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COVID-19 pandemisinde ilk kısıtlama dönemi ile birinci normalleşmeye geçiş dönemi arasında üçüncü basamak acil servise başvuran hastaların demografik analizi

Year 2022, Volume: 24 Issue: 3, 548 - 555, 31.12.2022
https://doi.org/10.24938/kutfd.1147140

Abstract

Amaç: COVID-19 virüsü tüm dünyaya yayılarak küresel bir tehdit haline gelmiştir. Ülkeler pandemi veya diğer afetler karşısında çoğu zaman hazırlıksız olup, özellikle başlangıçta organizasyon problemleri yaşamakta ve sağlık sistemi bu durumdan olumsuz etkilenmektedir. Bu çalışmanın amacı, ülkemizde ilk vakanın görüldüğü tarihten, normalleşme sürecinin başladığı ilk güne kadarki süreçte acil servise başvuran hastaları analiz ederek, alınan farklı kısıtlama kararlarının acil hasta karakteristiği üzerine etkilerini araştırmaktır.
Gereç ve yöntemler:Bu çalışma 11.03.2020 ile 01.06.2020 tarihleri arasında Kırıkkale Üniversitesi Tıp Fakültesi Hastanesi acil servisine başvuran hastalar üzerinde retrospektif olarak yapıldı. Bu dönem içerisinde pandemi ile ilgili alınan kritik kısıtlama kararlarına ait tarihler belirlenerek, hastalar başvuru zamanlarına göre dört farklı döneme ayrıldı. Dönem-I: 11 Mart – 21 Mart tarihleri arası, Dönem-II: 21 Mart – 3 Nisan tarihleri arası, Dönem-III: 3 Nisan – 4 Mayıs tarihleri arası ve Dönem-IV: 4 Mayıs – 1 Haziran arası dönemleri kapsıyordu. Tüm hastaların demografik verileri, başvuru şekilleri, konsültasyon istenen birimler, tanıları ve hastaneye yatış durumları kaydedildi. Elde edilen veriler SPSS 22.0 programı ile değerlendirildi ve p<0.05 değeri anlamlı kabul edildi.
Bulgular: Çalışma süresi içinde acil servise 6507 hastanın başvurduğu saptandı. Dönem-I, n=1111; Dönem-II, n=723; Dönem-III, n=2231 ve Dönem-IV, n=2442 hastadan oluşuyordu. Hasta başvuru sayısı 78.39±28.46/gün iken, bunların %8.4’ü ambulansla başvurmuştu. Tüm hastaların %14.9’unu ise Enfeksiyon hastalıkları acilleri oluşturmakta iken, %17.3’ünü travmaydı. Travma hastalarının %36.7’sini basit travmalar oluşturmakta iken, bunu düşmeler ve kesici-delici alet yaralanmaları takip etmekteydi. Dönem-III ve IV’te kesici-delici alet yaralanması, darp ve ateşli silah yaralanması oranı artmıştı. En fazla konsültasyon Kadın hastalıkları ve Doğum kliniğinden istenirken, bunu Dahiliye ve Kardiyoloji takip ediyordu. Tüm hastaların %14.8’i yatırılarak tedavi edildi. Yatış sayısı en fazla Dahiliye kliniğine iken, bunu Kadın hastalıkları ve Doğum ve Kardiyoloji takip ediyordu.
Sonuç: Pandemi süreci ilerledikçe ambulansla yapılan başvuruların oranının artmış, travma olgularını karakteristiği değişmişti. Gebe hastaların hastaneye başvurusu pandemide dahi devam etmişti.

References

  • World Health Organization Novel Coronavirus (2019-nCoV) Situation Report - 51. Accessed date: 2 June 2020: https://apps.who.int/iris/handle/10665/331475.
  • World Health Organization. WHO Coronavirus (COVID-19) Dashboard. Accessed date: 2 June 2020: https://covid19.who.int.
  • Haziran Ayı Normalleşme Tedbirleri Genelgesi. Erişim tarihi: 1 Haziran 2020: https://www.icisleri.gov.tr/haziran-ayi-normallesme-tedbirleri-genelgesi.
  • 81 İl Valiliğine Coronavirüs Tedbirleri Konulu Ek Genelge. Erişim tarihi: 3 Nisan 2022: https://www.icisleri.gov.tr/81-il-valiligine-koronavirus-tedbirleri-konulu-ek-genelge-gonderildi.
  • 65 Yaş ve Üstü ile Kronik Rahatsızlığı Olanlara Sokağa Çıkma Yasağı Genelgesi. Erişim tarihi: 3 Nisan 2022: https://www.icisleri.gov.tr/65-yas-ve-ustu-ile-kronik-rahatsizligi-olanlara-sokaga-cikma-yasagi-genelgesi.
  • Şehir Giriş/Çıkış Tebirleri ve Yaş Sınırlaması. Erişim tarihi: 3 Nisan 2022: https://www.icisleri.gov.tr/sehir-giriscikis-tebirleri-ve-yas-sinirlamasi.
  • 65 Yaş ve Üzeri/20 Yaş Altı/Kronik Rahatsızlığı Bulunan Kişilerin Sokağa Çıkma Kısıtlaması İstisnası Genelgesi. Erişim tarihi: 3 Nisan 2022: https://www.icisleri.gov.tr/65-yas-ve-uzeri20-yas-altikronik-rahatsizligi-bulunan-kisilerin-sokaga-cikma-kisitlamasi-istisnasi-genelgesi.
  • Mahmassani D, Tamim H, Makki M, Hitti E. The impact of COVID-19 lockdown measures on ED visits in Lebanon. Am J Emerg Med. 2021;46:634-9.
  • Wartelle A, Mourad-Chehade F, Yalaoui F, Chrusciel J, Laplanche D, Sanchez S. Effect of the COVID-19 pandemic lockdown on non-COVID-19 emergency department visits in Eastern France: Reduced risk or avoidance behavior? Public Health Pract (Oxf). 2021 Nov;2:100109.
  • Morello F, Bima P, Ferreri E, Chiarlo M, Balzaretti P, Tirabassi G, Petitti P, Aprà F, Vallino D, Carbone G, Pivetta EE, Lupia E. After the first wave and beyond lockdown: long-lasting changes in emergency department visit number, characteristics, diagnoses, and hospital admissions. Intern Emerg Med. 2021;16(6):1683-90.
  • Wongtanasarasin W, Srisawang T, Yothiya W, Phinyo P. Impact of national lockdown towards emergency department visits and admission rates during the COVID-19 pandemic in Thailand: A hospital-based study. Emerg Med Australas. 2021;33(2):316-23.
  • Pandemi sürecinin erken döneminde ambulans hizmetleri ile üniversite hastanesi acil servisine başvuran hastaların tıbbi durum ve demografik özelliklerinin incelenmesi. Erişim tarihi: 20 Mart 2022: https://acikerisim.kku.edu.tr/xmlui/handle/20.500.12587/18041.
  • Christey G, Amey J, Campbell A, Smith A. Variation in volumes and characteristics of trauma patients admitted to a level one trauma centre during national level 4 lockdown for COVID-19 in New Zealand. N Z Med J. 2020;133(1513):81-8.
  • Saladié Ò, Bustamante E, Gutiérrez A. COVID-19 lockdown and reduction of traffic accidents in Tarragona province, Spain. Transp Res Interdiscip Perspect. 2020 Nov;8:100218. DOI: 10.1016/j.trip.2020.100218. PubMed PMID: 34173472. (Epub 2020 Sep 6).
  • Barnes SR, Beland L-P, Huh J, Kim D. The effect of covid-19 lockdown on mobility and traffic accidents: Evidence from Louisiana. GLO Discussion Paper; 2020.
  • Hsu LC, Henke A. COVID-19, staying at home, and domestic violence. Rev Econ Househ. 2021;19(1):145-55.
  • Yeates EO, Grigorian A, Barrios C, Schellenberg M, Owattanapanich N, Barmparas G, et al. Changes in traumatic mechanisms of injury in Southern California related to COVID-19: Penetrating trauma as a second pandemic. J Trauma Acute Care Surg. 2021;90(4):714-21.
  • Bjørnsen LP, Næss-Pleym LE, Dale J, Laugsand LE. Patient visits to an emergency department in anticipation of the COVID-19 pandemic. Tidsskr Nor Laegeforen. 2020 ;140(8). DOI:10.4045/tidsskr.20.0277. PubMed PMID:32463204.
  • Giamello JD, Abram S, Bernardi S, Lauria G. The emergency department in the COVID-19 era. Who are we missing? Eur J Emerg Med. 2020;27(4):305-6.
  • Heppner Z, Shreffler J, Polites A, Ross A, Thomas JJ, Huecker M. COVID-19 and emergency department volume: The patients return but have different characteristics. Am J Emerg Med. 2021;45:385-88.
  • Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al. Impact of the COV Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, Gundlapalli AV; National Syndromic Surveillance Program Community of Practice. Impact of the COVID-19 Pandemic on Emergency Department Visits - United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699-704.
  • Helgeland J, Telle KE, Grøsland M, Huseby BM, Håberg S, Lindman ASE. Admissions to Norwegian Hospitals during the COVID-19 Pandemic. Scand J Public Health. 2021;49(7):681-8.
  • Garcia S, Albaghdadi MS, Meraj PM, Schmidt C, Garberich R, Jaffer FA, et al. Reduction in ST-Segment Elevation Cardiac Catheterization Laboratory Activations in the United States During COVID-19 Pandemic. J Am Coll Cardiol. 2020;75(22):2871-72.
  • Chan KPF, Ma TF, Kwok WC, Leung JKC, Chiang KY, Ho JCM, Lam DCL, Tam TCC, Ip MSM, Ho PL. Significant reduction in hospital admissions for acute exacerbation of chronic obstructive pulmonary disease in Hong Kong during coronavirus disease 2019 pandemic. Respir Med. 2020;171:106085.
  • De Filippo O, D’Ascenzo F, Angelini F, Bocchino PP, Conrotto F, Saglietto A, et al. Reduced Rate of Hospital Admissions for ACS during Covid-19 Outbreak in Northern Italy. New England Journal of Medicine. 2020;383(1):88-9.
  • Alataş ÖD, Gökçek K. Pandemi Döneminde ve Pandemi Öncesi Dönemde Acil Servise Başvuran Hastaların Karşılaştırılması. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi. 2021;8(3):195-8.
  • Türk Kardiyoloji Derneği Uzlaşı Raporu: COVID-19 Pandemisi ve Kardiyovasküler Hastalıklar Konusunda Bilinmesi Gerekenler. Erişim tarihi: 26 Mart 2022: https://www.journalagent.com/tkd/pdfs/TKDA_48_SUP_I50_1_48.pdf.

A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC

Year 2022, Volume: 24 Issue: 3, 548 - 555, 31.12.2022
https://doi.org/10.24938/kutfd.1147140

Abstract

Objective: The COVID-19 virus has become a global threat by spreading all over the world. Countries are often unprepared for pandemics or other disasters, especially in the beginning, they experience organizational problems and the health system is adversely affected by this situation. The aim of this study is to analyze the patients who applied to the emergency department from the date of the first case in our country to the first day of the normalization process and to investigate the effects of different restraint decisions on the emergency patient characteristics.
Material and Methods: This study was carried out retrospectively on patients who applied to the emergency department of Kırıkkale University Medical Faculty Hospital between 11.03.2020 and 01.06.2020. During this period, the dates of the critical restriction decisions regarding the pandemic were determined, and the patients were divided into four different periods according to the time of admission. Period-I: Between 11 March and 21 March, Period-II: Between 21 March and 3 April, Period-III: Between 3 April and 4 May, and Period-IV: Between 4 May and 1 June. Demographic data, application forms, units for which consultation was requested, diagnoses and hospitalization status of all patients were recorded. Obtained data were evaluated with SPSS 22.0 program and p<0.05 value was considered significant.
Results: It was determined that 6507 patients applied to the emergency department during the study period. Period-I, n=1111; Period-II, n=723; Period-III consisted of n=2231 and Period-IV consisted of n=2442 patients. While the number of patient admissions was 78.39±28.46/day, 8.4% of them applied by ambulance. While 14.9% of all patients were infectious diseases emergencies, 17.3% were trauma. While simple traumas constituted 36.7% of the trauma patients, this was followed by falls and stab wounds. In Periods III and IV, the rate of stab wounds, blow and gunshot wounds increased. The highest number of consultations was requested from the Obstetrics and Gynecology clinic, followed by Internal Medicine and Cardiology. 14.8% of all patients were hospitalized and treated. The highest number of hospitalizations was in Internal Medicine, followed by Gynecology and Obstetrics and Cardiology.
Conclusion: As the pandemic process progressed, the rate of admissions by ambulance increased, and the characteristics of trauma cases changed. The application of pregnant patients to the hospital continued even during the pandemic.

References

  • World Health Organization Novel Coronavirus (2019-nCoV) Situation Report - 51. Accessed date: 2 June 2020: https://apps.who.int/iris/handle/10665/331475.
  • World Health Organization. WHO Coronavirus (COVID-19) Dashboard. Accessed date: 2 June 2020: https://covid19.who.int.
  • Haziran Ayı Normalleşme Tedbirleri Genelgesi. Erişim tarihi: 1 Haziran 2020: https://www.icisleri.gov.tr/haziran-ayi-normallesme-tedbirleri-genelgesi.
  • 81 İl Valiliğine Coronavirüs Tedbirleri Konulu Ek Genelge. Erişim tarihi: 3 Nisan 2022: https://www.icisleri.gov.tr/81-il-valiligine-koronavirus-tedbirleri-konulu-ek-genelge-gonderildi.
  • 65 Yaş ve Üstü ile Kronik Rahatsızlığı Olanlara Sokağa Çıkma Yasağı Genelgesi. Erişim tarihi: 3 Nisan 2022: https://www.icisleri.gov.tr/65-yas-ve-ustu-ile-kronik-rahatsizligi-olanlara-sokaga-cikma-yasagi-genelgesi.
  • Şehir Giriş/Çıkış Tebirleri ve Yaş Sınırlaması. Erişim tarihi: 3 Nisan 2022: https://www.icisleri.gov.tr/sehir-giriscikis-tebirleri-ve-yas-sinirlamasi.
  • 65 Yaş ve Üzeri/20 Yaş Altı/Kronik Rahatsızlığı Bulunan Kişilerin Sokağa Çıkma Kısıtlaması İstisnası Genelgesi. Erişim tarihi: 3 Nisan 2022: https://www.icisleri.gov.tr/65-yas-ve-uzeri20-yas-altikronik-rahatsizligi-bulunan-kisilerin-sokaga-cikma-kisitlamasi-istisnasi-genelgesi.
  • Mahmassani D, Tamim H, Makki M, Hitti E. The impact of COVID-19 lockdown measures on ED visits in Lebanon. Am J Emerg Med. 2021;46:634-9.
  • Wartelle A, Mourad-Chehade F, Yalaoui F, Chrusciel J, Laplanche D, Sanchez S. Effect of the COVID-19 pandemic lockdown on non-COVID-19 emergency department visits in Eastern France: Reduced risk or avoidance behavior? Public Health Pract (Oxf). 2021 Nov;2:100109.
  • Morello F, Bima P, Ferreri E, Chiarlo M, Balzaretti P, Tirabassi G, Petitti P, Aprà F, Vallino D, Carbone G, Pivetta EE, Lupia E. After the first wave and beyond lockdown: long-lasting changes in emergency department visit number, characteristics, diagnoses, and hospital admissions. Intern Emerg Med. 2021;16(6):1683-90.
  • Wongtanasarasin W, Srisawang T, Yothiya W, Phinyo P. Impact of national lockdown towards emergency department visits and admission rates during the COVID-19 pandemic in Thailand: A hospital-based study. Emerg Med Australas. 2021;33(2):316-23.
  • Pandemi sürecinin erken döneminde ambulans hizmetleri ile üniversite hastanesi acil servisine başvuran hastaların tıbbi durum ve demografik özelliklerinin incelenmesi. Erişim tarihi: 20 Mart 2022: https://acikerisim.kku.edu.tr/xmlui/handle/20.500.12587/18041.
  • Christey G, Amey J, Campbell A, Smith A. Variation in volumes and characteristics of trauma patients admitted to a level one trauma centre during national level 4 lockdown for COVID-19 in New Zealand. N Z Med J. 2020;133(1513):81-8.
  • Saladié Ò, Bustamante E, Gutiérrez A. COVID-19 lockdown and reduction of traffic accidents in Tarragona province, Spain. Transp Res Interdiscip Perspect. 2020 Nov;8:100218. DOI: 10.1016/j.trip.2020.100218. PubMed PMID: 34173472. (Epub 2020 Sep 6).
  • Barnes SR, Beland L-P, Huh J, Kim D. The effect of covid-19 lockdown on mobility and traffic accidents: Evidence from Louisiana. GLO Discussion Paper; 2020.
  • Hsu LC, Henke A. COVID-19, staying at home, and domestic violence. Rev Econ Househ. 2021;19(1):145-55.
  • Yeates EO, Grigorian A, Barrios C, Schellenberg M, Owattanapanich N, Barmparas G, et al. Changes in traumatic mechanisms of injury in Southern California related to COVID-19: Penetrating trauma as a second pandemic. J Trauma Acute Care Surg. 2021;90(4):714-21.
  • Bjørnsen LP, Næss-Pleym LE, Dale J, Laugsand LE. Patient visits to an emergency department in anticipation of the COVID-19 pandemic. Tidsskr Nor Laegeforen. 2020 ;140(8). DOI:10.4045/tidsskr.20.0277. PubMed PMID:32463204.
  • Giamello JD, Abram S, Bernardi S, Lauria G. The emergency department in the COVID-19 era. Who are we missing? Eur J Emerg Med. 2020;27(4):305-6.
  • Heppner Z, Shreffler J, Polites A, Ross A, Thomas JJ, Huecker M. COVID-19 and emergency department volume: The patients return but have different characteristics. Am J Emerg Med. 2021;45:385-88.
  • Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al. Impact of the COV Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, Gundlapalli AV; National Syndromic Surveillance Program Community of Practice. Impact of the COVID-19 Pandemic on Emergency Department Visits - United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699-704.
  • Helgeland J, Telle KE, Grøsland M, Huseby BM, Håberg S, Lindman ASE. Admissions to Norwegian Hospitals during the COVID-19 Pandemic. Scand J Public Health. 2021;49(7):681-8.
  • Garcia S, Albaghdadi MS, Meraj PM, Schmidt C, Garberich R, Jaffer FA, et al. Reduction in ST-Segment Elevation Cardiac Catheterization Laboratory Activations in the United States During COVID-19 Pandemic. J Am Coll Cardiol. 2020;75(22):2871-72.
  • Chan KPF, Ma TF, Kwok WC, Leung JKC, Chiang KY, Ho JCM, Lam DCL, Tam TCC, Ip MSM, Ho PL. Significant reduction in hospital admissions for acute exacerbation of chronic obstructive pulmonary disease in Hong Kong during coronavirus disease 2019 pandemic. Respir Med. 2020;171:106085.
  • De Filippo O, D’Ascenzo F, Angelini F, Bocchino PP, Conrotto F, Saglietto A, et al. Reduced Rate of Hospital Admissions for ACS during Covid-19 Outbreak in Northern Italy. New England Journal of Medicine. 2020;383(1):88-9.
  • Alataş ÖD, Gökçek K. Pandemi Döneminde ve Pandemi Öncesi Dönemde Acil Servise Başvuran Hastaların Karşılaştırılması. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi. 2021;8(3):195-8.
  • Türk Kardiyoloji Derneği Uzlaşı Raporu: COVID-19 Pandemisi ve Kardiyovasküler Hastalıklar Konusunda Bilinmesi Gerekenler. Erişim tarihi: 26 Mart 2022: https://www.journalagent.com/tkd/pdfs/TKDA_48_SUP_I50_1_48.pdf.
There are 27 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Özgün Araştırma
Authors

Kağan Ünlü 0000-0002-7960-1778

Sinan Oğuzhan Özsan 0000-0002-4809-1023

Ertan Comertpay 0000-0002-8648-5963

Turgut Deniz 0000-0002-4774-4678

Publication Date December 31, 2022
Submission Date July 22, 2022
Published in Issue Year 2022 Volume: 24 Issue: 3

Cite

APA Ünlü, K., Özsan, S. O., Comertpay, E., Deniz, T. (2022). A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 24(3), 548-555. https://doi.org/10.24938/kutfd.1147140
AMA Ünlü K, Özsan SO, Comertpay E, Deniz T. A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC. Kırıkkale Uni Med J. December 2022;24(3):548-555. doi:10.24938/kutfd.1147140
Chicago Ünlü, Kağan, Sinan Oğuzhan Özsan, Ertan Comertpay, and Turgut Deniz. “A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24, no. 3 (December 2022): 548-55. https://doi.org/10.24938/kutfd.1147140.
EndNote Ünlü K, Özsan SO, Comertpay E, Deniz T (December 1, 2022) A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24 3 548–555.
IEEE K. Ünlü, S. O. Özsan, E. Comertpay, and T. Deniz, “A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC”, Kırıkkale Uni Med J, vol. 24, no. 3, pp. 548–555, 2022, doi: 10.24938/kutfd.1147140.
ISNAD Ünlü, Kağan et al. “A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24/3 (December 2022), 548-555. https://doi.org/10.24938/kutfd.1147140.
JAMA Ünlü K, Özsan SO, Comertpay E, Deniz T. A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC. Kırıkkale Uni Med J. 2022;24:548–555.
MLA Ünlü, Kağan et al. “A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, vol. 24, no. 3, 2022, pp. 548-55, doi:10.24938/kutfd.1147140.
Vancouver Ünlü K, Özsan SO, Comertpay E, Deniz T. A DEMOGRAPHIC ANALYSIS OF PATIENTS PRESENTING TO THE TERTIARY EMERGENCY DEPARTMENT BETWEEN THE FIRST RESTRICTION PERIOD AND THE FIRST NORMALIZATION PERIOD IN THE COVID-19 PANDEMIC. Kırıkkale Uni Med J. 2022;24(3):548-55.

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