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Acil Servise Başvuran Hastaların Sosyodemografik Özellikler, Tanı Kodları ve COVID-19 Tanısı Açısından Değerlendirilmesi

Yıl 2024, Cilt: 8 Sayı: 1, 16 - 21, 29.04.2024

Özlem Tekir Ali Kamil Bayraktar

https://doi.org/10.46332/aemj.1273360

Öz

Amaç: Acil serviste COVID-19 tanısı alan hastaların sosyodemografik özellikleri ve tanı kodları açısından değerlendirilerek COVID-19 pandemisinin acil servis başvurularına ve işleyişine olan etkisini incelemek amaçlandı.

Araçlar ve Yöntem: Retrospektif, tanımlayıcı tipte olan bu çalışma, 1100 yataklı bir hastanenin acil servisinde 11.03.2020-31.03.2021 tarihleri arasında yapıldı.

Bulgular: Acil servis başvuruların yıl içerisindeki dağılımına göre; pandemi polikliniğine kabul edilen hasta sayıları haziran ayında en düşük seviyede, kasım ayında ise en yüksek seviyededir. Aylık başvuru sayılarının yaşa göre dağılımında en çok başvuru 15-29 yaş grubu ile 30-44 yaş gurubunda; en az başvuru ise 0-14 yaş gurubundadır. Hastanede yatarak tedavi edilen COVID-19 tanılı kişi sayıları nisan ve kasım aylarında en yüksek seyiyededir.Toplam başvuruya oranla test sonucu pozitif çıkma oranlarının en yüksek olduğu aylar; ekim (%15.3), ocak (%15.5) ve mart (%17.1) aylardır. Pozitiflik oranının cinsiyet bazlı dağılımında değerler genel olarak birbirine yakın olmakla birlikte 13 aylık ortalama değere bakıldığında kadınlarda ortalama değer %4.40, erkeklerde ortalama değer %4.45’tir.

Sonuç: Çalışmanın sağladığı veriler, COVID-19 pandemisinin acil servis başvurularına ve işleyişine olan etkisini göstermekle beraber; benzer durumlara yönelik olarak, gerekli eğitim, planlama ve organizasyon süreçlerine katkı sağlayacaktır.

Anahtar Kelimeler

acil servis covid-19 retrospektif çalışma tanı triyaj

Kaynakça

  • 1. Çevik C, Tekir Ö. Emergency service admission evaluation of diagnosis codes, triage and socio-demographic. BAUN Health Sci J. 2014;3(2):102-107.
  • 2. Aydın T, Aydın ŞA, Köksal Ö, Özdemir F, Kulaç S, Bulut M. Evaluation of features of patients attending the emergency department of Uludag University Medicine. JAEM. 2010;9:163-168.
  • 3. Söyük S, Kurtuluş SA. The evaluation of the problems’ emergency services from staff perspectives. GUJHS. 2017;6(4):44-56.
  • 4. Köse A, Köse B, Öncü MR, Tuğrul F. Admission appropriateness and profile of the patients attended to a state hospital emergency department. Gaziantep Med J. 2011;17(2):57-62.
  • 5. Türk M, Dursun R, Güloğlu C. Emergency Service, Patient Evaluation and Management During COVID-19. Dicle Med J. 2021;48(Special Issue):23-28.
  • 6. Sanliturk D, Yilmaz A. Evaluation of Covid-19 Triage Assessment Scale in Patients Attending the Emergency Department. J Basic Clin Health Sci. 2022;6(1):55-65.
  • 7. Tokem Y, Turhan S, Çelik GO. Emergency approach strategies in COVID-19 adult patients with definitive and possible diagnosis. IKCUSBFD. 2020;5(2):203-209.
  • 8. Shen Y, Cui Y, Li N, et al. Emergency responses to Covid-19 outbreak: Experiences and lessons from a General Hospital in Nanjing, China. Cardiovasc Intervent Radiol. 2020;43:810–819.
  • 9. Whiteside T, Kane E, Aljohani B, Alsamman M, Pourmand A. Redesigning emergency department operations amidst a viral pandemic. Am. J. Emerg. Med. 2020;38(7):1448-1453.
  • 10. Giamello JD, Abram S, Bernardi S, Lauria G. The emergency department in the COVID-19 era. Who are we missing? Eur J Emergency Med. 2020; 27(4): 305–306.
  • 11. Kunt MM, Karaca MA. COVID 19 pandemic and emergency service triage. Anatolian J Emerg Med. 2020;3(3):96-98.
  • 12. Atilla ÖD, Kılıç TY. Emergency department organization, patient assessment and management processes in COVID-19 Pandemic. J Tepecik Educ Res Hosp. 2020;30(Additional number):183-194.
  • 13. Baugh JJ, White BA, McEvoy D, et al. The cases not seen: Patterns of emergency department visits and procedures in the era of COVID-19. Am. J. Emerg. Med. 2021;46:476-481.
  • 14. Jeffery MM, D’Onofrio G, Paek H, et al. Trends in emergency department visits and hospital admissions in health care systems in 5 States in the first months of the COVID-19 pandemic in the US. JAMA Intern Med. 2020;180(10):1328-1333.
  • 15. Wee LE, Fua T-P, Chua YY, et al. Containing COVID-19 in the emergency department: The role of improved case detection and segregation of suspect cases. AEM. 2020;27(5):379-387.
  • 16. Açıksarı K, Kınık K. Process management and outcomes of the emergency department of a training and research hospital in Turkey during the Coronavirus Disease 2019 pandemic. Anatol Clin. 2020;25(Special Issue 1):263-283.
  • 17. Yüksel A. Evaluation of patient profile presenting to emergency department in terms of diagnostic codes and triage. Anatolian J Emerg Med. 2020;3(2):37-41.
  • 18. Güneysu F, Durmuş E, Yürümez Y. Evaluation of the blood parameters success in predicting the COVID-19 patients applying to the emergency room in the COVID-19 pandemic. Sakarya Med J. 2021;11(3): 479-488.
  • 19. Guneysu F, Yurumez Y, Guclu E, et al. The diagnostic process of COVID-19 in the emergency department: laboratory and ımaging methods. Rev Assoc Med Bras. 2020;66(2):58-64.
  • 20. Şimşek DÖ. General overview of triage scales and determination of factors affecting emergency service applications in Turkey by logistic regression. TSJJ.2018;7(13):84-115.
  • 21. Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E. et al. Latin American Network of Coronavirus Disease 2019-COVID-19 Research (LANCOVID-19) Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis. Travel Med Infect Dis. 2020;34:101623.
  • 22. Jin J-M, Bai P, He W, et al. Gender differences in patients with COVID-19: Focus on severity and mortality. Front Public Health. 2020;29(8):152.
  • 23. Hassanipour S, Arab-Zozani M, Amani B, Heidarzad F, Fathalipour M, Martinez de Hoyo R. The efficacy and safety of Favipiravir in treatment of COVID-19: A systematic review and meta-analysis of clinical trials. Scientific Reports. 2021;11(1):11022.
  • 24. Kayhan Tetik B, Tetik B, Karaoğlan A, Alpağan C, Mete B, Paksoy N. Evaluation of patients admissing emergency care services from the point of view of family medicine. Ankara Med J. 2020;20(2):281-289.
  • 25. Khan MMA, Khan MN, Mustagir MG, Rana J, Islam MS, Kabir MI. Effects of underlying morbidities on the occurrence of deaths in COVID-19 patients: A systematic review and meta-analysis. J Glob Health. 2020;10(2):020503.

Evaluation of Patients Presenting to the Emergency Department in terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis

Yıl 2024, Cilt: 8 Sayı: 1, 16 - 21, 29.04.2024

Özlem Tekir Ali Kamil Bayraktar

https://doi.org/10.46332/aemj.1273360

Öz

Purpose: This study was conducted to evaluate patients diagnosed with COVID-19 in the emergency department in terms of their sociodemographic characteristics and diagnosis codes and to examine the effect of the COVID-19 pandemic on presentations to the emergency department and its functioning.

Materials and Methods: This retrospective, descriptive study was conducted in the emergency department of an 1100-bed hospital between March 11, 2020 and March 31, 2021.

Results: According to the distribution of emergency service admissions during the year, the number of patients admitted to the pandemic outpatient clinic was the lowest in June and the highest in November. Considering the distribution of monthly presentation figures by age, the highest number of admissions were in the 15-29 and 30-44 age groups, and the least number of admissions was in the 0-14 age group. The number of patients diagnosed with COVID-19 was the highest in April and November. The months with the highest rate of positive test results compared to the total admissions were October (15.3%), January (15.5%), and March (17.1%). In the gender-based distribution of the COVID-19 positive cases, the values were generally close to each other; however, when the 13-month average was considered, it was found 4.40% in females and 4.45% in males.

Conclusion: Data provided by our study showed that the effect of the COVID-19 pandemic on emergency service admissions and functioning. Besides, they will contribute to the necessary education, planning, and organization processes for similar situations.

Anahtar Kelimeler

covid-19 diagnosis emergency department retrospective study triage

Kaynakça

  • 1. Çevik C, Tekir Ö. Emergency service admission evaluation of diagnosis codes, triage and socio-demographic. BAUN Health Sci J. 2014;3(2):102-107.
  • 2. Aydın T, Aydın ŞA, Köksal Ö, Özdemir F, Kulaç S, Bulut M. Evaluation of features of patients attending the emergency department of Uludag University Medicine. JAEM. 2010;9:163-168.
  • 3. Söyük S, Kurtuluş SA. The evaluation of the problems’ emergency services from staff perspectives. GUJHS. 2017;6(4):44-56.
  • 4. Köse A, Köse B, Öncü MR, Tuğrul F. Admission appropriateness and profile of the patients attended to a state hospital emergency department. Gaziantep Med J. 2011;17(2):57-62.
  • 5. Türk M, Dursun R, Güloğlu C. Emergency Service, Patient Evaluation and Management During COVID-19. Dicle Med J. 2021;48(Special Issue):23-28.
  • 6. Sanliturk D, Yilmaz A. Evaluation of Covid-19 Triage Assessment Scale in Patients Attending the Emergency Department. J Basic Clin Health Sci. 2022;6(1):55-65.
  • 7. Tokem Y, Turhan S, Çelik GO. Emergency approach strategies in COVID-19 adult patients with definitive and possible diagnosis. IKCUSBFD. 2020;5(2):203-209.
  • 8. Shen Y, Cui Y, Li N, et al. Emergency responses to Covid-19 outbreak: Experiences and lessons from a General Hospital in Nanjing, China. Cardiovasc Intervent Radiol. 2020;43:810–819.
  • 9. Whiteside T, Kane E, Aljohani B, Alsamman M, Pourmand A. Redesigning emergency department operations amidst a viral pandemic. Am. J. Emerg. Med. 2020;38(7):1448-1453.
  • 10. Giamello JD, Abram S, Bernardi S, Lauria G. The emergency department in the COVID-19 era. Who are we missing? Eur J Emergency Med. 2020; 27(4): 305–306.
  • 11. Kunt MM, Karaca MA. COVID 19 pandemic and emergency service triage. Anatolian J Emerg Med. 2020;3(3):96-98.
  • 12. Atilla ÖD, Kılıç TY. Emergency department organization, patient assessment and management processes in COVID-19 Pandemic. J Tepecik Educ Res Hosp. 2020;30(Additional number):183-194.
  • 13. Baugh JJ, White BA, McEvoy D, et al. The cases not seen: Patterns of emergency department visits and procedures in the era of COVID-19. Am. J. Emerg. Med. 2021;46:476-481.
  • 14. Jeffery MM, D’Onofrio G, Paek H, et al. Trends in emergency department visits and hospital admissions in health care systems in 5 States in the first months of the COVID-19 pandemic in the US. JAMA Intern Med. 2020;180(10):1328-1333.
  • 15. Wee LE, Fua T-P, Chua YY, et al. Containing COVID-19 in the emergency department: The role of improved case detection and segregation of suspect cases. AEM. 2020;27(5):379-387.
  • 16. Açıksarı K, Kınık K. Process management and outcomes of the emergency department of a training and research hospital in Turkey during the Coronavirus Disease 2019 pandemic. Anatol Clin. 2020;25(Special Issue 1):263-283.
  • 17. Yüksel A. Evaluation of patient profile presenting to emergency department in terms of diagnostic codes and triage. Anatolian J Emerg Med. 2020;3(2):37-41.
  • 18. Güneysu F, Durmuş E, Yürümez Y. Evaluation of the blood parameters success in predicting the COVID-19 patients applying to the emergency room in the COVID-19 pandemic. Sakarya Med J. 2021;11(3): 479-488.
  • 19. Guneysu F, Yurumez Y, Guclu E, et al. The diagnostic process of COVID-19 in the emergency department: laboratory and ımaging methods. Rev Assoc Med Bras. 2020;66(2):58-64.
  • 20. Şimşek DÖ. General overview of triage scales and determination of factors affecting emergency service applications in Turkey by logistic regression. TSJJ.2018;7(13):84-115.
  • 21. Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E. et al. Latin American Network of Coronavirus Disease 2019-COVID-19 Research (LANCOVID-19) Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis. Travel Med Infect Dis. 2020;34:101623.
  • 22. Jin J-M, Bai P, He W, et al. Gender differences in patients with COVID-19: Focus on severity and mortality. Front Public Health. 2020;29(8):152.
  • 23. Hassanipour S, Arab-Zozani M, Amani B, Heidarzad F, Fathalipour M, Martinez de Hoyo R. The efficacy and safety of Favipiravir in treatment of COVID-19: A systematic review and meta-analysis of clinical trials. Scientific Reports. 2021;11(1):11022.
  • 24. Kayhan Tetik B, Tetik B, Karaoğlan A, Alpağan C, Mete B, Paksoy N. Evaluation of patients admissing emergency care services from the point of view of family medicine. Ankara Med J. 2020;20(2):281-289.
  • 25. Khan MMA, Khan MN, Mustagir MG, Rana J, Islam MS, Kabir MI. Effects of underlying morbidities on the occurrence of deaths in COVID-19 patients: A systematic review and meta-analysis. J Glob Health. 2020;10(2):020503.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Bilimsel Araştırma Makaleleri
Yazarlar

Özlem Tekir 0000-0001-5932-178X

Ali Kamil Bayraktar 0000-0002-6617-587X

Erken Görünüm Tarihi 5 Nisan 2024
Yayımlanma Tarihi 29 Nisan 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 8 Sayı: 1

Kaynak Göster

APA Tekir, Ö., & Bayraktar, A. K. (2024). Evaluation of Patients Presenting to the Emergency Department in terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis. Ahi Evran Medical Journal, 8(1), 16-21. https://doi.org/10.46332/aemj.1273360
AMA Tekir Ö, Bayraktar AK. Evaluation of Patients Presenting to the Emergency Department in terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis. Ahi Evran Med J. Nisan 2024;8(1):16-21. doi:10.46332/aemj.1273360
Chicago Tekir, Özlem, ve Ali Kamil Bayraktar. “Evaluation of Patients Presenting to the Emergency Department in Terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis”. Ahi Evran Medical Journal 8, sy. 1 (Nisan 2024): 16-21. https://doi.org/10.46332/aemj.1273360.
EndNote Tekir Ö, Bayraktar AK (01 Nisan 2024) Evaluation of Patients Presenting to the Emergency Department in terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis. Ahi Evran Medical Journal 8 1 16–21.
IEEE Ö. Tekir ve A. K. Bayraktar, “Evaluation of Patients Presenting to the Emergency Department in terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis”, Ahi Evran Med J, c. 8, sy. 1, ss. 16–21, 2024, doi: 10.46332/aemj.1273360.
ISNAD Tekir, Özlem - Bayraktar, Ali Kamil. “Evaluation of Patients Presenting to the Emergency Department in Terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis”. Ahi Evran Medical Journal 8/1 (Nisan 2024), 16-21. https://doi.org/10.46332/aemj.1273360.
JAMA Tekir Ö, Bayraktar AK. Evaluation of Patients Presenting to the Emergency Department in terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis. Ahi Evran Med J. 2024;8:16–21.
MLA Tekir, Özlem ve Ali Kamil Bayraktar. “Evaluation of Patients Presenting to the Emergency Department in Terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis”. Ahi Evran Medical Journal, c. 8, sy. 1, 2024, ss. 16-21, doi:10.46332/aemj.1273360.
Vancouver Tekir Ö, Bayraktar AK. Evaluation of Patients Presenting to the Emergency Department in terms of Sociodemographic Characteristics, Diagnosis Codes and COVID-19 Diagnosis. Ahi Evran Med J. 2024;8(1):16-21.
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