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Acil Servise Başvuran Adli Vakaların COVID-19 Pandemisindeki Değişimi

Year 2021, Volume: 13 Issue: 1, 108 - 113, 11.03.2021
https://doi.org/10.18521/ktd.863957

Abstract

Amaç: Bu çalışmada, tüm dünyada insanların tamamını birçok yönden olumsuz etkileyen COVID-19 pandemisinin acil servise başvuran adli vakaların pandemi öncesine göre gösterdiği değişimi saptamak amaçlanmıştır.

Metod: Bu çalışma tek merkezli retrospektif olarak yapıldı. Çalışmaya 01 Ocak 2019- 31 Aralık 2020 acil servise başvuran 18 yaş üzerindeki 1645 adli vaka dahil edildi. Çalışma için öncesinde Lokal Klinik Araştırmalar Etik Kurulu’ndan etik onay alındı. 11 Mart 2020- 31 Aralık 2020 tarihleri arası COVID-19 pandemisi (DP), önceki tarihler ise pandemi öncesi (BP) olarak kabul edildi. BP ve DP dönemlerinde adli vakaların dağılım oranları karşılaştırılmıştır.

Bulgular: Trafik kazaları ve iş kazaları erkek cinsiyette kadınlara göre yüksek saptandı, buna karşılık kadınlarda intihar girişimleri erkeklerden yüksek saptandı (p <0,001). Hem kadınlarda (BP: %14,9, DP: %17,4) hem de erkeklerde (BP: %3,7, DP: %4,9) intihar girişimlerinin artış gösterdiği saptandı (p <0,01). Pandemi sırasında, pandemi öncesiyle karşılaştırıldığında kadınlarda (BP: %22,3, DP: %13,4) ve erkeklerde (BP: %22,5, DP: %21,1) iş kazaları düşük saptandı (p <0,01).

Sonuç: COVID-19 pandemisi hem kadınlarda hem de erkeklerde intihar oranlarını arttırmış, iş kazası oranlarını ise azaltmıştır. Kadınlardaki intihar oranları erkeklerden yüksek bulunmuştur. COVID-19 pandemisi insanları adli, istihdam, ekonomik ve psikolojik birçok yönden olumsuz etkilemiştir.

References

  • 1. Demir V, Korkmaz M, Uysal C, Erten Bucaktepe PG, Bucaktepe A, Çelepkolu T. Knowledge and Attitudes of Senior Students of the Faculty of Medicine and Doctors who Specialist Training on Forensic Reports. Konuralp Tıp Derg. 2019;11:190–4.
  • 2. Kozaci N, Ay MO, Gulen M, Training AC. Acil Tıp Kliniği ne Başvuran Adli Vakaların Geriye Dönük Analizi. Cukurova Med J. 2013;38(2):250–60.
  • 3. Levent S, Pamukçu Günaydın G, Şahin Kavaklı H, Kurtoğlu Çelik G, Coşkun S. A Retrospective Seasonal Analysis Of All Forensic Cases That Presented To An Emergency Department In A Year. Turkish J Forensic Med. 2015;29(1):22–8.
  • 4. Şan İ, Usul E, Bekgöz B, Korkut S. Effects of COVID-19 Pandemic on Emergency Medical Services. Int J Clin Pract. 2020;Online ahead of print.
  • 5. İnce N, Yıldız Gülhan P, Güleç Balbay E, Öztürk C, Önmez A. The role of meteorological parameters in COVID-19 infection. Konuralp Med J. 2020;12(3):394–9.
  • 6. Kawohl W, Nordt C. COVID-19, unemployment, and suicide. Vol. 7, www.thelancet.com/psychiatry. 2020. p. 389–390.
  • 7. Matera L, Nenna R, Rizzo V, Ardenti Morini F, Banderali G, Calvani M, et al. SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study. Int J Environ Res Public Health. 2020;17(23):8753.
  • 8. Bilgin EU, Meral O, Kocak A, Aktas EO, Kıyan S, Altuncı YA. 2011 yılında trafik kazası sonucu Ege Üniversitesi Hastanesi Acil Servisine başvuran hastaların adli tıbbi boyutuyla incelenmesi. Ege Tıp Derg. 2013;52(2):93–9.
  • 9. Korkmaz T, Kahramansoy N, Erkol Z, Sarıçil F, Kılıç A. Acil Servise Başvuran Adli Olguların ve Düzenlenen Adli Raporların Değerlendirilmesi. Haseki Tıp Bülteni. 2012;50:14–20.
  • 10. Kukul Güven FM, Bütün C, Yucel Beyaztaş F, Eren Ş, Korkmaz İ. Cumhuriyet Üniversitesi Tıp Fakültesi Hastanesi’ne başvuran adli olguların değerlendirilmesi. ADÜ Tıp Fakültesi Derg. 2009;10(3):23–8.
  • 11. Demircan A, Keleş A, Gürbüz N, Bildik F, Aygencel ŞG, Doǧan NÖ, et al. Forensic emergency medicine - Six-year experience of 13823 cases in a University Emergency Department. Turkish J Med Sci. 2008;38(6):567–75.
  • 12. Karanfil R, Zeren C. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalına 2009-2010 Yıllarında Başvuran Olguların Retrospektif Olarak Değerlendirilmesi. Adli Tıp Derg. 2011;25(3):183–90.
  • 13. Akca H, Oglakcioglu A, Guneri K. Evaluation of Forensic Cases Admitted to Pediatric Emergency Department: A Single-Center Experience. Cerrahpasa Med J. 2020;43(3):75–9.
  • 14. Sher L. The impact of the COVID-19 pandemic on suicide rates. QJM. 2020;113(10):707–12.
  • 15. Erdoğdu Y, Koçoğlu F, Sevim C. An investigation of the psychosocial and demographic determinants of anxiety and hopelessness during COVID-19 pandemic. J Clin Psychiatry. 2020;23:Online ahead of print.
  • 16. Leske S, Kõlves K, Crompton D, Arensman E, de Leo D. Real-time suicide mortality data from police reports in Queensland, Australia, during the COVID-19 pandemic: an interrupted time-series analysis. The Lancet Psychiatry. 2020;0366(20):1–6.
  • 17. Ammerman BA, Burke TA, Jacobucci R, McClure K. Preliminary investigation of the association between COVID-19 and suicidal thoughts and behaviors in the U.S. J Psychiatr Res. 2020;134:32-38 Online ahead of print.
  • 18. Chiba H, Lewis M, Benjamin ER, Jakob DA, Liasidis P, Wong MD, et al. “Safer at Home”: The effect of the Covid-19 Lockdown on Epidemiology, Resource Utilization and Outcomes at a Large Urban Trauma Center. J Trauma Acute Care Surg. 2020;Online ahead of print.
  • 19. Boserup B, McKenney M, Elkbuli A. Alarming trends in US domestic violence during the COVID-19 pandemic. Am J Emerg Med. 2020;38:2753–2755.

Change in Forensic Cases Admitted to Emergency Department during COVID-19 Pandemic

Year 2021, Volume: 13 Issue: 1, 108 - 113, 11.03.2021
https://doi.org/10.18521/ktd.863957

Abstract

Objective: This study aimed to determine the change in forensic cases admitted to an emergency department after the COVID-19 pandemic, due to its adverse effect on all people around the world in various ways.

Methods: This study was conducted retrospectively in a single center. The sample size included 1645 forensic cases over the age of 18 years admitted to an emergency department between 1 January 2019 and 31 December 2020. Ethical approval before the study was obtained from a Local Clinical Research Ethics Committee. The period between 11 March 2020 and 31 December 2020 was considered the COVID-19 pandemic (DP), while the pre-DP period was named BP. The distribution rates of forensic cases in BP versus DP were compared.

Results: Both traffic and work accidents were higher in males than females, whereas suicide attempts were higher in females than males (p <0.001). Suicide attempts by both women (BP: 14.9%, DP: 17.4%) and men (BP: 3.7%, DP: 4.9%) showed an increase for DP (p < 0.01). Work accidents were lower in women (BP: 22.3%, DP: 13.4%) and men (BP: 22.5%, DP: 21.1%) in DP than BP (p <0.01).

Conclusion: The COVID-19 pandemic has increased suicide rates in both women and men but reduced work accident rates. Suicide rates were higher in women than men. The COVID-19 pandemic has negatively affected people in many ways, including forensic, employment, economic, and psychological aspects.

References

  • 1. Demir V, Korkmaz M, Uysal C, Erten Bucaktepe PG, Bucaktepe A, Çelepkolu T. Knowledge and Attitudes of Senior Students of the Faculty of Medicine and Doctors who Specialist Training on Forensic Reports. Konuralp Tıp Derg. 2019;11:190–4.
  • 2. Kozaci N, Ay MO, Gulen M, Training AC. Acil Tıp Kliniği ne Başvuran Adli Vakaların Geriye Dönük Analizi. Cukurova Med J. 2013;38(2):250–60.
  • 3. Levent S, Pamukçu Günaydın G, Şahin Kavaklı H, Kurtoğlu Çelik G, Coşkun S. A Retrospective Seasonal Analysis Of All Forensic Cases That Presented To An Emergency Department In A Year. Turkish J Forensic Med. 2015;29(1):22–8.
  • 4. Şan İ, Usul E, Bekgöz B, Korkut S. Effects of COVID-19 Pandemic on Emergency Medical Services. Int J Clin Pract. 2020;Online ahead of print.
  • 5. İnce N, Yıldız Gülhan P, Güleç Balbay E, Öztürk C, Önmez A. The role of meteorological parameters in COVID-19 infection. Konuralp Med J. 2020;12(3):394–9.
  • 6. Kawohl W, Nordt C. COVID-19, unemployment, and suicide. Vol. 7, www.thelancet.com/psychiatry. 2020. p. 389–390.
  • 7. Matera L, Nenna R, Rizzo V, Ardenti Morini F, Banderali G, Calvani M, et al. SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study. Int J Environ Res Public Health. 2020;17(23):8753.
  • 8. Bilgin EU, Meral O, Kocak A, Aktas EO, Kıyan S, Altuncı YA. 2011 yılında trafik kazası sonucu Ege Üniversitesi Hastanesi Acil Servisine başvuran hastaların adli tıbbi boyutuyla incelenmesi. Ege Tıp Derg. 2013;52(2):93–9.
  • 9. Korkmaz T, Kahramansoy N, Erkol Z, Sarıçil F, Kılıç A. Acil Servise Başvuran Adli Olguların ve Düzenlenen Adli Raporların Değerlendirilmesi. Haseki Tıp Bülteni. 2012;50:14–20.
  • 10. Kukul Güven FM, Bütün C, Yucel Beyaztaş F, Eren Ş, Korkmaz İ. Cumhuriyet Üniversitesi Tıp Fakültesi Hastanesi’ne başvuran adli olguların değerlendirilmesi. ADÜ Tıp Fakültesi Derg. 2009;10(3):23–8.
  • 11. Demircan A, Keleş A, Gürbüz N, Bildik F, Aygencel ŞG, Doǧan NÖ, et al. Forensic emergency medicine - Six-year experience of 13823 cases in a University Emergency Department. Turkish J Med Sci. 2008;38(6):567–75.
  • 12. Karanfil R, Zeren C. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalına 2009-2010 Yıllarında Başvuran Olguların Retrospektif Olarak Değerlendirilmesi. Adli Tıp Derg. 2011;25(3):183–90.
  • 13. Akca H, Oglakcioglu A, Guneri K. Evaluation of Forensic Cases Admitted to Pediatric Emergency Department: A Single-Center Experience. Cerrahpasa Med J. 2020;43(3):75–9.
  • 14. Sher L. The impact of the COVID-19 pandemic on suicide rates. QJM. 2020;113(10):707–12.
  • 15. Erdoğdu Y, Koçoğlu F, Sevim C. An investigation of the psychosocial and demographic determinants of anxiety and hopelessness during COVID-19 pandemic. J Clin Psychiatry. 2020;23:Online ahead of print.
  • 16. Leske S, Kõlves K, Crompton D, Arensman E, de Leo D. Real-time suicide mortality data from police reports in Queensland, Australia, during the COVID-19 pandemic: an interrupted time-series analysis. The Lancet Psychiatry. 2020;0366(20):1–6.
  • 17. Ammerman BA, Burke TA, Jacobucci R, McClure K. Preliminary investigation of the association between COVID-19 and suicidal thoughts and behaviors in the U.S. J Psychiatr Res. 2020;134:32-38 Online ahead of print.
  • 18. Chiba H, Lewis M, Benjamin ER, Jakob DA, Liasidis P, Wong MD, et al. “Safer at Home”: The effect of the Covid-19 Lockdown on Epidemiology, Resource Utilization and Outcomes at a Large Urban Trauma Center. J Trauma Acute Care Surg. 2020;Online ahead of print.
  • 19. Boserup B, McKenney M, Elkbuli A. Alarming trends in US domestic violence during the COVID-19 pandemic. Am J Emerg Med. 2020;38:2753–2755.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Atakan Savrun 0000-0001-7468-4159

İsmail Erkan Aydın 0000-0003-3552-5459

Publication Date March 11, 2021
Acceptance Date February 25, 2021
Published in Issue Year 2021 Volume: 13 Issue: 1

Cite

APA Savrun, A., & Aydın, İ. E. (2021). Change in Forensic Cases Admitted to Emergency Department during COVID-19 Pandemic. Konuralp Medical Journal, 13(1), 108-113. https://doi.org/10.18521/ktd.863957
AMA Savrun A, Aydın İE. Change in Forensic Cases Admitted to Emergency Department during COVID-19 Pandemic. Konuralp Medical Journal. March 2021;13(1):108-113. doi:10.18521/ktd.863957
Chicago Savrun, Atakan, and İsmail Erkan Aydın. “Change in Forensic Cases Admitted to Emergency Department During COVID-19 Pandemic”. Konuralp Medical Journal 13, no. 1 (March 2021): 108-13. https://doi.org/10.18521/ktd.863957.
EndNote Savrun A, Aydın İE (March 1, 2021) Change in Forensic Cases Admitted to Emergency Department during COVID-19 Pandemic. Konuralp Medical Journal 13 1 108–113.
IEEE A. Savrun and İ. E. Aydın, “Change in Forensic Cases Admitted to Emergency Department during COVID-19 Pandemic”, Konuralp Medical Journal, vol. 13, no. 1, pp. 108–113, 2021, doi: 10.18521/ktd.863957.
ISNAD Savrun, Atakan - Aydın, İsmail Erkan. “Change in Forensic Cases Admitted to Emergency Department During COVID-19 Pandemic”. Konuralp Medical Journal 13/1 (March 2021), 108-113. https://doi.org/10.18521/ktd.863957.
JAMA Savrun A, Aydın İE. Change in Forensic Cases Admitted to Emergency Department during COVID-19 Pandemic. Konuralp Medical Journal. 2021;13:108–113.
MLA Savrun, Atakan and İsmail Erkan Aydın. “Change in Forensic Cases Admitted to Emergency Department During COVID-19 Pandemic”. Konuralp Medical Journal, vol. 13, no. 1, 2021, pp. 108-13, doi:10.18521/ktd.863957.
Vancouver Savrun A, Aydın İE. Change in Forensic Cases Admitted to Emergency Department during COVID-19 Pandemic. Konuralp Medical Journal. 2021;13(1):108-13.