Acil Serviste Yaralanmaların Demografik Analizi ve Niyetselliği

Year 2020, Volume: 2 Issue: 3, 152 - 159, 01.11.2020

Mustafa Açin Halit Karakısa Salim Satar

https://doi.org/10.38175/phnx.781946

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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