Araştırma Makalesi
BibTex RIS Kaynak Göster

Acil Serviste En sık Görülen Kronik Hastalıklar: İlk Yedi

Yıl 2019, Cilt: 2 Sayı: 2, 18 - 21, 31.07.2019

Mehmet Mahir Kunt Meltem Akkaş Nalan Metin Aksu Mehmet Ali Karaca

Öz



Amaç: Kronik hastalıklar nedeniyle yapılan başvurular acil servis başvurularında önemli oranını oluşturmaktadır. Bu çalışmada, kronik hastalıklara bağlı Acil Servise Başvuruların (KHAB) değerlendirilmesi amaçlandı.

Materyal ve Metod: Bu retrospektif tanımlayıcı çalışmaya 16 yaşından büyük ve Hacettepe Üniversitesi Tıp Fakültesi Acil Servisi'ne 1 ile 10 Mayıs 2010 tarihleri arasında başvuran hastalar çalışmaya alındı.
Bulgular: Hastaların 161'i (% 52.4) yeni tanı konulan hastalıklara bağlı başvurular (YTHB) grubunda, 146'sı ise (% 47.6) kronik hastalığa ilişkin başvurular (KHAB) grubunda idi. KHAB grubunda, ziyaretçilerin ortanca yaşı 59, YTHB'li hastaların ortanca yaşı 40 idi. En sık KHAB nedenleri: % 3'ünde Serebrovasküler Hastalık (SVH),% 3'ünde Kronik Böbrek Hastalığı (KBH),% 8'inde Diabetes Mellitus (DM), % 11'inde Kronik Obstrüktif Akciğer Hastalığı (KOAH) ve Astım , % 12’sinde Hipertansiyon (HT), % 17'sinde Malignite,% 18'inde İskemik Kalp Hastalığı (IKH), % 9'unda birden fazla kronik hastalık ve % 18'inde diğer kronik hastalıklar mevcuttu. Kritik ve acil durumlar sırasıyla KHAB ve YTHB'nin % 39 ve % 19'unu oluşturmaktaydı.

Sonuç: Kronik hastalıklar nedeniyle acil servislere başvuru oranları günden güne artmaktadır. Ayrıca kronik hastalıklara bağlı başvurularda daha yüksek oranda kritik ve acil müdahale gerektiren hastalıklar bulunmaktadır. Acil tıp eğitimi planlanırken, kronik hastalıkların önemli bir faktör olduğu düşünülmelidir.

Anahtar Kelimeler

Acil Servis Kronik Hastalık Öyküsü Tanı Acil Tıp Eğitimi

Kaynakça

  • 1. Tokars JI, English R, McMurray P, Rhodes B. Summary of data reported to CDC's national automated biosurveillance system, 2008. BMC Med Inform Decis Mak. 2010;10:30.
  • 2. World Health Organization. Facts related to chronic diseases. 2006. 2006 [up-dated 2006; cited 17.1.2016]; Available from: http//www.who.int/dietphysicalactivity/publications/facts/chronic/en/. .
  • 3. Moses H, 3rd, Matheson DH, Dorsey ER, George BP, Sadoff D, Yoshimura S. The anatomy of health care in the United States. JAMA. 2013;310(18):1947-63.
  • 4. Cournane S, Byrne D, O'Riordan D, Silke B. Factors associated with length of stay following an emergency medical admission. Eur J Intern Med. 2015;26(4):237-42.
  • 5. Morabia A, Abel T. The WHO report "Preventing chronic diseases: a vital in-vestment" and us. Soz Praventivmed. 2006;51(2):74.
  • 6. Erkuran MK, Duran A, Ocak T, Citisli V, Kaya H. The impact of the duration of admission to the emergency room on the mortality of intensive care patients. Niger J Clin Pract. 2014;17(3):320-3.
  • 7. FitzGerald G, Jelinek GA, Scott D, Gerdtz MF. Emergency department triage revisited. Emerg Med J. 2010;27(2):86-92.
  • 8. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Sur-vey: 2005 emergency department summary. Adv Data. 2007(386):1-32.
  • 9. Riguzzi C, Hern HG, Vahidnia F, Herring A, Alter H. The July Effect: is emer-gency department length of stay greater at the beginning of the hospital academic year? West J Emerg Med. 2014;15(1):88-93.
  • 10. Waller A, Hakenewerth A, Tintinalli J, Ising A. North Carolina Emergency De-partment data: January 1, 2007-December 31, 2007. N C Med J. 2010;71(1):15-25.
  • 11. Wootton R, Dimmick SL, Kvedar JC. Home telehealth : connecting care within the community. London ; Ashland, OH: Royal Society of Medicine Press; 2006.
  • 12. Chronic disease. [cited 18.1.2016]; Available from: http://www.health.gov.au/internet/main/publishing.nsf/content/chronic-disease.
  • 13. Population ageing. New York: United Nations Department of Economic and Social Development. Population division 2013. [cited 18.1.2016]; Available from: http://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf
  • 14. Yip WL, Fan KL, Lui CT, Leung LP, Ng F, Tsui KL. Utilization of the Accident & Emergency Departments by Chinese elderly in Hong Kong. World J Emerg Med. 2015;6(4):283-8.
  • 15. Pitts SR, Niska RW, Xu J, Burt CW. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Report. 2008(7):1-38.
  • 16. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a sys-tematic review of patterns of use, adverse outcomes, and effectiveness of interven-tions. Ann Emerg Med. 2002;39(3):238-47.
  • 17. Roberts DC, McKay MP, Shaffer A. Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Ann Emerg Med. 2008;51(6):769-74.

The Most Common Chronic Diseases among The Emergency Room Admissions: Top 7

Yıl 2019, Cilt: 2 Sayı: 2, 18 - 21, 31.07.2019

Mehmet Mahir Kunt Meltem Akkaş Nalan Metin Aksu Mehmet Ali Karaca

Öz



Objectives: Admissions due to chronic diseases (CD) constitute the significant number of emergency room (ER) visits. The current study aimed to evaluate chronic disease related to admission (CDRA) to ER.

Material and methods: In this descriptive retrospective study, patients (> 16 years of age) who admitted to Hacettepe University Faculty of Medicine Emergency Department, from May 1st to 10th days, 2010 were enrolled in this study. 

Results: 161 (52.4%) of the patients were in Admissions Related to Newly Diagnosed Disease (ARNDD), remaining 146 (47.6%) patients were in CDRA group. In CDRA group, median age of visitors was 59 year, whereas the median age of the patients with ARNDD was 40 year. Most frequent CDRA causes were: Cerebrovascular Disease (CVD) in 3%, Chronic Kidney Disease (CKD) in 3%, Diabetes Mellitus (DM) in 8%, Chronic Obstructive Pulmonary Disease(COPD) and Asthma in 11%, Hypertension (HT) in 12%, Malignancy in 17%, Ischemic Heart Disease (IHD) in 18%, more than one chronic disease in 9% and other chronic diseases in 18% of the patients. Critical and emergent cases constituted the 39% and 19% of CDRA and ARNDD, respectively.

Conclusions: The rate of admission to emergency rooms due to chronic diseases increases day by day. In addition, there is a higher rate of critical and urgent cases in patients with chronic diseases. When planning emergency medical education, chronic diseases should be considered as an important factor.

Anahtar Kelimeler

Emergency Room History of Chronic Disease Diagnosis Emergency Medicine Education

Kaynakça

  • 1. Tokars JI, English R, McMurray P, Rhodes B. Summary of data reported to CDC's national automated biosurveillance system, 2008. BMC Med Inform Decis Mak. 2010;10:30.
  • 2. World Health Organization. Facts related to chronic diseases. 2006. 2006 [up-dated 2006; cited 17.1.2016]; Available from: http//www.who.int/dietphysicalactivity/publications/facts/chronic/en/. .
  • 3. Moses H, 3rd, Matheson DH, Dorsey ER, George BP, Sadoff D, Yoshimura S. The anatomy of health care in the United States. JAMA. 2013;310(18):1947-63.
  • 4. Cournane S, Byrne D, O'Riordan D, Silke B. Factors associated with length of stay following an emergency medical admission. Eur J Intern Med. 2015;26(4):237-42.
  • 5. Morabia A, Abel T. The WHO report "Preventing chronic diseases: a vital in-vestment" and us. Soz Praventivmed. 2006;51(2):74.
  • 6. Erkuran MK, Duran A, Ocak T, Citisli V, Kaya H. The impact of the duration of admission to the emergency room on the mortality of intensive care patients. Niger J Clin Pract. 2014;17(3):320-3.
  • 7. FitzGerald G, Jelinek GA, Scott D, Gerdtz MF. Emergency department triage revisited. Emerg Med J. 2010;27(2):86-92.
  • 8. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Sur-vey: 2005 emergency department summary. Adv Data. 2007(386):1-32.
  • 9. Riguzzi C, Hern HG, Vahidnia F, Herring A, Alter H. The July Effect: is emer-gency department length of stay greater at the beginning of the hospital academic year? West J Emerg Med. 2014;15(1):88-93.
  • 10. Waller A, Hakenewerth A, Tintinalli J, Ising A. North Carolina Emergency De-partment data: January 1, 2007-December 31, 2007. N C Med J. 2010;71(1):15-25.
  • 11. Wootton R, Dimmick SL, Kvedar JC. Home telehealth : connecting care within the community. London ; Ashland, OH: Royal Society of Medicine Press; 2006.
  • 12. Chronic disease. [cited 18.1.2016]; Available from: http://www.health.gov.au/internet/main/publishing.nsf/content/chronic-disease.
  • 13. Population ageing. New York: United Nations Department of Economic and Social Development. Population division 2013. [cited 18.1.2016]; Available from: http://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf
  • 14. Yip WL, Fan KL, Lui CT, Leung LP, Ng F, Tsui KL. Utilization of the Accident & Emergency Departments by Chinese elderly in Hong Kong. World J Emerg Med. 2015;6(4):283-8.
  • 15. Pitts SR, Niska RW, Xu J, Burt CW. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Report. 2008(7):1-38.
  • 16. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a sys-tematic review of patterns of use, adverse outcomes, and effectiveness of interven-tions. Ann Emerg Med. 2002;39(3):238-47.
  • 17. Roberts DC, McKay MP, Shaffer A. Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Ann Emerg Med. 2008;51(6):769-74.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Orijinal Çalışma
Yazarlar

Mehmet Mahir Kunt 0000-0002-2805-2123

Meltem Akkaş 0000-0003-1582-9631

Nalan Metin Aksu 0000-0003-2256-5187

Mehmet Ali Karaca 0000-0003-0876-2811

Yayımlanma Tarihi 31 Temmuz 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 2 Sayı: 2

Kaynak Göster

AMA Kunt MM, Akkaş M, Metin Aksu N, Karaca MA. The Most Common Chronic Diseases among The Emergency Room Admissions: Top 7. Anatolian J Emerg Med. Temmuz 2019;2(2):18-21.
 Kapak Resmi İndir

ISSN: 2651-4311

İletişim: 

anadoluaciltipdergisi@gmail.com

anatolianjemergmed@gmail.com