İş Kazası Nedeniyle Acil Servise Başvuran Hastaların Klinik Özellikleri ve Maliyetlerinin Değerlendirilmesi

Yıl 2025, Cilt: 39 Sayı: 2, 231 - 241, 25.08.2025

Yasemin Geben Pamukçu , Ali Karakuş , Mustafa Polat , Pınar Baydar Yücel , Salih Denis Şimşek

https://doi.org/10.61970/adlitip.1599899

Öz

Amaç: İş kazası, işyerinde meydana gelen ve yaşanan travma nedeniyle sakatlık veya ölümle sonuçlanan bir olay olarak tanımlanmaktadır. İşgücünün göçü, buna bağlı mali yük ve ülkelerin sağlık sistemleri ile kurumların bütçeleri için yankılar ile karakterizedir. Bu çalışmada, iş kazaları nedeniyle acil servise başvuran hastaların demografik verileri ve hastane maliyetlerinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışma etik kurul onayı doğrultusunda yürütülmüştür. Mustafa Kemal Üniversitesi Hastanesi acil servisine iş kazaları nedeniyle yaralanmalarla başvuran hastalar değerlendirilmiştir. Demografik veriler, başvuru zamanı, yaralanan vücut parçaları ve sağlık hizmeti maliyetleri, IBM Statistical Package for the Social Sciences sürüm 22 yazılımı kullanılarak frekans değerleri ve kategorik analizler için analiz edilmiştir.
Bulgular: Acil serviste 150 hasta gözlemlenmiştir; bunların 124’ü (%82,66) erkektir. Bu hastaların ortalama yaşı 36,5±10,4 yıldır. En sık görülen mesleki kaza 41 hastada (%27,33) delici ve kesici alet yaralanmasıydı. Acil serviste takip edilen hastaların %52,67’sinin (n=79) triyaj kodu yeşildi. Vakaların çoğu günün ilk vardiyası olan sabah 8 ile akşam 4 arasında gözlendi. Vardiyalar arasında anlamlı bir fark gözlenmedi (p=0,6875). Hastalar en sık Ocak ayında (n=16) %10,67 ile hastaneye yatırıldı. Üst ekstremite yaralanmaları %53,3 ile en sık görülen vakalardı. Pelvis %6 oranıyla en az travmatize olan vücut parçasıydı. Takip edilen hastalarda mortalite görülmezken hastaların %96,67’si acil servisten taburcu edildi. Hastaların sağlık hizmetlerinin ortalama maliyeti, 2020 ortalama döviz kuru olan 7,0 TL/USD’ye göre 16,7 ± 19,5 USD idi.
Sonuç: İş kazalarında sık görülebilen kafa, üst ve alt ekstremite yaralanmalarının önlenmesi için tedbirler alınmalı ve eğitimler artırılmalıdır. Bu durumun morbidite, mortalite ve maliyetin azalmasında etkili olacağı kanaatindeyiz.

Anahtar Kelimeler

Acil Servis , İş Kazaları , Maliyet , işgücü

Evaluation of Clinical Characteristics and Costs of Patients Applied to the Emergency Department Due to Occupational Accidents

Öz

Aim: An occupational accident is defined as an event that takes place in the workplace and results in disability or death due to the trauma sustained. It is characterised by an exodus of the workforce, a corresponding financial burden, and repercussions for the health systems of countries and the budgets of institutions. In this study, it was aimed to evaluate the demographic data and hospital costs of patients admitted to the emergency department due to occupational accidents.
Methods: The study was conducted in accordance with the approval of the ethics committee. Patients who had been admitted to the emergency department of Mustafa Kemal University Hospital with injuries due to occupational accidents were evaluated. Demographic data, time of presentation, body parts injured and healthcare costs were analysed by using IBM Statistical Package for the Social Sciences version 22 software for frequency values and categorical analyses.
Results: 150 patients were observed in the emergency department; 124 (82.66%) of these were male.The mean age of these patients was 36.5±10.4 years. The most common occupational accident was piercing and cutting tool injury in 41 patients (27.33%). The triage code of 52.67% of the patients (n=79) followed up in the emergency department was green. The majority of cases was observed between 8 am-4pm hours, the first shift of the day. No significant difference was observed between shifts (p=0.6875). Patients were most frequently admitted in January (n=16) 10.67%. The upper extremity injuries were the most common cases with 53.3%. Pelvis was the least traumatised body part with a rate of 6%. While mortality was not observed in the patients followed up, 96.67% of the patients were discharged from the emergency department. The mean cost of the patients health care was 16.7 ± 19.5 USD, based on the 2020 average exchange rate of 7.0 TL/USD .
Conclusion: Measures should be taken and trainings should be increased to prevent head, upper and lower extremity injuries, which can be seen frequently in occupational accidents. We believe that this will be effective in reducing morbidity, mortality and cost.

Anahtar Kelimeler

Emergency Department , Occupational Accidents , Cost , workforce

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