İKİNCİ BASAMAK BİR ACİL SERVİSTE PANDEMİ SÜRECİNİN HASTA BAŞVURU SAYILARI İLE YATIŞ VE SEVK DURUMLARINA ETKİSİNİN İNCELENMESİ

Öz

Amaç: 2019 yılının aralık ayında ilk olarak Çin’in Wuhan kentinde görülen corona virüs grubu bir virüsün sebep olduğu solunum yolu hastalığına “koronavirüs hastalığı” ismi verildi (COVID-19). Hastalığı kontrol altında tutmak, COVID-19 dışındaki hastalıklara da sağlık hizmeti verebilmek ve aynı zamanda sağlık personelini de bulaştan korumak için dünya genelinde alınan çeşitli kararlar sonucunda sağlık hizmet sunumunda bazı aksaklıklar yaşanmıştır. Bu çalışmada pandemi döneminde bir devlet hastanesinin acil servisine başvuran günlük hasta sayısı, hastaneye yatış yapılan hasta sayısı ve başka bir hastaneye sevk edilen hasta sayısı incelenmiştir. Bu veriler pandemi öncesi ve pandemi sonrası dönem ile kıyaslanmıştır. Yöntem: 01 Ocak 2019 ile 31 Aralık 2022 tarihleri arasında yapılan başvurular retrospektif olarak incelenmiştir. Bahsedilen dört yıllık periyottaki acil servise başvuran hasta sayıları, hospitalize edilen hasta sayıları ve başka bir kuruma sevk edilen hasta sayıları aylık veriler olarak toplanmıştır. Pandemi döneminin toplam başvuru sayısına, sevk sayısına ve yatış sayısına etkileri; pandemi öncesi ve sonrasına göre karşılaştırılmıştır. Bulgular: Pandemi döneminde acil servise başvuran hasta sayısı belirgin olarak azalmasına rağmen, acil servisten yatış ve sevk yapılan hasta sayılarının toplamında benzer oranda azalma olmadığı saptanmıştır. Sonuç: Pandemi ile birlikte görülen hasta başvurusundaki ciddi azalma göz önüne alındığında yukarıda bahsettiğimiz grup dışında kalan (yatış veya sevk yapılmayan) hastalar tarafından acil servisin gerekli kullanılıp kullanılmadığı konusunun irdelenmesi; etkin ve kaliteli sağlık hizmetlerinin sağlanması için uygun olacaktır.

Anahtar Kelimeler

• Covid 19
• Pandemi
• Yatış ve Sevk
• Acil Servis

THE EFFECT OF THE PANDEMIC PROCESS ON THE NUMBER OF PATIENT ADMISSIONS, HOSPITALIZATIONS AND REFERRALS IN A SECONDARY EMERGENCY DEPARTMENT

Öz

Objective: In December 2019, the respiratory disease caused by a coronavirus group virus, first seen in Wuhan, China, was named "coronavirus disease" (COVID-19). As a result of various decisions taken around the world to keep the disease under control, to provide healthcare services to diseases other than COVID-19, and to protect healthcare personnel from transmission, there have been some disruptions in healthcare service delivery. Methods: In this study, the daily number of patients admitted to the emergency department of a state hospital during the pandemic period, the number of patients hospitalized and the referred to another hospital were examined. These data were compared with the pre-pandemic and post-pandemic period. Applications made between January 01, 2019 and December 31, 2022 were examined retrospectively. Monthly data were collected on the number of patients admitted to the emergency department, the number of hospitalized patients and referred to another institution during the four-year period. The effects of the pandemic period on the total number of admissions, referrals and hospitalizations were compared before and after the pandemic. Although the number of patients admitted to the emergency department decreased significantly during the pandemic period, the total number of patients hospitalized and referred from the emergency department did not decrease at a similar rate Results: Considering the significant decrease in patient admissions seen with the pandemic, it would be appropriate to examine whether the emergency department is used properly by patients outside the above-mentioned group (without hospitalization or referral) in order to ensure effective and quality health services.

Anahtar Kelimeler

• Covid 19
• Pandemic
• Hospitalizations and Referrals
• Emergency Medicine

Kaynakça

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