Yenidoğanın Acil Servise Başvuru Nedenleri ve Triyaj İncelemesi

Yıl 2024, Cilt: 13 Sayı: 3, 595 - 603, 25.12.2024

Esra Çevik , Gamze Erdoğan

https://doi.org/10.53424/balikesirsbd.1525479

Öz

Amaç: Bu çalışmanın amacı yenidoğanın acil başvuru nedenlerinin incelenmesidir. Gereç ve Yöntem: Bu çalışma bir kamu hastanesi çocuk acil servisine 01.01.2020-31.12.2022 tarihleri arasında başvuran 0-28 günlük (n=4212) yenidoğanların kayıtları üzerinden gerçekleştirilmiştir. Analizler SPSS 26.0 programı kullanılarak, tanımlayıcı veriler sayı, yüzde ortalama ile sunulmuş, kategorik veriler ki kare testi kullanılarak değerlendirilmiştir. Anlamlılık düzeyi p<0.05 kabul edilmiştir. Bulgular: Başvuruların %28.9’u (n=1217) 2020 yılında, %36.7’si (n=1545) 2021 yılında, %34.4’ü (n=1450) 2022 yılında olmuştur. Başvurular sonbahar aylarında artış göstermekte, en sık görülen tanıların sağlıklı bebek muayenesi ve sarılık olduğu görülmektedir. Yıllar içinde başvurusu sayısına bakıldığında 2021 yılında 1-7 günlük başvuruların daha fazla olduğu (χ2=10.470, p=0.005), sağlıklı bebek muayenesinin anlamlı farklılık gösterdiği, sarılığın ise 2020 yılında düşük olduğu, huzursuzluk, ajitasyon ile başvuruların 2022 yılında arttığı (χ2=222.467, p=0.000) belirlenmiştir. Triyaj düzeylerine göre genellikle Sarı alan T3 başvurusunun olduğu görülmektedir. 2022 yılında sarı alan T2 başvuruların arttığı, yeşil alanın 2021 yılında düştüğü, 2021 yılında sarı alan T3 arttığı (χ2=94.526; p=0.000) hastaneye yatışların arttığı (χ2=50.029, p=0.000), 2020 yılında ölümlerin yüksek olduğu (χ2=7.388, p=0.025), görülmektedir. Sonuç: Yenidoğanlar çocuk acil servislerini önemli ölçüde kullanmakta olup özellikle sonbahar mevsiminde başvurular artmaktadır. Başvurular sağlıklı bebek muayenesi ve sarılık nedeniyle başvurular daha sık olmaktadır.

Anahtar Kelimeler

Yenidoğan, Acil Servis, Triyaj, Hastaneye Yatış.

Investigation of Causes of Emergency Service Admission and Triage of the Newborn

Öz

Objective: This study aimed to investigate the reasons for the emergency admission of the newborn. Materials and Methods: This study was conducted on the records of newborns aged 0-28 days (n=4212) admitted to the pediatric emergency department of a public hospital between 01.01.2020-31.12.2022. The analyses were performed using the SPSS 26.0 program. Descriptive data were presented as numbers, percentages, and mean, and categorical data were evaluated using the chi-square test. Significance level p<0.05 was accepted. Results: 28.9% (n=1217) of the applications were in 2020, 36.7% (n=1545) in 2021, and 34.4% (n=1450) in 2022. The number of applications increased in the fall months, and the most common diagnoses were healthy baby examinations and jaundice. Looking at the number of admissions over the years, it was determined that the number of 1-7-day admissions was higher in 2021 (χ2=10.470, p=0.005), healthy infant examination showed a significant difference, jaundice was low in 2020, and admissions with restlessness and agitation increased in 2022 (χ2=222.467, p=0.000). According to triage levels, it is seen that there are generally T3 applicants who receive a yellow area. In 2022, yellow area T2 applications increased, green area decreased in 2021, yellow area T3 increased in 2021 (χ2=94.526; p=0.000), hospitalizations increased (χ2=50.029, p=0.000), and deaths were high in 2020 (χ2=7.388, p=0.025). Conclusion: Newborns use pediatric emergency departments significantly, and admissions increase, especially in the fall season. Admissions are generally more frequent due to healthy baby examinations and jaundice.

Anahtar Kelimeler

Newborn, Emergency Service, Triage, Hospitalization

Etik Beyan

In this study, the rules of the Declaration of Helsinki were followed, permission was obtained from the ethics committee of xxx University Health Sciences Non-Interventional Research (Date: 06.12.2022, Number: 2022/118), and permission was obtained from the chief physician of xxx Hospital (Date: 26.01.2023, Number: 2023/01).

Destekleyen Kurum

The authors declare no conflict of interest. The funders had no role in the study design, data collection, analysis, interpretation, manuscript writing, or decision to publish the results.

Teşekkür

The authors would like to thank the hospital for allowing us to carry out this study.

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