Acil Servise Başvuran ve Psikiyatrik Acil Durum Olarak Değerlendirilen Hastaların Epidemiyolojik İncelenmesi

Year 2024, Volume: 13 Issue: 3, 566 - 571, 25.12.2024

Ramazan Kıyak , Gizem Gizli , Ozlem Koksal

https://doi.org/10.53424/balikesirsbd.1481436

Abstract

Amaç: Günümüzde acil servise (AS) başvuran hastaların %3-12 sine psikiyatrik bir ön tanı konulmaktadır. Bu nedenle AS’ de çalışan hekimler psikiyatrik hastalıkları iyi bilmeli ve doğru tedavi algoritmalarını planlayabilmeleri gerekmektedir. Bu çalışmada acil serviste psikiyatrik ön tanı alan hastaların sosyodemografik, etyolojik, epidemiyolojik durumlarını değerlendirmek amaçlanmıştır. Gereç ve Yöntem: Prospektif olarak 16.10.2015-16.01.2016 tarihleri arasında acil servisde psikiyatrik tanı alan 18 yaş üstü hastalar çalışmaya alınmış. Hastaların demografik bilgileri, başvuru şikayetleri, psikiyatrik/fizik muayene bulguları, tıbbi öyküleri, mevcut tanıları, AS’ de aldıkları ön tanılar, laboratuvar ve radyolojik tetkikleri, hastaneye yatış, taburculuk, mortalite/morbidite gibi sonlanma durumları istatistiksel olarak değerlendirilmiştir. Bulgular: Çalışma kriterlerini karşılayan 727 hasta tespit edilmiş, ancak 500 hasta üzerinden analiz yapılmıştır. Hastaların başvuru sırasındaki bulguları sırasıyla; psikotik bulgularla (%68), depresif bulgular %9,8, suisidal bulgular %7,6 ve manik bulgular %6,6 olarak saptandı. Çalışmada hastaların hastaneye yatışı oranı %12,6 olduğu ve %20,6’sının yatışının ise kendi isteği dışında olduğu saptandı. Sonuç: Çalışmamızda Psikiyatrik acillerde, genç-orta yaş ve kadın olmanın hem AS’lere başvuruda hem de hastaneye yatışta risk faktörü olabileceğini düşündürmektedir. Acil Servislerin yoğunluğu ve iş yükü de göz önünde bulundurularak, hastaların fiziksel sağlık sorunlarıyla ilgilenmesinin yanı sıra hastaların ruh sağlığı ihtiyaçlarını değerlendirmek açısından da kritik bir öneme sahip olduğu görülmektedir.

Keywords

Acil Servisler, Psikiyatrik, Acil Tıp.

Epidemiological Investigation of Patients Admitted to the Emergency Department and Considered as Psychiatric Emergencies

Abstract

Objective: Today, 3-12% of patients presenting to the emergency department (ED) are diagnosed with a preliminary psychiatric diagnosis. Therefore, physicians working in the ED should know psychiatric diseases well and should be able to plan the correct treatment algorithms. In this study, it is aimed to evaluate the sociodemographic, etiological and epidemiological status of patients with a prediagnosis of psychiatric illness in the emergency department. Materials and Methods: Prospectively, patients over 18 years of age who received a psychiatric diagnosis in the emergency department between 16.10.2015-16.01.2016 were included in the study. Demographic information, complaints at presentation, psychiatric/physical examination findings, medical history, current diagnoses, preliminary diagnoses in the ED, laboratory and radiological examinations, hospitalization, discharge, mortality/morbidity were statistically evaluated. Results: There were 727 patients who met the study criteria, but 500 patients were analyzed. Psychotic (68%), depressive (9.8%), suicidal (7.6%) and manic (6.6%) findings at the time of admission were determined respectively. The rate of hospitalization was 12.6% and 20.6% of the patients were hospitalized against their will. Conclusion: Our study suggests that being young-middle-aged and female may be risk factors for both admission to EDs and hospitalization in psychiatric emergencies. Considering the intensity and workload of Emergency Departments, it is seen that they have a critical importance in terms of assessing the mental health needs of patients as well as dealing with the physical health problems of patients

Keywords

Emergency Departments, Psychiatric, Emergency Medicine.

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