Muğla İlinde Erişkin Acil Sağlık Hizmetleri Kullanım Epidemiyolojisi

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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