Göğüs Ağrısı Nedeniyle Acil Servise Sevk Edilen Hastaların Retrospektif İncelenmesi

Öz

Amaç: Göğüs ağrısı acil servis başvurularında, aile sağlığı merkezlerinde ve hastane öncesi acil sağlık hizmetlerinde en sık görülen semptomlardan biridir. Altta yatan nedenler miyaljiden psikolojik ağrıya, kalp krizinden pnömotoraksa kadar değişebilir. Altta yatan neden atlandığında ciddi mortalite ve morbiditeye neden olur. Bu nedenle göğüs ağrısı ile başvuran hastaların yönetimi oldukça önem kazanmaktadır. Gereç ve Yöntem: Balıkesir Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı'nda yürütülen retrospektif çalışmamıza, dış bir merkezden göğüs ağrısı ön tanısı ile acil servise sevk edilen, dahil etme kriterlerini karşılayan ve 01.01.2020-31.08.2023 tarihleri ​​arasında hastanemize başvuran tüm hastalar dahil edildi. Bulgular: En fazla sevk C-rol grubu hastanelerden yapılmış olup, sevklerin çoğu 00:00-04:00 saatleri arasında olmuştur. Başvuruların hafta içi ve en sık Cuma günleri olduğu gözlenmiştir. Şubat ayında en sık görülen şikayet göğüs ağrısı ve çarpıntıydı. Sevk edilen hastaların çoğunluğunun konsültasyonla hastaneye yatırıldığı ve en sık hastaneye yatışın Şubat ayında olduğu görüldü. En sık hastaneye yatışın kardiyoloji ve koroner yoğun bakımda olduğu görüldü. Sonuç: Elde ettiğimiz verileri analiz ederek acil servislerdeki hizmetlerin etkin kullanımına katkıda bulunmak ve göğüs ağrısıyla sevk edilen hastaların hastane öncesi ve hastane içi yönetimine katkıda bulunmak amaçlandı.

Anahtar Kelimeler

• Acil tıp
• Acil tıbbi hizmetler
• Göğüs ağrısı

Retrospective Investigation of Patients Referred to the Emergency Department with Chest Pain

Öz

Background: Chest pain is one of the most common symptoms in emergency department visits, family health centres and pre-hospital emergency health services. The underlying causes can range from myalgia to psychological pain, heart attack to pneumothorax. If the underlying cause is missed, it results in serious mortality and morbidity. Therefore, the management of patients presenting with chest pain becomes very important. Methods: All patients who were referred to the emergency department with a prediagnosis of chest pain from an external centre, met the inclusion criteria, and admitted to our hospital between 01.01.2020-31.08.2023 were included in our retrospective study conducted at Balıkesir University Faculty of Medicine, Department of Emergency Medicine. Results: The highest number of referrals were from C-role group hospitals and most of the referrals were between 00:00-04:00. It was observed that the applications were more common on weekdays and most common on Fridays. The most common complaint was chest pain and palpitations in February. It was found that the majority of the referred patients were consulted and then hospitalised and the most common hospitalisations were in February. It was observed that the most common hospitalisations were in cardiology and coronary intensive care. Conclusion: By analysing the data we obtained, it was aimed to contribute to the effective use of services in emergency departments and to contribute to the pre-hospital and in-hospital management of patients referred with chest pain.

Anahtar Kelimeler

• Emergency department
• Emergency medical services
• Chest pain

Kaynakça

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