Acil Serviste Yaralanmaların Demografik Analizi ve Niyetselliği

Abstract

Amaç: Bu çalışma ile yaralanmalar sonucu acil servise başvuran hastaların epidemiyolojik özelliklerini araştırmak ve Türkiye’de ilk kez yaralanmaların niyetsellik (kasıtlı, kasıtsız) açısından dağılımı değerlendirmek amaçlandı. Gereç ve Yöntem: Acil servise iki yıllık sürede yaralanma nedeniyle başvuran 18 yaş üstü tüm adli olgular prospektif olarak analiz edildi. Bulgular: Olguların 10.393’ü (%67,39) erkek ve 5.029’u (%32.61) kadın hastadan oluşmaktaydı. Olguların büyük çoğunluğunun 18-45 (n= 11.128, %82,8) yaş aralığında olduğu saptandı. Yaralanmalara en sık trafik kazaları (3.407, %22,1), zehirlenmeler (2.947, %19,1), düşmeler (2.279, %14,8), darplar (2.202, %14,3) ve kesici delici alet yaralanmaları (2.052, %13,3) neden olmaktadır. Acil servise en sık eylül ayında (1.649, %10,7) ve sonbaharda (4.499, %29,2) başvurulmaktadır. Kasıtlı yaralanmalar tüm yaralanmaların %36,1’ini (n=5.555) oluştururken kişiler arası şiddet bunun %18,7’sini (n=2.877) ve kendine zarar verme %17,4’ünü (n=2.678) oluşturmaktadır. Kasıtsız yaralanmalar tüm yaralanmaların %63,3’ünü oluştururken trafik kazaları, düşmeler ve delici kesici aletle yaralanmalar sırasıyla %22,1 (n=3.404), %14,7 (n=2.262) ve %8,5’ini (n=1.310) oluşturmaktadır. Ekstremiteler yaralanmalar sonucu (7.336, %53,7) en çok etkilenen vücut bölgeleridir. Sonuç: Yaralanmalar en çok üretken çağdaki genç erişkinleri etkilemektedir. Kasıtlı yaralanmalar tüm yaralanmaların üçte birini oluşturmaktadır. Niyetselliğin değerlendirilmesi yaralanmalarda altta yatan nedenlerin ve önleyici girişimlerin belirlenmesinde yol gösterici olabilir.

Keywords

• yaralanmalar
• kasıtlı
• kasıtsız
• acil tıp
• adli tıp

Demographic Analysis and Intentionality of Injuries in the Emergency Service

Abstract

Objectives: In this study, it was aimed to investigate the epidemiological characteristic of the patients admitted to the emergency department as a result of injuries and evaluate the distribution of the injuries according to intentionality (intentional, unintentional) for the first time in Turkey. Material and Method: All forensic cases over the age of 18 who were admitted due to injuries in two years were analyzed prospectively. Results: 10.393 (67,39%) of the cases were male and 5.029 (32.61%) were female patients. Most of the cases were found to be between the ages of 18-45 (n = 11.128, 82.8%). The most frequent injuries were traffic accidents (3.407, 22,1%), intoxications (2.947, 19,1%), falls (2.279, 14,8%), assaults (2.202, 14,3%), cutting/stabbing injuries (2.052, 13,3%). The most common admission to the emergency department were in September (1.649, 10,7%) and in autumn (4.499, 29,2%). Intentional injuries constitute 36.1% (n=5.555) of all injuries, while interpersonal violence accounts for 18.7% (n = 2.877) and self-harm 17.4% (n = 2.678). Unintentional injuries constitute 63.3% of all injuries, while traffic accidents, falls and cutting/stabbing/ injuries accounts 22.1% (n = 3.404), 14.7% (n =2.262), and 8.5% (n = 1.310) respectively. Extremities were the most affected body part (n = 7.336, 53.7%,) due to injuries. Conclusion: Injuries most commonly affect young adults in the productive age. Intentional injuries account for one-third of all injuries. Assessment of intentionality can be a guide in the determination of the underlying causes and the preventive interventions of injuries.

Keywords

• injuries
• intentional
• unintentional
• emergency medicine
• forensic medicine

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