Muğla İlinde Erişkin Acil Sağlık Hizmetleri Kullanım Epidemiyolojisi

Year 2024, , 1 - 8, 15.06.2024

Ömer Faruk Karakoyun , Kıvanç Karaman , Burcu Kaymak Golcuk , Yalcin Golcuk

https://doi.org/10.54862/pashid.1301942

Abstract

Amaç: Bu çalışma, acil servise başvuran erişkinlerde Acil Sağlık Hizmetleri (ASH) kullanımının epidemiyolojik özelliklerini araştırmayı amaçlamaktadır.
Yöntemler: Temmuz 2019-Ocak 2022 tarihleri arasında Muğla, Türkiye'de bir üniversiteye bağlı eğitim ve araştırma hastanesinin acil servisinde tek merkezli, kesitsel ve gözlemsel bir çalışma retrospektif olarak gerçekleştirildi.
Bulgular: Çalışma süresi boyunca, hastanenin elektronik sağlık veri sistemine toplam 280.691 yetişkin acil servis ziyareti kaydedildi ve 31.671 (%11.3) kritik hasta veya yaralı hasta ambulanslarla geldi. Çalışmaya alınan hastaların ortalama yaşı 57,1±21,8 (18-112 yıl) ve %56,4'ü erkekti. Bu hastaların %41'i (n=13.014) hastaneye yatırıldı (%30,4'ü servise, %10,6'sı yoğun bakıma) ve tüm nedenlere bağlı acil servis içi ölüm oranı %0,7 (n=223) idi. Vakaların %97,6'sında kamunun ambulans servisi, kalan %2,4'ünde ise özel ambulans hizmetleri kullanıldı. Kritik hastalık, trafik kazası ve iş kazası için ASH kullanım yüzdeleri sırasıyla %91,8, %6,5 ve %1,7 idi. Triyaj kodları sarı (%87,6), kırmızı (%12), siyah (%0,2) ve yeşil (%0,2) olarak kategorize edildi.
Sonuçlar: Yetişkin ASH kullanımının operasyonel, eğitim ve halk sağlığı üzerindeki etkilerini daha iyi anlamak için daha fazla araştırma gereklidir.

Keywords

acil servis, hastane öncesi yaklaşım, acil sağlık hizmetleri, erişkin, epidemiyoloji

The Epidemiology of Adult Emergency Medical Services Use in Muğla

Abstract

Objective: This study aims to investigate the epidemiological characteristics and patterns of Emergency Medical Services (EMS) use among adults who presented to the emergency department (ED).
Methods: A single-center, cross-sectional, and observational study was retrospectively conducted at the ED of a university-affiliated training and research hospital in Muğla, Turkey from July 2019 to January 2022.
Results: During the study period, a total of 280,691 adult ED visits were recorded in the hospital's electronic health data system, with 31,671 (11.3%) consecutive critically ill or injured patients arriving via ambulances. The mean age of enrolled patients was 57.1±21.8 years (range, 18-112 years) and 56.4% of them were male. Of these, 41% (n=13,014) were admitted to the hospital (30.4% to wards and 10.6% to the intensive care unit), and the all-cause in-ED mortality rate was 0.7% (n=223). Public EMS was used in 97.6% of the cases, with the remaining 2.4% utilizing private ambulance services. EMS use percentages for critical illness, traffic accidents, and occupational accidents were 91.8%, 6.5%, and 1.7%, respectively. The triage codes were categorized as yellow (87.6%), red (12%), black (0.2%), and green (0.2%).
Conclusions: Further investigation is necessary to better understand the operational, training, and public health implications of adult EMS use.

Keywords

emergency medical services, prehospital care, emergency department, epidemiology, adult

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