Yıl: 2022 Cilt: 12 Sayı: 1 Sayfa Aralığı: 81 - 90 Metin Dili: İngilizce DOI: 10.4274/buchd.galenos.2021.82713 İndeks Tarihi: 25-06-2022

Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience

Öz:
Objective: Pediatric neurology opinion is one of the most frequently requested consultations in emergency service practice. Symptoms and/or signs such as headache, altered consciousness, seizures, and focal neurological deficits are the most common consultation reasons. We aimed to retrospectively evaluate patients who were consulted with the pediatric neurology department in the pediatric emergency service. Method: This is a descriptive cross-sectional study in which the consultation notes of patients who presented to the pediatric emergency service and required a consultation with the pediatric neurology department between June 2016 and November 2019 were analyzed retrospectively. Results: The number of the consulted patients was 1,265. Sixteen patients left the hospital after their parents signed treatment and examination rejection form, 1,249 consultations were included. The most common reasons for consultation were seizure, routine follow-up of patients that receive home mechanical ventilator support, and headache. The rate of emergency neurological pathologies detected in brain computed tomography and magnetic resonance imaging was 1.7%. The most common electroencephalographic abnormality was focal epileptic discharges. Consultation rate requiring emergent intervention was 14.8% and status epilepticus, central nervous system infections, intracranial masses were the most common causes. Conclusion: The most common reason for consultation was seizure. The rate of consultations requiring acute intervention was low. We think that the emergency service admissions of patients that need examination and treatment in the outpatient clinic may harm the routine functioning of the emergency service. Community education for the use of the emergency room only when necessary is essential.
Anahtar Kelime:

Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience

Öz:
Amaç: Pediatrik nöroloji görüşü acil servis pratiğinde en sık istenen konsültasyonlardan biridir. Baş ağrısı, bilinç değişikliği, nöbetler ve fokal nörolojik defisitler gibi semptom ve/veya bulgular en yaygın konsültasyon nedenleridir. Bu çalışmada çocuk acil servisinde çocuk nörolojisi bölümüne konsülte edilen hastaları retrospektif olarak değerlendirmeyi amaçladık. Yöntem: Haziran 2016-Kasım 2019 tarihleri arasında çocuk acil servisine başvuran ve çocuk nörolojisi kliniğine konsülte edilmesi gereken hastaların konsültasyon notlarının retrospektif olarak incelendiği tanımlayıcı kesitsel bir çalışmadır. Bulgular: Konsültasyon yapılan hasta sayısı 1265’ti. On altı hasta, ebeveynleri tedavi ve muayene red formunu imzaladıktan sonra hastaneden ayrıldı, 1249 konsültasyon dahil edildi. En sık konsültasyon nedenleri nöbet, evde mekanik ventilatör desteği alan hastaların rutin takibi ve baş ağrısı idi. Beyin bilgisayarlı tomografisi ve manyetik rezonans görüntülemede tespit edilen acil nörolojik patoloji oranı %1,7’ydi. En yaygın elektroensefalografik anormallik fokal epileptik deşarjlardı. Acil müdahale gerektiren konsültasyon oranı %14,8 olup status epileptikus, merkezi sinir sistemi enfeksiyonları, kafa içi kitleler en sık nedenlerdi. Sonuç: En sık konsültasyon nedeni nöbetti. Akut müdahale gerektiren konsültasyonların oranı düşüktü. Poliklinikte muayene ve tedavi gerektiren hastaların acil servise başvurularının acil servisin rutin işleyişine zarar verebileceğini düşünüyoruz. Acil servisin sadece gerektiğinde kullanımına yönelik toplum eğitimi esastır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Günay Ç, PAKETÇI C, SARIKAYA UZAN G, SOYDEMIR D, Karakaya Ö, Aykol D, Hız A, yiş u (2022). Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. , 81 - 90. 10.4274/buchd.galenos.2021.82713
Chicago Günay Çağatay,PAKETÇI CEM,SARIKAYA UZAN Gamze,SOYDEMIR DIDEM,Karakaya Önder,Aykol Duygu,Hız Ayşe Semra,yiş uluç Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. (2022): 81 - 90. 10.4274/buchd.galenos.2021.82713
MLA Günay Çağatay,PAKETÇI CEM,SARIKAYA UZAN Gamze,SOYDEMIR DIDEM,Karakaya Önder,Aykol Duygu,Hız Ayşe Semra,yiş uluç Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. , 2022, ss.81 - 90. 10.4274/buchd.galenos.2021.82713
AMA Günay Ç,PAKETÇI C,SARIKAYA UZAN G,SOYDEMIR D,Karakaya Ö,Aykol D,Hız A,yiş u Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. . 2022; 81 - 90. 10.4274/buchd.galenos.2021.82713
Vancouver Günay Ç,PAKETÇI C,SARIKAYA UZAN G,SOYDEMIR D,Karakaya Ö,Aykol D,Hız A,yiş u Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. . 2022; 81 - 90. 10.4274/buchd.galenos.2021.82713
IEEE Günay Ç,PAKETÇI C,SARIKAYA UZAN G,SOYDEMIR D,Karakaya Ö,Aykol D,Hız A,yiş u "Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience." , ss.81 - 90, 2022. 10.4274/buchd.galenos.2021.82713
ISNAD Günay, Çağatay vd. "Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience". (2022), 81-90. https://doi.org/10.4274/buchd.galenos.2021.82713
APA Günay Ç, PAKETÇI C, SARIKAYA UZAN G, SOYDEMIR D, Karakaya Ö, Aykol D, Hız A, yiş u (2022). Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 12(1), 81 - 90. 10.4274/buchd.galenos.2021.82713
Chicago Günay Çağatay,PAKETÇI CEM,SARIKAYA UZAN Gamze,SOYDEMIR DIDEM,Karakaya Önder,Aykol Duygu,Hız Ayşe Semra,yiş uluç Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 12, no.1 (2022): 81 - 90. 10.4274/buchd.galenos.2021.82713
MLA Günay Çağatay,PAKETÇI CEM,SARIKAYA UZAN Gamze,SOYDEMIR DIDEM,Karakaya Önder,Aykol Duygu,Hız Ayşe Semra,yiş uluç Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, vol.12, no.1, 2022, ss.81 - 90. 10.4274/buchd.galenos.2021.82713
AMA Günay Ç,PAKETÇI C,SARIKAYA UZAN G,SOYDEMIR D,Karakaya Ö,Aykol D,Hız A,yiş u Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2022; 12(1): 81 - 90. 10.4274/buchd.galenos.2021.82713
Vancouver Günay Ç,PAKETÇI C,SARIKAYA UZAN G,SOYDEMIR D,Karakaya Ö,Aykol D,Hız A,yiş u Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2022; 12(1): 81 - 90. 10.4274/buchd.galenos.2021.82713
IEEE Günay Ç,PAKETÇI C,SARIKAYA UZAN G,SOYDEMIR D,Karakaya Ö,Aykol D,Hız A,yiş u "Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience." İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 12, ss.81 - 90, 2022. 10.4274/buchd.galenos.2021.82713
ISNAD Günay, Çağatay vd. "Evaluation of the Pediatric Neurology Consultations Requested from the Pediatric Emergency Service: A Single-Center Experience". İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 12/1 (2022), 81-90. https://doi.org/10.4274/buchd.galenos.2021.82713