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SCI-Expanded JCR Q3 Özgün Makale Scopus
Early assessment of extremity compartment syndrome by biochemical markers in a rat model
TURKISH JOURNAL OF MEDICAL SCIENCES 2023 Cilt 53 Sayı 1
Scopus Eşleşmesi Bulundu
1
Atıf
53
Cilt
1-9
Sayfa
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Açık Erişim
Scopus Yazarları: Ahmet Yıldırım, Ozkan Onal, Zeliha Esin Celik, Hüsamettin Vatansev, Esra Paydas Hataysal
Özet
Background/aim: This experimental study aimed to define a biochemical marker that will enable early diagnosis of acute compartment syndrome (ACS) of extremities, a mortal condition that occurs due to trauma. Materials and methods: A total of 15 Wistar rats were included in the study in which saline infusion technique, a clinically compatible ACS model, was applied. After the rats were anesthetized with ketamine-xylazine, the in-compartment pressure of the hind limb was slowly increased with saline delivered through the angiocatheter, and after reaching the target compartment pressure, the pressure level was kept with a rubber tourniquet. The in-compartment pressure level was continuously monitored with a pressure transducer. The rats were divided into three groups. No intervention was applied to the control group (CG) (n = 3). In study group 1 (SG1) (n = 6), ACS was created using the saline infusion technique, keeping the in-compartment pressure between 30 and 40 mmHg for 45 min. In study group 2 (SG2) (n = 6), ACS was created using the saline infusion technique, keeping the in-compartment pressure between 30 and 40 mmHg for 90 min. Fasciotomy was performed on all rats. Tissue samples were obtained for histopathological examination and blood samples for biochemical analysis. Results: Total oxidant status (TOS) (p = 0.004), ischemia-modified albumin (IMA) (p = 0.030), aspartate transferase (AST) (p = 0.003) and neopterin (p = 0.012) levels differed significantly between groups in the early period of muscle ischemia. In fact, TOS levels differed significantly between the groups even in the cellular phase where signs of ischemia were not observed (p = 0.048, p = 0.024). According to histopathological evaluation, there was no significant difference between the groups. Conclusion: TOS can be detected in the early reversible stage of ischemia, when the histopathological findings of ACS do not occur.
Anahtar Kelimeler (Scopus)
trauma biochemical markers Compartment syndrome diagnostic techniques ischemia neopterin

Anahtar Kelimeler

Compartment syndrome ischemia biochemical markers neopterin diagnostic techniques trauma

Makale Bilgileri

Dergi TURKISH JOURNAL OF MEDICAL SCIENCES
ISSN 1300-0144
Yıl 2023 / 1. ay
Cilt / Sayı 53 / 1
Sayfalar 1 – 9
Makale Türü Özgün Makale
Hakemlik Hakemli
Endeks SCI-Expanded
JCR Quartile Q3
TEŞV Puanı 18,00
Yayın Dili Türkçe
Kapsam Uluslararası
Toplam Yazar 5 kişi
Erişim Türü Elektronik
Erişim Linki Makaleye Git
Alan Sağlık Bilimleri Temel Alanı Tıbbi Biyokimya Compartment syndrome, ischemia, biochemical markers, neopterin, diagnostic techniques, trauma

YÖKSİS Yazar Kaydı

Yazar Adı YILDIRIM AHMET, ÖNAL İBRAHİM ÖZKAN, ÇELİK ZELİHA ESİN, VATANSEV HÜSAMETTİN, PAYDAŞ HATAYSAL ESRA
YÖKSİS ID 7664712

Metrikler

Scopus Atıf 1
JCR Quartile Q3
TEŞV Puanı 18,00
Yazar Sayısı 5