Yerli Popülasyon ve Mülteciler Arası Perkütan Nefrolitotomi Sonuçlarının ve Etkileyen Olası Faktörlerin Değerlendirilmesi

Year 2022, , 98 - 103, 29.10.2022

Mesut Berkan Duran , Yalçın Kızılkan , Taha Numan Yıkılmaz , Murat Demiray , Abdulmecit Yavuz , Soner Akcin , Serdar Toksöz

https://doi.org/10.52827/hititmedj.1132890

Abstract

Amaç: Ülkelerindeki mevcut gelişmeler nedeniyle beş milyondan fazla mülteci Türkiye’ye göç etmiştir. Mülteci nüfusundaki dil sorunları, kayıt dışı mülteci sayısının fazlalığı, ekonomik nedenler ve işsizlik kaliteli sağlık hizmeti almalarını zorlaştırmakta ve hastaların daha komplike hastalıklarla hastaneye başvurmasına neden olabilmektedir. Bu çalışmada, perkütan nefrolitotomi (PNL) uygulanan yerel popülasyon ile mülteci hastalar arasındaki cerrahi sonuçlar ve komplikasyonların değerlendirmesi amaçlanmıştır.
Gereç ve Yöntemler: İki farklı sağlık merkezinde 1 Ocak 2018 ile 31 Aralık 2019 tarihleri arasında PNL uygulanan hastalar retrospektif olarak değerlendirildi. Hastalar "Yerel Nüfus" ve "Mülteciler" olarak iki gruba ayrılarak birbirleriyle karşılaştırıldı.
Bulgular: Mülteci nüfusunda taş yükü yerel popülasyona göre önemli ölçüde daha yüksekti (466.8 mm2 & 1107.4 mm2, p<0.01). Floroskopi ve operasyon süresi, nefrostomi tüpünün çıkarılmasına kadar geçen süre ve hastaneye yatış süresi açısından değerlendirildiğinde, yerel popülasyondaki hastalar anlamlı olarak daha düşük değerlere sahipti.
Sonuç: Mülteci hasta grubunda böbrek taşlarının boyutu ve taş yükünün daha fazla olduğu ve başarı oranının anlamlı olarak daha düşük olduğu gözlendi.

Keywords

Mülteci, perkütan nefrolitotomi, taş yükü, ürolitiazis

Evaluation of Percutaneous Nephrolithotomy Results and Their Potential Factors Among Local Population and Refugees

Abstract

Objective: Over five million refugees have been migrated to Turkey due to the current developments there. Language problems, high number of unregistered refugees, economic reasons, and unemployment in the refugee population makes it difficult for them to receive quality health care and may cause patients to apply to the hospital with more complicated diseases. This study aimed to evaluate surgical results and complications between the local population and refugee patients who underwent percutaneous nephrolithotomy (PNL).
Methods: We retrospectively evaluated who underwent PNL in two different healthcare centers between January 1, 2018 and December 31, 2019. The patients were divided into two groups as "Local Population" and "Refugees" and were compared with each other.
Results: The stone burden was significantly higher in refugee population (466.8 mm2 & 1107.4 mm2, p<0.01). On evaluation of time in terms of fluoroscopy, operation, period until the removal of nephrostomy tube, and hospitalization, the patients of local population had significantly lower values.
Conclusion: The size of kidney stones and stone burden were observed to be larger and the success rate was significantly lower in the refugee patient group.

Keywords

Percutaneous nephrolithotomy, refugees, stone burden, urolithiasis

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