Browsing by Author "Kunt, Refik"

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    Comparison of conventional and modern methods in determining ischemic stroke etiology by general and stroke neurologists
    (TUBITAK SCIENTIFIC \& TECHNICAL RESEARCH COUNCIL TURKEY, 2019-01-01) Kunt, Refik; Kutluk, Mustafa Kursad; Tiftikcioglu, Bedile Irem; Afsar, Nazire; Erdemoglu, Ali Kemal; Gedizlioglu, Muhtesem; Ozturk, Vesile
    Background/aim: This study aimed to investigate the consistency between stroke and general neurologists in subtype assignment using the Trial of ORG-10172 in Acute Stroke Treatment (TOAST) and Causative Classification of Stroke (CCS) systems. Materials and methods: Fifty consecutive acute ischemic stroke patients admitted to the stroke unit were recruited. Patients were classified by two stroke and two general neurologists, each from different medical centers, according to TOAST followed by the CCS. Each neurologist was assessed for consistency and compliance in pairs. Concordance among all four neurologists was investigated and evaluated using the kappa (kappa) value. Results: The kappa (kappa) value of diagnostic compliance between stroke neurologists was 0.61 (95\% CI: 0.45-0.77) for TOAST and 0.78 (95\% CI: 0.62-0.94) for CSS-5. The kappa (kappa) value was 0.64 (95\% CI: 0.48-0.80) for TOAST and 0.75 (95\% CI: 0.60-0.91) for CCS-5 for general neurologists. Compliance was moderate {[}kappa: 0.59 (95\% CI: 0.52-0.65)] for TOAST and was strong {[}kappa: 0.75 (95\% CI: 0.68-0.81)] for CCS-5 for all 4 neurologists. `Cardioembolism' (91.04\%) had the highest compliance in both systems. The frequency of the group with `undetermined etiologies' was less in the CCS (26\%) compared to TOAST. Conclusion: The CCS system improved compliance in both stroke and general neurologists compared with TOAST. This suggests that the automatic, evidence-based, easily reproducible CCS system was superior to the TOAST system.
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    Gastrostomy in Hospitalized Patients with Acute Stroke: ``NoroTek'' Turkey Point Prevalence Study Subgroup Analysis
    (GALENOS PUBL HOUSE, 2022-01-01) Topcuoglu, Mehmet Akif; Ozdemir, Atilla Ozcan; Aykac, Ozlem; Milanoglu, Aysel; Gokce, Mustafa; Bavli, Songul; Cabalar, Murat; Yayla, Vildan; Erdogan, Haci Ali; Ozkul, Ayca; Gunes, Aygul; Degirmenci, Bahar; Aluclu, Ufuk; Kozak, Hasan Huseyin; Gungor, Levent; Erdogan, Mucahid; Acar, Zeynep Ozdemir; Cenikli, Utku; Kablan, Yuksel; Yilmaz, Arda; Genc, Hamit; Nazliel, Bijen; Caglayan, Hale Batur; Gencer, Elif Sarionder; Ay, Halil; Demirbas, Hayri; Akdogan, Ozlem; Emre, Ufuk; Yildiz, Ozlem Kayim; Bolayir, Asli; Demir, Turgay; Tanriverdi, Zeynep; Tekan, Ulgen Yalaz; Akpinar, Cetin Kursad; Ozkan, Esra; Ilik, Faik; Sirin, Hadiye; Guler, Ayse; Onder, Halil; Bektas, Hesna; Ocek, Levent; Bakar, Mustafa; Ongun, Nedim; Krespi, Yakup; Isikay, Canan Togay; Aslanbaba, Eda; Sorgun, Mine; Gurkas, Erdem; Karadeli, Hasan Huseyin; Midi, Ipek; Ilgezdi, Irem; Bilgic, Adnan Burak; Akyol, Sener; Epceliden, M. Tuncay; Atmaca, Murat Mert; Kursun, Oguzhan; Keskin, Onur; Sirinocak, Pinar Bekdik; Baydemir, Recep; Akcakoyunlu, Merve; Ozturk, Serefnur; Ozel, Tugba; Unal, Ali; Dora, Babur; Yurekli, Vedat Ali; Arlier, Zulfikar; Eren, Alper; Yilmaz, Ayse; Kisabay, Aysin; Acar, Bilgehan; Bastan, Birgul; Acar, Zeynep; Niflioglu, Buket; Guven, Bulent; Kaya, Dilaver; Afsar, Nazire; Yazici, Duran; Aytac, Emrah; Yaka, Erdem; Toplutas, Eren; Degirmenci, Eylem; Ince, Fatma Birsen; Buyukserbetci, Gulseren; Aydin, Isa; Cetiner, Mustafa; Sen, Mustafa; Turgut, Nilda; Kale, Nilufer; Coban, Eda; Yesilot, Nilufer; Ekizoglu, Esme; Kizek, Ozgu; Birgili, Ozlem; Yevgi, Recep; Kunt, Refik; Giray, Semih; Akkas, Sinem Yazici; Senadim, Songul; Yoldas, Tahir; Asil, Talip; Duman, Taskin; Atasoy, Tugrul; Cinar, Bilge Piri; Demir, Tulin; Can, Ufuk; Unsal, Yaprak Ozum; Eskut, Neslihan; Aslan, Yildiz; Bas, Demet Funda; Sener, Ufuk; Yilmaz, Zahide; Bozdogan, Zehra; Alioglu, Zekeriya; Arsava, Ethem Murat
    Objective: Nutritional status assessment, dysphagia evaluation and enteral feeding decision are important determinants of prognosis in acute neurovascular diseases. Materials and Methods: NoroTek is a point prevalence study conducted with the participation of 87 hospitals spread across all health sub regions of Turkey conducted on 10-May-2018 (World Stroke Awareness Day). A total of 972 hospitalized neurovascular patients {[}female: 53\%, age: 69 +/- 14