Retrospective Analysis of Forensic Cases Admitted to the Emergency Department of a Second Level Hospital

Abstract

Objective: In this study, we aimed to examine the demographic and epidemiological characteristics of forensic cases admitted to the emergency department and the forensic reports prepared for these cases and compare them with the literature. Material and Method: This retrospective study was conducted in the emergency department of a secondary care hospital for a period of one month. Patients were grouped according to their application time; they were compared in terms of demographic characteristics, forensic report information, and clinical characteristics. Results: 848 patients were included in the study. The average age of the patients was 30.9±12.5 and most were male (79.5%). While the highest rate of patients was diagnosed with assault algebra (80.2%), the rate of issuing a final report was found to be higher (87.6%). It was determined that the fewest applications were made between 00:00-07:59. No statistically significant difference was found in the comparison of forensic case or forensic report characteristics according to application time (p=0.218). Conclusion: The number of applications as forensic cases is higher at certain times of the day. Since emergency departments provide uninterrupted service 24/7; emergency department physicians should continue the management of forensic cases regardless of the time of admission and show due care in preparing forensic reports.

Keywords

• Forensic case
• Forensic report
• Emergency department

İkinci Basamak Bir Hastanenin Acil Servisine Başvuran Adli Olguların Retrospektif Analizi

Abstract

Amaç: Bu çalışmada acil servise başvuran adli nitelikteki olguların demografik, epidemiyolojik özelliklerini ve bu olgulara düzenlenen adli raporları inceleyip, literatür ile karşılaştırmayı amaçladık. Materyal ve Metot: Retrospektif nitelikteki bu çalışma, ikinci basamak bir hastanenin acil servisinde bir aylık süreç için yürütüldü. Hastane elektronik veri sistemi aracılığıyla başvuru saatlerine göre gruplandırılan hastalar; demografik özellikleri, adli rapor bilgileri ve klinik özellikleri açısından karşılaştırıldı. Bulgular: Çalışmaya 848 hasta dahil edildi. Hastaların yaş ortalaması 30.9±12.5’di. Hastalar en yüksek oranda darp-cebir muayenesi nedeniyle başvurmuş olduğu görülürken (%80.2), kati rapor düzenlenme oranı daha yüksek saptandı (%87.6). En az başvurunun 00:00-07:59 zaman diliminde yapıldığı belirlendi. Adli vaka ya da adli rapor özelliklerinin başvuru saatine göre karşılaştırmasında istatistiksel olarak anlamlı bir fark saptanmadı (p=0.218). Sonuç: Adli olguların başvuru sayısı günün belli saatlerinde daha fazladır. Acil servislerde 7/24 kesintisiz hizmet verildiğinden; acil servis hekimleri başvuru saatinden bağımsız olarak adli olguların yönetimini sürdürmeli, adli rapor hazırlanmasında gereken özeni göstermelidir.

Keywords

• Adli vaka
• Adli rapor
• Acil servis

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