COVID-19 Pandemi Döneminde ve Öncesinde Acil Servisten Yatışı Yapılan Hastalar Üzerine Retrospektif Bir Araştırma

Year 2024, , 349 - 362, 20.06.2024

Ahmet Yıldız , Cahit Korku

https://doi.org/10.33715/inonusaglik.1378344

Abstract

Bu çalışmada pandemi öncesinde ve pandemi döneminde acil servise başvurup acil servisten yatışı yapılan hastaların değerlendirilmesi amaçlanmıştır. Araştırma, retrospektif tipte tasarlanmıştır. Pandemi öncesi ve pandemi dönemi birer yıl olmak üzere toplam 2 yıllık süre zarfında bir eğitim araştırma hastanesinin acil servisine başvurmuş olup buradan yatışı yapılan tüm hastalar (32.544 hasta) araştırma kapsamına dahil edilmiştir. Çalışmada, araştırma kapsamına alınan hastaların aylık ortalama başvuru sayıları, yaş, cinsiyet, tanı, taburculuk şekli, ve ölüm oranı değişkenlerine göre pandemi öncesi ve pandemi dönemi karşılaştırmaları yapılmıştır. Pandemi döneminde pandemi öncesi döneme göre tüm aylarda hasta sayılarında azalma olmuştur. Değişim (azalma) oranı %12,6 ile %34 arasındadır. Pandeminin ilk aylarında (Mart, Nisan, Mayıs, Haziran) hasta sayılarındaki azalış oranı %25’in üstünde seyretmiştir. Pandemi döneminde acil servisten yatışı yapılan hastaların yaş ortalaması, ortalama yatış süreleri ve ölüm oranları artmış olup bu değişim istatistiksel olarak anlamlı bulunmuştur (p<0,001). Bulgular, pandemi gibi halk sağlığı krizlerine yönelik stratejilerin geliştirilmesi, hazırlıkların yapılması ve önlemlerin alınması gereğini ortaya koymaktadır

Keywords

Acil servis, COVID-19, Hastaneye yatışlar

A RETROSPECTIVE STUDY ON PATIENTS HOSPITALIZED FROM THE EMERGENCY DEPARTMENT BEFORE AND DURING THE COVID-19 PANDEMIC PERIOD

Abstract

This study aims to evaluate patients hospitalized from the emergency department before and during the pandemic. The research was designed as a retrospective study. All patients (32,544 patients) who came to the emergency department of a training and research hospital for a total duration of two years, consisting of one year before the pandemic and one year during the pandemic, and subsequently required admission, were included in the study. The study compared the monthly average number of admissions, age, gender, diagnosis, discharge status, and mortality rate variables of the patients included. There was a decrease in the number of patients during the pandemic compared to the pre-pandemic period. The rate of change (decrease) ranged from 12.6% to 34%. The decrease in the number of patients in the early months of the pandemic (March, April, May, June) exceeded 25%. The mean age, average length of stay and mortality rates of patients admitted from the emergency department increased during the pandemic, and this change was statistically significant (p<0.001). The findings emphasize the need for developing strategies, preparedness, and taking measures for public health crises like pandemics

Keywords

COVID-19, Emergency department, Hospitalizations

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