Acil Servise Başvuran Hastaların Değerlendirilmesi: Acil Servis Bekleme Süresi ile Mortalite İlişkisi

Yıl 2025, Cilt: 8 Sayı: 3, 134 - 139, 30.09.2025

İskender Aksoy , Ali Altınbaş

https://doi.org/10.54996/anatolianjem.1627408

Öz

Amaç: Çalışmamızda, acil servislerdeki bekleme sürelerinin mortalite üzerindeki etkisini değerlendirmeyi amaçladık.
Gereç ve Yöntemler: Retrospektif olarak planladığımız çalışmamıza, hastanemiz acil servisine başvuran ve yatış endikasyonu konulan hastalar dâhil edildi. Hastalar hastane bilgi yönetim sistemi üzerinden taranarak demografik özellikleri (yaş, cinsiyet), acil servis bekleme süreleri, hastanede kalış süreleri, yatış endikasyonu türü (dahili, harici, travma vb.), yatış verilen branş ve yattıkları birimler (servis, yoğun bakım) kaydedildi.
Bulgular: Çalışmamıza 7631 hasta dâhil edildi. Hastaların %40,3’ü kadın, %57,7’si (n=4558) erkek olup, ortalama yaş 65,3±19,4 idi. Yaş ve ortalama acil servis bekleme süresi, yoğun bakımda yatan hastalarda anlamlı olarak daha yüksekti. Prognoz ile kıyaslandığında; ileri yaş, uzamış acil servis bekleme süresi ve uzamış hastane yatış süresi mortalite ile anlamlı bulundu.
Sonuç: Özellikle 8–24 saat arası acil servis bekleme süresi, mortalite oranlarında anlamlı artış ile ilişkili bulunmuştur. Bu gecikme, kritik müdahalelerin kaçırılmasına yol açabilir. 8–24 saat bekleyen hastalarda mortalite %19,8 iken, 8 saatten az bekleyenlerde %8,8 olarak kaydedilmiştir (p<0,001).

Anahtar Kelimeler

Acil servis , mortalite , uzun bekleme süresi , travma , yoğun bakım

Etik Beyan

Bu çalışma için Giresun Eğitim ve Araştırma Hastanesi Klinik Araştırmalar Etik Kurulu'ndan (30.01.2023/07 ) etik kurul onayı alınmıştır.

Evaluation of Patients Presenting to the Emergency Department: The Relationship Between Emergency Department Waiting Time and Mortality

Öz

Aim: In our study, we aimed to evaluate the effect of waiting times in emergency departments on mortality.
Material and Methods: In our retrospective study, we included patients who presented to the emergency department of our hospital and had an indication for hospitalization. Patients were scanned through the hospital information management system and demographic characteristics (age, gender), emergency department waiting times, hospitalization times, type of indication for hospitalization (internal, external, trauma, etc.), branch of hospitalization and units of hospitalization (ward, intensive care unit) were recorded.
Results: 7631 patients were included in our study. 40.3 % of the patients were female, 57.7 % (n=4558) were male and the mean age of the patients was 65.3±19.4 years. Age and mean emergency department waiting times were significantly higher in patients hospitalized in intensive care unit. When compared with prognosis, advanced age, prolonged emergency department waiting time and prolonged hospitalization were found to be significant with mortality.
Conclusion: Prolonged emergency department stays were associated with higher mortality rates, especially between 8–24 hours. This delay may lead to missed critical interventions. Mortality was 19.8% for patients who stayed 8–24 hours versus 8.8% for those under 8 hours (p<0.001).

Anahtar Kelimeler

Emergency department , mortality , long waiting time , trauma , intensive care

Kaynakça

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