An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms

Kutluk, Kursad; Erbil, Bulent; Korkmaz, Tanzer; KARBEK AKARCA, FUNDA; SÖNMEZ, Nesibe; demir, ömer faruk; ERSOY, Gürhan

An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms

Tanzer KORKMAZ, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Bolu, Türkiye)

Gürhan ERSOY, (Dokuz Eylül Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, İzmir, Türkiye)

Kürşad KUTLUK, (Dokuz Eylül Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, İzmir, Türkiye)

Bülent ERBİL, (Hacettepe Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Ankara, Türkiye)

FUNDA KARBEK AKARCA, (Atatürk Eğitim ve Araştırma Hastanesi, İzmir, Türkiye)

Nesibe SÖNMEZ, (Özel Buca Tıp Merkezi, İzmir, Türkiye)

Ömer Faruk DEMİR (Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Ankara, Türkiye)

Türkiye Acil Tıp Dergisi

2 0

Yıl: 2010 Cilt: 10 Sayı: 3 Sayfa Aralığı: 106 - 111 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms

Öz:

Amaç: Yeni geliştirilen tedaviler ve özellikle de riskli trombolitik tedavi seçeneği nedeniyle acil tedavi gerektiren bir hastalıktır. Çalışmamızda amacımız, hastane öncesi gecikme nedenlerinin neler olduklarını ve toplumumuzun inme konusundaki bilinç düzeyini araştırmaktır. Gereç ve Yöntem: Çalışma prospektif olarak Dokuz Eylül Üniversitesi Acil servisine 6 ay süresince 18 yaş üstü nörolojik semptom veya bulgularla başvuran tüm hastaların çalışmaya alınması ile yapıldı. İnme ön tanısı düşünülen hastaların demografik özellikleri ve hastaneye üç saatten geç başvuran hastaların gecikme nedenleri soruldu. Bulgular: Nörolojik semptom veya bulgularla acil servise başvuran 117 hastanın yaş ortalaması 66.7±13.2 (aralık 22-93) olarak bulundu. Bu hastaların başvuru zaman ortalaması 9.5±14.5 saat idi; %44’ünün (n=52) ilk üç saatte hastaneye başvurduğu tespit edildi. Ailesi ile yaşayan (p=0.008), konuşma bozukluğu bulunan (p=0.002) hastaların anlamlı olarak ilk 3 saat içinde hastaneye başvurdukları görüldü. Hastaneye üç saatten uzun sürede başvuran hastaların (n=61) çoğunluğunu semptomların geçmesini bekleyen veya hastaneye gelmek konusunda isteksiz olan hastaların (n=28) oluşturduğu tespit edildi. Sonuç: Toplumun inme semptomları ve risk faktörleri hakkındaki genel bilgi düzeyinin, erken başvuruyu belirleyen en önemli parametre olduğu düşünülür. Ancak, akut inme olguları azımsanmayacak bir oranda ilk 6 saatte acil servise başvurmuşlardır. Bütün bunların ışığında toplumun hastalığı tanıması ve tedavi yaklaşımları ile fiziksel akatlıkların önlenebileceği veya azaltılabileceği konusunda hızlı ve acil olarak eğitilmesi gerekliliği vardır.

Anahtar Kelime:

Konular: Cerrahi

İnme semptom veya bulguları ile acil servise başvuran hastaların başvuru zamanlarını etkileyen hastane öncesi faktörlerin değerlendirilmesi

Öz:

Objective: New drugs to be optimally curative in stroke therapy should be given quickly after the appearence of the symptoms. In this study, we studied the factors regarding the delay of the patients’ admissions to the emergency departments and the knowledge level of the people about the stroke. Methods: A prospective study was designed in a third referral hospital. The adult patients admitting to hospital with neurologic symptoms were recruited in the study. The patients who admit to the hospital in more than 3 hours after the symptoms appear were asked about the reasons of the delay with open ended questions. Results: The mean age of 117 patients that included in the study were 66.7±13.2. Of these patients, 44% (n=52) were admitted in the first three hours. For patients arriving at hospital in the first three hours the demographic analysis were statistically significant for those living with family members (p=0,008) and for those with speech impairment (p=0,002). Of the patients who arrived at the hospital in more than three hours (n=61, 45.9%), most had either waited for the symptoms to disappear or were hesitant about coming to the hospital. Conclusions: The general knowledge level of the people about the symptoms and risk factors of stroke is thought to be the most important parameter concerning the early admittance. However in this study we found that even the knowledge level is insufficient stroke patients have been reported to admit to the emergency department in the first six hours.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Korkmaz T, ERSOY G, Kutluk K, Erbil B, KARBEK AKARCA F, SÖNMEZ N, demir ö (2010). An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. , 106 - 111.
Chicago	Korkmaz Tanzer,ERSOY Gürhan,Kutluk Kursad,Erbil Bulent,KARBEK AKARCA FUNDA,SÖNMEZ Nesibe,demir ömer faruk An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. (2010): 106 - 111.
MLA	Korkmaz Tanzer,ERSOY Gürhan,Kutluk Kursad,Erbil Bulent,KARBEK AKARCA FUNDA,SÖNMEZ Nesibe,demir ömer faruk An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. , 2010, ss.106 - 111.
AMA	Korkmaz T,ERSOY G,Kutluk K,Erbil B,KARBEK AKARCA F,SÖNMEZ N,demir ö An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. . 2010; 106 - 111.
Vancouver	Korkmaz T,ERSOY G,Kutluk K,Erbil B,KARBEK AKARCA F,SÖNMEZ N,demir ö An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. . 2010; 106 - 111.
IEEE	Korkmaz T,ERSOY G,Kutluk K,Erbil B,KARBEK AKARCA F,SÖNMEZ N,demir ö "An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms." , ss.106 - 111, 2010.
ISNAD	Korkmaz, Tanzer vd. "An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms". (2010), 106-111.

APA	Korkmaz T, ERSOY G, Kutluk K, Erbil B, KARBEK AKARCA F, SÖNMEZ N, demir ö (2010). An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. Türkiye Acil Tıp Dergisi, 10(3), 106 - 111.
Chicago	Korkmaz Tanzer,ERSOY Gürhan,Kutluk Kursad,Erbil Bulent,KARBEK AKARCA FUNDA,SÖNMEZ Nesibe,demir ömer faruk An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. Türkiye Acil Tıp Dergisi 10, no.3 (2010): 106 - 111.
MLA	Korkmaz Tanzer,ERSOY Gürhan,Kutluk Kursad,Erbil Bulent,KARBEK AKARCA FUNDA,SÖNMEZ Nesibe,demir ömer faruk An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. Türkiye Acil Tıp Dergisi, vol.10, no.3, 2010, ss.106 - 111.
AMA	Korkmaz T,ERSOY G,Kutluk K,Erbil B,KARBEK AKARCA F,SÖNMEZ N,demir ö An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. Türkiye Acil Tıp Dergisi. 2010; 10(3): 106 - 111.
Vancouver	Korkmaz T,ERSOY G,Kutluk K,Erbil B,KARBEK AKARCA F,SÖNMEZ N,demir ö An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms. Türkiye Acil Tıp Dergisi. 2010; 10(3): 106 - 111.
IEEE	Korkmaz T,ERSOY G,Kutluk K,Erbil B,KARBEK AKARCA F,SÖNMEZ N,demir ö "An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms." Türkiye Acil Tıp Dergisi, 10, ss.106 - 111, 2010.
ISNAD	Korkmaz, Tanzer vd. "An evaluation of pre-admission factors affecting the admission time of patients with stroke symptoms". Türkiye Acil Tıp Dergisi 10/3 (2010), 106-111.