Yıl: 2021 Cilt: 13 Sayı: 1 Sayfa Aralığı: 11 - 17 Metin Dili: İngilizce DOI: 10.18521/ktd.767493 İndeks Tarihi: 27-06-2021

Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic

Öz:
Objective: To investigate the emergency department admissions, the general surgery consultation request, and the necessity of immediate treatment of patients even though the society did not leave the house unless necessary during the pandemic period.Methods: The files of patients were retrospectively scanned between March-May 2020, which is the Covid 19 pandemic period, and March-May 2019, as a period in which normal social life continues. Age, gender, complaints, comorbid diseases, the necessity of truly emergency surgical treatment as well as the socioeconomic level scale for each individual were recorded and analyzed.Results: The rate of request for consultation was 2.7% (n = 170) in the pandemic period, and 3.1% (n = 316) in the non-pandemic period. The most common complaints were nausea-abdominal pain-difficulty defecation in both periods. Although individuals without comorbidities are predominant in both periods, the proportion of individuals with comorbid diseases was higher during the pandemic period (p = 0.001). Patients who did not require urgent treatment in both periods were in the majority. In patients requiring urgent treatment, the rate of hospitalized patients was higher during the pandemic period, whereas the rate of operated patients was higher in the non-pandemic period (p = 0.005). The majority of the patients had a low socioeconomic level and a small portion had a moderate socioeconomic level in both periods (p> 0.05).Conclusions: Although there is a significant decrease in the number of emergency department admissions and the number of general surgical consultations requested during the pandemic period, the fact that more than half of the patients who are consulted do not require emergency surgical treatment still shows the unnecessary use of emergency services.
Anahtar Kelime:

Acil Servisten İstenen Genel Cerrahi Konsültasyonları: Pandemi ve Pandemi Dışı Dönemin Analizi

Öz:
Amaç: Pandemi döneminde toplumun gerekmedikçe evden çıkmama durumuna rağmenacil servise yapılan başvurular ve istenen genel cerrahi konsültasyonlarının acil tedavigereksinimi incelemeyi amaçladık. Gereç ve Yöntem: Acil servisine başvuran ve genel cerrahi konsültasyonu istenenhastaların dosyaları Covid 19 pandemi dönemi olan mart-mayıs 2020 ve normal sosyalhayatın devam ettiği bir zaman dilimi olarak seçilen mart-mayıs 2019 tarihleri arasındaretrospektif olarak incelendi. Hastaların yaş, cinsiyet, başvuru şikayeti, mevcut ekhastalıklar, gerçekten acil cerrahi tedavi gerekme durumu ve sosyoekonomik durumlarıkayıt edilerek analiz edildi.Bulgular: Konsültasyon isteme oranı pandemi döneminde %2.7 (n=170) iken pandemidışı dönemde ise %3.1 (n=316) tespit edildi. Hastaların başvuru şikayetleri her ikidönemde de en sık başvuru şikayeti bulantı-karın ağrısı-dışkılama güçlüğü idi. Her ikidönemde de ek hastalığı olmayan bireyler ağırlıklı olmakla birlikte, ek hastalığı olanbireylerin oranı pandemi döneminde daha yüksektir (p=0.001). Acil müdahale gerekenhastalarda ise pandemi döneminde yatırılarak tedavi edilen hasta oranı yüksek ikenpandemi dışı dönemde ise ameliyat edilen hasta oranı daha yüksek tespit edildi(p=0.005). Her iki dönemde hastaların çoğunluğunun düşük ve az bir kısmının da ortasosyoekonomik düzeye sahip olduğu tespit edildi (p>0.05). Sonuç: Her ne kadar pandemi döneminde acil servis başvuru sayısı ve istenen genelcerrahi konsültasyon sayısında belirgin bir azalma olsa da konsültasyon istenenhastaların yarısından fazlasının acil cerrahi tedavi gerektirmemesi acil servislerin halagereksiz kullanımını göstermektedir.
Anahtar Kelime:

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APA Uludağ S, Guzelyuz B, İpekci A, zengin a, OZCELIK M (2021). Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. , 11 - 17. 10.18521/ktd.767493
Chicago Uludağ Server Sezgin,Guzelyuz Betul,İpekci Afşın,zengin abdullah kağan,OZCELIK MEHMET FAIK Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. (2021): 11 - 17. 10.18521/ktd.767493
MLA Uludağ Server Sezgin,Guzelyuz Betul,İpekci Afşın,zengin abdullah kağan,OZCELIK MEHMET FAIK Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. , 2021, ss.11 - 17. 10.18521/ktd.767493
AMA Uludağ S,Guzelyuz B,İpekci A,zengin a,OZCELIK M Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. . 2021; 11 - 17. 10.18521/ktd.767493
Vancouver Uludağ S,Guzelyuz B,İpekci A,zengin a,OZCELIK M Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. . 2021; 11 - 17. 10.18521/ktd.767493
IEEE Uludağ S,Guzelyuz B,İpekci A,zengin a,OZCELIK M "Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic." , ss.11 - 17, 2021. 10.18521/ktd.767493
ISNAD Uludağ, Server Sezgin vd. "Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic". (2021), 11-17. https://doi.org/10.18521/ktd.767493
APA Uludağ S, Guzelyuz B, İpekci A, zengin a, OZCELIK M (2021). Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. KONURALP TIP DERGİSİ, 13(1), 11 - 17. 10.18521/ktd.767493
Chicago Uludağ Server Sezgin,Guzelyuz Betul,İpekci Afşın,zengin abdullah kağan,OZCELIK MEHMET FAIK Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. KONURALP TIP DERGİSİ 13, no.1 (2021): 11 - 17. 10.18521/ktd.767493
MLA Uludağ Server Sezgin,Guzelyuz Betul,İpekci Afşın,zengin abdullah kağan,OZCELIK MEHMET FAIK Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. KONURALP TIP DERGİSİ, vol.13, no.1, 2021, ss.11 - 17. 10.18521/ktd.767493
AMA Uludağ S,Guzelyuz B,İpekci A,zengin a,OZCELIK M Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. KONURALP TIP DERGİSİ. 2021; 13(1): 11 - 17. 10.18521/ktd.767493
Vancouver Uludağ S,Guzelyuz B,İpekci A,zengin a,OZCELIK M Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic. KONURALP TIP DERGİSİ. 2021; 13(1): 11 - 17. 10.18521/ktd.767493
IEEE Uludağ S,Guzelyuz B,İpekci A,zengin a,OZCELIK M "Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic." KONURALP TIP DERGİSİ, 13, ss.11 - 17, 2021. 10.18521/ktd.767493
ISNAD Uludağ, Server Sezgin vd. "Analysis of General Surgical Consultations Requested from the Emergency Department in the Period of Pandemic and Non-Pandemic". KONURALP TIP DERGİSİ 13/1 (2021), 11-17. https://doi.org/10.18521/ktd.767493