Background/Aims: Although many biomarkers that can predict the need for surgical treatment of patients with intestinal ileus have been investigated, effective, inexpensive, and fast-resulting biomarkers have not been determined. In our study, showing the value of immature granulocyte (IG) and immature granulocyte/total granulocyte (IG/TG) ratio in predicting the need for surgical treatment in patients diagnosed with intestinal ileus in the emergency department was aimed. Methods: Our study was carried out as a prospective cohort between 23.11.2021 and 07.04.2022. Patients aged 18 years and older who applied to the emergency department and were diagnosed with intestinal ileus after clinical, laboratory and radiological evaluation were included in the study. Demographic characteristics, comorbidities, treatments, laboratory tests and IG, IG/TG results of the patients were recorded. The patients were divided into two groups as those who underwent surgical treatment and those who did not, and comparisons were made. p value <0.05 was considered statistically significant. Results: A total of 78 patients were included in the study. 46.2% (n=36) of the patients were female and the median age was 65 years. While surgery was performed in 41% (n=32) of the patients, 59% (n=46) were followed up with medical treatment. IG number and IG/TG ratio were found to be higher in patients who underwent surgical intervention than in those who underwent medical treatment, and these differences were statistically significant (p<0.05). In receiver-operating characteristic (ROC) analysis AUC: 0.658 was found for IG number. With the best cut-off value of 0.03, the sensitivity was found to be 56.3% specificity: 71.7%; and the AUC value for IG/TG: 0.627 (95% CI; 0.500-0.753), and when the best cut-off value was taken as 0.2, the sensitivity for this value was 59.4%, and the specificity was 63%. Conclusion: In this study, in which we examined the IG numbers and IG/TG ratios in patients with intestinal ileus, although we showed that these parameters were higher in patients who needed surgical treatment, upon the analysis done, we believe that it is not a clinically significant marker.

To investigate the relationship between hemoglobin concentration and peripheral perfusion index (PI) in normovolemic, hemodynamically stable patients. This prospective observational study included 90 adult emergency department patients, classified as anemic ( n = 45) and non-anemic ( n = 45) according to World Health Organization criteria. PI was measured using standardized pulse oximetry conditions. Group comparisons were performed using appropriate statistical tests. The association between hemoglobin and PI was evaluated using Spearman correlation. A multivariable linear regression model with log-transformed PI was used to identify independent predictors, adjusting for clinically relevant variables. Model assumptions and influential observations were assessed. PI values were significantly lower in anemic patients compared with non-anemic patients (median 2.1 vs. 3.5, p < 0.001). Hemoglobin concentration showed a moderate positive correlation with PI ( r = 0.425, p < 0.001). In multivariable analysis, hemoglobin remained independently associated with PI (β = 0.306, p = 0.021). The model demonstrated modest explanatory power (adjusted R²=0.069). Sensitivity analysis excluding influential observations yielded consistent findings. Hemoglobin level is independently associated with PI in normovolemic patients. Although PI primarily reflects flow-related peripheral perfusion, hemoglobin contributes to its variability. These findings suggest that anemia and peripheral perfusion are interrelated but distinct physiological parameters that should be considered together in clinical interpretation.

Aim: This study aimed to determine the distribution of hand dominance and to evaluate the relationship between the dominant hand and injury site among patients who presented to emergency service with occupational accident and had isolated hand injury. Material and Methods: This single-center prospective descriptive study included 528 patients who administered to the emergency department due to work accident and were found to have isolated hand injuries between 01.12.2019-01.06.2020. Results: 369 (69.9%) patients had isolated skin cuts while the rest of the patients had more severe accompanying injuries such as neurovascular and tendon injury, fracture, or amputation. The most common mechanism of injury was hand cuts while using a tool (163 cases, 30.9%). The most commonly affected regions in hand were the first and second fingers. In patients with right hemisphere dominant, the dominant use of the hand that is not suitable for the dominant hemisphere was found to be statistically significantly higher than in patients with left hemisphere dominant (38.1% vs 1.7%, p<0.0001). Conclusion: The risk of isolated hand injury due to occupational accidents appears to be greater in left-handed individuals, and hand injury more commonly involves non-dominant hand in left-handed individuals than the right-handed ones.