Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011
Yıl: 2013 Cilt: 4 Sayı: 3 Sayfa Aralığı: 274 - 278 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011
Öz: Amaç: Acil serviste hizmet kalitesini artırabilmek için yapılan tetkik ve tedavi modalitelerinin ölçülebilmesi gerekmektedir. Bu da kapsamlı ve tüm dünyada tanınan bir dokümantasyon ve veri toplama sistemi ile mümkün olmaktadır. Bu çalışmanın amacı bilgisayar tabanlı hasta kayıt sistemi kullanılarak servisimize başvuran hastaların demografik özelliklerinin incelenmesi ve bu veriler ışığında daha kaliteli hizmet şeklini oluşturmaktır.Yöntem: Çalışmamıza Ocak 2011-Aralık 2011 tarihleri arasında servisimize başvuran sisteme kayıtlı 115185 hasta dahil edildi. Hastaların demografik özellikleri, başvuru şikayetleri, triaj dağılımları, ortalama kalış süreleri, konsültasyon oranları, hastaneye başvuru şekilleri, yatış ve taburculuk oranları Uluslararası Hastalık Sınıflandırması-10 (ICD-10) tanı koduna göre sınıflandırıldı.Bulgular: %44,8'i erkek olan hastaların yaş ortalaması 38,70±19,92 yıl idi. Hastaların triaj kategorilerine bakıldığında %5,5'si kırmızı, %53,1'ü sarı, %41,4'sı yeşil başvurulardı. Hastaların 14643'ü (%12,7) 65 yaş üstü kişiler idi. Geliş zamanına göre en çok başvurunun yapıldığı gün pazartesi iken, en sık başvurunun yapıldığı saatler 20:0024:00 arasında idi. Hastaların acil serviste ortalama kalış süresi 47 dakika, konsültasyon oranı %8,5 ve yatış oranı %3,2 idi. Acile başvuran 65 yaş üstü hastaların 1876'sı servislere yatırıldı.Sonuç: Sağlık hizmetlerine sürekli hizmet basamağı sağlayan acil servislerin daha kaliteli hizmet vermesi için, acil servis başvuru kayıtları dijital ve paylaşılabilen sistemlerde saklanmalı ve analizi yapılmalıdır. Bu ulusal standardizasyonu sağlayacak ve uluslar arası konumu belirleyecektir
Anahtar Kelime: Konular:
Bir Devlet hastanesi acil servisi hastalarının demografik özellikleri: 2011 yılı meta analizi
Öz: Objective: The examination and treatment modalities should be measurable for improve the service quality of emergency service. This may be possible with the data collection system which is comprehensive and world-wide known. The aim of this study is to investigate the demographical features of patients who admitted to our service by computer based patient recording system and create a better service quality in the view of these data.Methods: Registered 115,185 patients were included whom admitted to our service between January 2011 and December 2011. The demographic characteristics, symptoms, triage distributions, the average length of stay, consultation rates, hospital admission forms, hospitalization and discharge rates were classified according to the International Classification of Diseases-10 (ICD-10).Results: The mean age of patients was 38.70±19.92 years and 44.8% of the patients were male. Triage categories of the patients in category red, yellow and green 5.5%, 53.1%, 41.4%, respectively. Patients older than 65 years old were 14,643 (12.7%). Most common presentation day was Monday and the time period was between 20 p.m. and 24 p.m. The mean length of emergency service stay was 47 minutes, consultation and admission rates were 8.5% and 3.2%, respectively. 1,876 patients of older than 65 years old were admitted to the services.Conclusions: Emergency service admission registrations should be stored and analyzed by using the digital and sharable systems to serving a better qualified service in emergency services which provides continued service step to health care. This will allow the national standardization and determine the international location. J Clin Exp Invest 2013; 4 (3): 274-278
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Kılıçaslan İ, Bozan H, Oktay C, Göksu E. Türkiye'de Acil Servise Başvuran Hastaların Demografik Özel- likleri. Türkiye Acil Tıp Dergisi 2005;5:5-13.
- Holliman CJ. Designing a new emergency medicine fa- cility. Acil Tıp Dergisi 2001;1:57-60.
- Derlet RW, Kinser D, Ray L, et al. Prospective identifi- cation and triage of nonemergency patients out of an emergency department: A 5-year study. Ann Emerg Med 1995;25:215-223.
- Afilalo M, Guttman A, Colacone A, et al. Emergency de- partment use and misuse. J Emerg Med 1995;13:259- 264.
- Andrulis DP, Kellermann A, Hintz EA, et al. Emergency departments and crowding in United States teaching hospitals. Ann Emerg Med 1991;20:980-986.
- Baker DW, Stevens CD, Brook RH. Patients who leave a public hospital emergency department without being seen by a physician. JAMA 1991;266:1085-1090.
- American College of Emergency Physicians. Hospi- tal and emergency department overcrowding. Ann Emerg Med 1990;19:336.
- Çımrın AH, Karcıoğlu Ö, Atilla R, et al. Acil Servis ve Akademik Acil Tıp. Dokuz Eylül Üniversitesi Acil Tıp Anabilim Dalı, İzmir, 2002;138-139.
- McCaig LF, Burt WC. National Hospital Ambulotory Medical Care Survey: 1999 emergency department summary. Adv Data 2001;320:1-34.
- McCaig LF, Burt WC. National Hospital Ambulotory Medical Care Survey: 2002 emergency department summary. Adv Data 2004;340.
- Joyce SM, Brown DE, Nelson EA. Epidemiology of Pediatric EMS Practice: A Multistate Analysis. Prehos- pital and Disaster Medicine 1996;11:180-187.
- Oktay C, Cete Y, Eray O, et al. Appropriateness of emergency department visits in a Turkish University Hospital. Croatian Medical Journal 2003;44(5):585- 591.
- Gill JM. Non-urgent use of the emergency department: Appropriate or not? Ann Emerg Med 1994;24(5):953- 957.
- Richard Niska, et al. National Hospital Ambulatory Medical Care Survey: 2007 emergency department summary. Adv Data 2010;26:2-21.
- Singal BM, Hedges JR, Rousseau EW, et al. Geriatric patient emergency visits part I: Comparison of visits by geriatric and younger patients. Ann Emerg Med 1992;21:802-807.
- URL: www.acep.org Fact Sheets. Emergency depart- ment waiting times: american college of emergency medicine.
- Lambe S, Washington DL, Fink A, et al. Waiting time in California's emergency departments. Ann Emerg Med 2003;41:35-44.
- Lynn SG, Kellermann AL. Critical decision making: Managing the emergency department in an over- crowded hospital. Ann Emerg Med 1991;20:287-292.
- American College of Emergency Physicians. Mea- sures to deal with emergency department overcrowd- ing. Ann Emerg Med 1990;19:944-945.
- Lowe RA, Goldfarb N, Berlin J, et al. Does access to primary care offices decrease emergency department use. Acad Emerg Med 1996;3:305-308.
| APA | TÜRKDOĞAN K, KAPÇI M, AKPINAR O, DUMAN A, BACAKOĞLU G, TÜRKDOĞAN F, Karabacak M, EREN S, COŞKUN A (2013). Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. , 274 - 278. |
| Chicago | TÜRKDOĞAN Kenan Ahmet,KAPÇI Mücahit,AKPINAR Orhan,DUMAN Ali,BACAKOĞLU Gülçin,TÜRKDOĞAN Figen Tunalı,Karabacak Mustafa,EREN S Hakan,COŞKUN Abuzer Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. (2013): 274 - 278. |
| MLA | TÜRKDOĞAN Kenan Ahmet,KAPÇI Mücahit,AKPINAR Orhan,DUMAN Ali,BACAKOĞLU Gülçin,TÜRKDOĞAN Figen Tunalı,Karabacak Mustafa,EREN S Hakan,COŞKUN Abuzer Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. , 2013, ss.274 - 278. |
| AMA | TÜRKDOĞAN K,KAPÇI M,AKPINAR O,DUMAN A,BACAKOĞLU G,TÜRKDOĞAN F,Karabacak M,EREN S,COŞKUN A Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. . 2013; 274 - 278. |
| Vancouver | TÜRKDOĞAN K,KAPÇI M,AKPINAR O,DUMAN A,BACAKOĞLU G,TÜRKDOĞAN F,Karabacak M,EREN S,COŞKUN A Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. . 2013; 274 - 278. |
| IEEE | TÜRKDOĞAN K,KAPÇI M,AKPINAR O,DUMAN A,BACAKOĞLU G,TÜRKDOĞAN F,Karabacak M,EREN S,COŞKUN A "Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011." , ss.274 - 278, 2013. |
| ISNAD | TÜRKDOĞAN, Kenan Ahmet vd. "Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011". (2013), 274-278. |
| APA | TÜRKDOĞAN K, KAPÇI M, AKPINAR O, DUMAN A, BACAKOĞLU G, TÜRKDOĞAN F, Karabacak M, EREN S, COŞKUN A (2013). Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. Journal of Clinical and Experimental Investigations, 4(3), 274 - 278. |
| Chicago | TÜRKDOĞAN Kenan Ahmet,KAPÇI Mücahit,AKPINAR Orhan,DUMAN Ali,BACAKOĞLU Gülçin,TÜRKDOĞAN Figen Tunalı,Karabacak Mustafa,EREN S Hakan,COŞKUN Abuzer Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. Journal of Clinical and Experimental Investigations 4, no.3 (2013): 274 - 278. |
| MLA | TÜRKDOĞAN Kenan Ahmet,KAPÇI Mücahit,AKPINAR Orhan,DUMAN Ali,BACAKOĞLU Gülçin,TÜRKDOĞAN Figen Tunalı,Karabacak Mustafa,EREN S Hakan,COŞKUN Abuzer Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. Journal of Clinical and Experimental Investigations, vol.4, no.3, 2013, ss.274 - 278. |
| AMA | TÜRKDOĞAN K,KAPÇI M,AKPINAR O,DUMAN A,BACAKOĞLU G,TÜRKDOĞAN F,Karabacak M,EREN S,COŞKUN A Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. Journal of Clinical and Experimental Investigations. 2013; 4(3): 274 - 278. |
| Vancouver | TÜRKDOĞAN K,KAPÇI M,AKPINAR O,DUMAN A,BACAKOĞLU G,TÜRKDOĞAN F,Karabacak M,EREN S,COŞKUN A Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. Journal of Clinical and Experimental Investigations. 2013; 4(3): 274 - 278. |
| IEEE | TÜRKDOĞAN K,KAPÇI M,AKPINAR O,DUMAN A,BACAKOĞLU G,TÜRKDOĞAN F,Karabacak M,EREN S,COŞKUN A "Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011." Journal of Clinical and Experimental Investigations, 4, ss.274 - 278, 2013. |
| ISNAD | TÜRKDOĞAN, Kenan Ahmet vd. "Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011". Journal of Clinical and Experimental Investigations 4/3 (2013), 274-278. |
