Comparison of pre-operative platelet functions by thromboelastogram in patients selective serotonin reuptake inhibitors user and non-user

BACKGROUND: The use of antidepressant drugs, in particular selective serotonin reuptake inhibitors (SSRIs), has increased in recent years. Using SSRIs can cause changes in serotonin metabolism. Serotonin provides platelet aggregation and plays a role in the regulation of vascular tone and coagulation processes. The aim of this study was to evaluate the effects of SSRI use on coagulation functions with thromboelastogram (TEG) in patients undergoing surgical operation and to compare with non-user cases.

METHODS: The study was designed for 60 patients whose physical status was classified according to the American Society of Anes-thesiology (ASA) classification as ASA I-II were included in the study. During routine pre-operative blood tests, 2 ml complete blood sample used and TEG performed. The cases were divided into two groups as SSRI user and non-user and analyzed.

RESULTS: R value was higher in SSRI user patients than in non-user patients. The MA value was significantly lower in SSRI user. There was no statistically significant difference in other parameters. In the evaluation based on duration of SSRI use, there was no statistically significant difference between those whose duration of use was more than 1 year and <1 year.

CONCLUSION: When the coagulation process was evaluated by TEG method, it was seen that the onset of clotting was prolonged and thrombus formation was slowed down in SSRI users. The results did not reveal that SSRI alone was the cause of bleeding, but it was concluded that slowing the process might be important, especially for surgical operations.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES - 28(2022), 3 vom: 17. März, Seite 276-280

Sprache:

Englisch

Weiterer Titel:

Seçici serotonin geri alım inhibitörü kullanan ve kullanmayan hastalarda ameliyat öncesi trombosit fonksiyonlarının tromboelastogram ile karşılaştırılması

Beteiligte Personen:

Yılmaz, Resul [VerfasserIn]
Yusifov, Merve [VerfasserIn]
Hacıbeyoğlu, Gülçin [VerfasserIn]
Arıcan, Şule [VerfasserIn]
Topal, Ahmet [VerfasserIn]

Links:

Volltext

Themen:

333DO1RDJY
Journal Article
Serotonin
Serotonin Uptake Inhibitors

Anmerkungen:

Date Completed 02.05.2022

Date Revised 13.09.2023

published: Print

Citation Status MEDLINE

doi:

10.14744/tjtes.2020.96892

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM340144084