Loading [a11y]/accessibility-menu.js
Araştırma Makalesi
BibTex RIS Kaynak Göster

THE EFFECT OF THE PANDEMIC PROCESS ON THE NUMBER OF PATIENT ADMISSIONS, HOSPITALIZATIONS AND REFERRALS IN A SECONDARY EMERGENCY DEPARTMENT

Yıl 2024, Cilt: 38 Sayı: 2, 63 - 71, 28.08.2024
https://doi.org/10.18614/deutip.1427075

Öz

Objective: In December 2019, the respiratory disease caused by a coronavirus group virus, first seen in Wuhan, China, was named "coronavirus disease" (COVID-19). As a result of various decisions taken around the world to keep the disease under control, to provide healthcare services to diseases other than COVID-19, and to protect healthcare personnel from transmission, there have been some disruptions in healthcare service delivery.

Methods: In this study, the daily number of patients admitted to the emergency department of a state hospital during the pandemic period, the number of patients hospitalized and the referred to another hospital were examined. These data were compared with the pre-pandemic and post-pandemic period.
Applications made between January 01, 2019 and December 31, 2022 were examined retrospectively. Monthly data were collected on the number of patients admitted to the emergency department, the number of hospitalized patients and referred to another institution during the four-year period. The effects of the pandemic period on the total number of admissions, referrals and hospitalizations were compared before and after the pandemic.
Although the number of patients admitted to the emergency department decreased significantly during the pandemic period, the total number of patients hospitalized and referred from the emergency department did not decrease at a similar rate

Results: Considering the significant decrease in patient admissions seen with the pandemic, it would be appropriate to examine whether the emergency department is used properly by patients outside the above-mentioned group (without hospitalization or referral) in order to ensure effective and quality health services.

Kaynakça

  • 1. Catal Y and Altintop I. The Effect of the COVID-19 Pandemic on Emergency Room Admissions. Journal of Ankara University Faculty of Medicine, 2022, 75.3.
  • 2. WHO Director-General's opening remarks at the media briefing on COVID-19, 2020, 11 March. 3. Kelly E, Firth Z. The Health Foundation. How Is COVID-19 Changing the Use.
  • 4. Altinbilek E, et al. Analysis of the patients who admitted to a Turkish emergency department during COVID-19 pandemic. Acta Bio Medica: Atenei Parmensis, 2020, 91.4.
  • 5. Cagatay A. Investigation of Case Fatality Rates in Patients Diagnosed with Covid-19 Presenting to the Emergency Department (The Case of a State Hospital in Turkey). Gümüşhane University Journal of Health Sciences, 2022, 11.1: 1-10.
  • 6. Adjemian J, et al. Update: COVID-19 pandemic–associated changes in emergency department visits—United States, December 2020–January 2021. Morbidity and Mortality Weekly Report, 2021, 70.15: 552.
  • 7. Ince F and Yagmur F. The first three weeks of COVID-19 in Turkey. Süleyman Demirel University Journal of Health Sciences, 2020, 11.2: 236-241.
  • 8. Republic of Turkey Minister of Interior (General Directorate of Provincial Administration)’s Coronavirus Circulars. Dated 11.04.2020 and numbered 6884.
  • 9. Alatas OD and Gokcek K. Comparison of patients admitted to the emergency department during the pandemic and pre-pandemic period. Muğla Sıtkı Koçman University Medical Journal, 2021, 8.3: 195-198.
  • 10. Leow SH, et al. The attend study: a retrospective observational study of emergency department attendances during the early stages of the COVID-19 pandemic. Cureus, 2020, 12.7.
  • 11. Yakar S, Baykan N and Ipekten F. The effect of pandemic on emergency room and outpatient clinic applications in Cappadocia region. Kocatepe Medical Journal, 2022, 23.2: 219-222.
  • 12. Mantica G, et al. Non-COVID-19 visits to emergency departments during the pandemic: the impact of fear. Public health, 2020, 183: 40.
  • 13. Garcia S, et al. Reduction in ST-segment elevation cardiac catheterization laboratory activations in the United States during COVID-19 pandemic. Journal of the American College of Cardiology, 2020, 75.22: 2871-2872.
  • 14. Kansagra AP, et al. Collateral effect of Covid-19 on stroke evaluation in the United States. New England Journal of Medicine, 2020, 383.4: 400-401.
  • 15. Gormeli Kurt N and Gunes C. How has Covid‐19 pandemic affected crowded emergency services?. International Journal of Clinical Practice, 2020, 74.12: e13624.
  • 16. Erdem A. Retrospective examination of the effects of the Covid-19 pandemic process on emergency department patient admissions. 2021. PhD Thesis. Bursa Uludag University (Turkey).

İKİNCİ BASAMAK BİR ACİL SERVİSTE PANDEMİ SÜRECİNİN HASTA BAŞVURU SAYILARI İLE YATIŞ VE SEVK DURUMLARINA ETKİSİNİN İNCELENMESİ

Yıl 2024, Cilt: 38 Sayı: 2, 63 - 71, 28.08.2024
https://doi.org/10.18614/deutip.1427075

Öz

Amaç: 2019 yılının aralık ayında ilk olarak Çin’in Wuhan kentinde görülen corona virüs grubu bir virüsün sebep olduğu solunum yolu hastalığına “koronavirüs hastalığı” ismi verildi (COVID-19). Hastalığı kontrol altında tutmak, COVID-19 dışındaki hastalıklara da sağlık hizmeti verebilmek ve aynı zamanda sağlık personelini de bulaştan korumak için dünya genelinde alınan çeşitli kararlar sonucunda sağlık hizmet sunumunda bazı aksaklıklar yaşanmıştır. Bu çalışmada pandemi döneminde bir devlet hastanesinin acil servisine başvuran günlük hasta sayısı, hastaneye yatış yapılan hasta sayısı ve başka bir hastaneye sevk edilen hasta sayısı incelenmiştir. Bu veriler pandemi öncesi ve pandemi sonrası dönem ile kıyaslanmıştır.

Yöntem: 01 Ocak 2019 ile 31 Aralık 2022 tarihleri arasında yapılan başvurular retrospektif olarak incelenmiştir. Bahsedilen dört yıllık periyottaki acil servise başvuran hasta sayıları, hospitalize edilen hasta sayıları ve başka bir kuruma sevk edilen hasta sayıları aylık veriler olarak toplanmıştır. Pandemi döneminin toplam başvuru sayısına, sevk sayısına ve yatış sayısına etkileri; pandemi öncesi ve sonrasına göre karşılaştırılmıştır.

Bulgular: Pandemi döneminde acil servise başvuran hasta sayısı belirgin olarak azalmasına rağmen, acil servisten yatış ve sevk yapılan hasta sayılarının toplamında benzer oranda azalma olmadığı saptanmıştır.

Sonuç: Pandemi ile birlikte görülen hasta başvurusundaki ciddi azalma göz önüne alındığında yukarıda bahsettiğimiz grup dışında kalan (yatış veya sevk yapılmayan) hastalar tarafından acil servisin gerekli kullanılıp kullanılmadığı konusunun irdelenmesi; etkin ve kaliteli sağlık hizmetlerinin sağlanması için uygun olacaktır.

Kaynakça

  • 1. Catal Y and Altintop I. The Effect of the COVID-19 Pandemic on Emergency Room Admissions. Journal of Ankara University Faculty of Medicine, 2022, 75.3.
  • 2. WHO Director-General's opening remarks at the media briefing on COVID-19, 2020, 11 March. 3. Kelly E, Firth Z. The Health Foundation. How Is COVID-19 Changing the Use.
  • 4. Altinbilek E, et al. Analysis of the patients who admitted to a Turkish emergency department during COVID-19 pandemic. Acta Bio Medica: Atenei Parmensis, 2020, 91.4.
  • 5. Cagatay A. Investigation of Case Fatality Rates in Patients Diagnosed with Covid-19 Presenting to the Emergency Department (The Case of a State Hospital in Turkey). Gümüşhane University Journal of Health Sciences, 2022, 11.1: 1-10.
  • 6. Adjemian J, et al. Update: COVID-19 pandemic–associated changes in emergency department visits—United States, December 2020–January 2021. Morbidity and Mortality Weekly Report, 2021, 70.15: 552.
  • 7. Ince F and Yagmur F. The first three weeks of COVID-19 in Turkey. Süleyman Demirel University Journal of Health Sciences, 2020, 11.2: 236-241.
  • 8. Republic of Turkey Minister of Interior (General Directorate of Provincial Administration)’s Coronavirus Circulars. Dated 11.04.2020 and numbered 6884.
  • 9. Alatas OD and Gokcek K. Comparison of patients admitted to the emergency department during the pandemic and pre-pandemic period. Muğla Sıtkı Koçman University Medical Journal, 2021, 8.3: 195-198.
  • 10. Leow SH, et al. The attend study: a retrospective observational study of emergency department attendances during the early stages of the COVID-19 pandemic. Cureus, 2020, 12.7.
  • 11. Yakar S, Baykan N and Ipekten F. The effect of pandemic on emergency room and outpatient clinic applications in Cappadocia region. Kocatepe Medical Journal, 2022, 23.2: 219-222.
  • 12. Mantica G, et al. Non-COVID-19 visits to emergency departments during the pandemic: the impact of fear. Public health, 2020, 183: 40.
  • 13. Garcia S, et al. Reduction in ST-segment elevation cardiac catheterization laboratory activations in the United States during COVID-19 pandemic. Journal of the American College of Cardiology, 2020, 75.22: 2871-2872.
  • 14. Kansagra AP, et al. Collateral effect of Covid-19 on stroke evaluation in the United States. New England Journal of Medicine, 2020, 383.4: 400-401.
  • 15. Gormeli Kurt N and Gunes C. How has Covid‐19 pandemic affected crowded emergency services?. International Journal of Clinical Practice, 2020, 74.12: e13624.
  • 16. Erdem A. Retrospective examination of the effects of the Covid-19 pandemic process on emergency department patient admissions. 2021. PhD Thesis. Bursa Uludag University (Turkey).
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Araştırma Makaleleri
Yazarlar

Yusuf Kantar 0000-0001-8358-5312

Şule Yakar 0000-0002-0885-8445

Melih İmamoğlu 0000-0003-4197-8999

Yayımlanma Tarihi 28 Ağustos 2024
Gönderilme Tarihi 29 Ocak 2024
Kabul Tarihi 13 Haziran 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 38 Sayı: 2

Kaynak Göster

Vancouver Kantar Y, Yakar Ş, İmamoğlu M. THE EFFECT OF THE PANDEMIC PROCESS ON THE NUMBER OF PATIENT ADMISSIONS, HOSPITALIZATIONS AND REFERRALS IN A SECONDARY EMERGENCY DEPARTMENT. DEU Tıp Derg. 2024;38(2):63-71.