Üst Ekstremite Ekstansör Tendon Kesisi İle Acil Servise Başvuran Hastaların Klinik ve Maliyet Analizinin Değerlendirilmesi

Year 2024, Volume: 14 Issue: 2, 101 - 105, 28.03.2024

Mehmet Burak Yalçın , Kemal Şener

https://doi.org/10.16899/jcm.1442209

Abstract

ÖZET
Amaç
El travması acil servislere sık başvuru nedenleri arasındadır. Bölgesel travmaların yaklaşık % 20'si el yaralanmalarını içermektedir. Genellikle keskin nesnelerin neden olduğu ekstansör tendon kesileri sık karşılaşılan ancak gözden kaçabilen, ciddi morbiditeye yol açabilen yaralanmalardır. Bu çalışma, acil serviste kapsamlı değerlendirme ve yönetimin önemini vurgulamak için üst ekstremitelerdeki ekstansör tendon kesisi vakalarını retrospektif olarak gözden geçirmeyi amaçlamaktadır.
Yöntemler
Ekstansör tendon kesisi nedeniyle acil servise başvuran 114 hasta tek merkezli retrospektif olarak çalışmaya dahil edildi. Hasta demografisi, yaralanma özellikleri, tedavi, komplikasyonlar ve maliyetlere ilişkin veriler toplandı ve analiz edildi. İstatistiksel analiz SPSS 26.0 versiyonu kullanılarak yapıldı.
Bulgular
Hastaların çoğunluğu yetişkin erkekti ve yaralanmaların en yaygın nedeni bıçak gibi keskin nesnelerdi. Ekstansör tendon onarımları ağırlıklı olarak acil serviste yapıldı ve vakaların %14,9'unda komplikasyon görüldü. Ortalama tedavi maliyeti 255,97 dolardı. Ameliyathanede onarım yapma kararını etkileyen faktörler arasında hastanın yaşı, yaralanma özellikleri ve ilişkili yaralanmalar yer alıyordu.
Sonuç
Üst ekstremitedeki ekstansör tendon kesileri acil servislerde önemli bir yük oluşturmaktadır. Bulgularımız, gözden kaçan tanıları önlemek ve hasta sonuçlarını optimize etmek için kapsamlı değerlendirme ve zamanında yönetimin önemini vurgulamaktadır. Acil serviste ekstansör tendon yaralanmalarının onarılması uygun maliyetli ve verimli olabilir, ancak en uygun tedavi ortamının belirlenmesi için hasta ve yaralanma faktörlerinin dikkatli bir şekilde değerlendirilmesi gereklidir.

Keywords

Maliyet analizi, Ekstansör tendon kesisi, Üst ekstremite

Evaluation Of Clinical And Cost Analysis Of Patients Applying To The Emergency Service With Extensor Tendon Incision In The Upper Extremity

Abstract

ABSTRACT
Bacground/Aims:
Hand trauma is common in emergency departments, with approximately 20% of regional traumas involving hand injuries. Extensor tendon lacerations, often caused by sharp objects, are frequently encountered but may be overlooked, leading to significant morbidity. This study aims to retrospectively review cases of extensor tendon lacerations in the upper extremities to highlight the importance of thorough evaluation and management in the emergency department.
Methods:
A single-center retrospective study included 114 patients presenting to the emergency department with extensor tendon lacerations. Data on patient demographics, injury characteristics, treatment, complications, and costs were collected and analyzed. Statistical analysis was performed using SPSS version 26.0.
Results:
The majority of patients were male adults, with sharp objects such as knives being the most common cause of injury. Extensor tendon repairs were predominantly performed in the emergency department, with complications observed in 14.9% of cases. The mean cost of treatment was $255.97. Factors influencing the decision to perform repair in the operating room included patient age, injury characteristics, and associated injuries.
Conclusions:
Extensor tendon lacerations in the upper extremities represent a significant burden in emergency departments. Our findings emphasize the importance of thorough evaluation and timely management to prevent missed diagnoses and optimize patient outcomes. Repairing extensor tendon injuries in the emergency department can be cost-effective and efficient, but careful consideration of patient and injury factors is necessary to determine the most appropriate treatment setting.

Keywords

Extensor Tendon Incısıon, Upper Extremities, Cost Analysis

Ethical Statement

Ethics Committee Approval: Ethics committee approval was obtained from the Clinical Ethics Committee of our 3rd Level Training and Research Hospital (dated 10/08/2021 with the Ethics Committee No. KAEK/2021.05.88), and the study was started. The entire study was conducted in accordance with the Declaration of Helsinki.

Supporting Institution

no

Thanks

We want to thank the Emergency Medicine and Orthopedics Clinics staff of our hospital for their contribution to our study.

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