Analysis of Triage Code and Diagnosis Distributions of Patients Arriving via 112 Emergency Services

Öz

Objective: The aim of this study is to interpret the use of 112 emergency medical services by revealing the demographic characteristics, triage code and diagnosis distributions, and outcomes of patients who arrived at a training and research hospital via 112. Method: This study retrospectively examined patients who arrived at the emergency department of İKÇÜ Atatürk Training and Research Hospital by ambulance between January 1 and December 31, 2024, using the hospital information system. Patients with incomplete or incorrectly completed medical reports were excluded from the study. Results: Of the 321 patients examined, 55.45% were male. 47.98% of the patients were over 65 years old. The yellow triage code accounted for the largest share with 51.09%. The most frequent reason for admission was trauma (21.81%; n=70). Following trauma, cardiovascular and neurological system causes were the next most common. 47.98% of the patients were discharged after treatment without requiring hospitalization. Conclusion: The 112 emergency medical system is frequently used unnecessarily in our country. Unnecessary ambulance use was found to be less frequent in our research area compared to the reviewed literature. The vast majority of ambulance use and mortality reasons stem from preventable health problems. Various sanctions can be considered to prevent unnecessary ambulance use.

Anahtar Kelimeler

• Emergency Medical Services
• Triage
• Diagnostic Distributions
• Unnecessary Use

112 Aracılığı ile Gelen Hastaların Triaj Kod ve Tanı Dağılımlarının İncelenmesi

Öz

Amaç: Bu çalışmanın amacı bir eğitim araştırma hastanesine 112 aracılığı ile gelen hastaların demografik özelliklerini, triaj kod ve tanı dağılımlarını ve sonlanımlarını ortaya koyarak 112 acil sağlık hizmetinin kullanımını yorumlamaktır. Yöntem: 1 Ocak-31 Aralık 2024 tarihleri arasında İKÇÜ Atatürk Eğitim Araştırma Hastanesi acil servisine ambulansla başvuran hastane bilgi sistemi üzerinden retrospektif olarak incelenmiştir. Eksik ya da yanlış doldurulmuş epikrizli hastalar araştırmaya dahil edilmemiştir. Bulgular: İncelenen 321 hastanın %55,45’i erkektir. Hastaların %47,98’i 65 yaş üzeridir. Triaj kod dağılımında %51,09’u ile sarı triaj kodu en büyük paya sahiptir. En sık geliş nedeni travmadır (%21,81; n=70). Travma sonrası sırasıyla kardiyovasküler ve nörolojik sistem nedenli geliş olmuştur. Hastaların %47,98’i yatış verilmeden tedavi sonrası taburcu edilmiştir. Sonuç: 112 acil sağlık sistemi ülkemizde sıklıkla gereksiz kullanılmaktadır. Araştırma bölgemizde gereksiz ambulans kullanımı incelenen literatüre göre daha az bulunmuştur. Ambulans kullanım ve mortalite sebeplerinin büyük çoğunluğu önlenebilir sağlık sorunlarından kaynaklanmaktadır. Gereksiz ambulans kullanımını önlemek için yaptırımlar düşünülebilir.

Anahtar Kelimeler

• Acil Sağlık Hizmeti
• Triaj
• Tanı Dağılımları
• Gereksiz Kullanım

Kaynakça

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