patient was asked to complete the Stanford Health Assessment Questionnaire (HAQ score). Disease activity score (DAS 28 score) including 28 joints was used to assess the activity of the disease. Correlation between the predictors of difficult intubation and activity was assessed and was compared with the control group. Results: Mallampati scores were higher (P = 0.000), sternomental distance (P = 0.005) and inter-incisor distance (P = 0.003) were shorter and also occlusal surface-upper teeth angle (P = 0.000) and mouth corner-tragus line angle were smaller in the rheumatoid arthritis group compared with controls (P = 0.000). We did not observe a correlation between the disease activity scores and the Mallampati score (P = 0.619), sternomental distance (P = 0.195), thyromental distance (P = 0.174), inter-incisor distance (P = 0.764), angle I (P = 0.372) and angle II (P = 0.609). There was no correlation between the HAQ score and the Mallampati score (P = 0.872), sternomental distance (P = 0.455), thyromental distance (P = 0.841), inter-incisor distance (P = 0.162), angle I (P = 0.768) and angle II (P 0.287). There was no correlation between the duration of the disease and the Mallampati score (P = 0.619), sternomental distance (P = 0.505), thyromental distance (P = 0.426), inter-incisor distance (P = 0.813), angle I (P = 0.377) and angle II (P = 0.600). Conclusion: Tests of disease activity and the duration of the disease were not found to be correlated with the predictors of difficult intubation in this study. Thus, performing the predictive tests for difficult intubation especially in patients with very low scores or short disease is recommended.en_US
dc.identifier.doi10.1017/S0265021508004730
dc.identifier.endpage804en_US
dc.identifier.issn0265-0215
dc.identifier.issn1365-2346
dc.identifier.issue10en_US
dc.identifier.pmid18561872en_US
dc.identifier.scopus2-s2.0-51349157120en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage800en_US
dc.identifier.urihttps://doi.org/10.1017/S0265021508004730
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10766
dc.identifier.volume25en_US
dc.identifier.wosWOS:000259713500004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofEuropean Journal of Anaesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectintubation intratrachealen_US
dc.subjectrheumatoid arthritisen_US
dc.titleDisease activity in rheumatoid arthritis as a predictor of difficult intubation?en_US
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Tam Metin / Full Text
Boyut:
77.68 KB
Biçim:
Adobe Portable Document Format
İndir

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu