Evaluation of the Reasons for Admission Before and After COVID-19 in Cases Brought to a Pediatric Emergency Clinic by 112 Ambulances

Öz

Title: Evaluation of reasons for admission before and after covid-19 of case brought to a pediatric emergency clinic by 112 ambulance Objective: The reasons for admission of the cases brought to the pediatric emergency clinic in the pre- and post-Covid-19 periods are different. For healthcare professionals, knowing these differences is important in emergency response. This study aimed to evaluate the reasons for admission before and after Covid-19 of cases brought to the pediatric emergency clinic by 112 ambulance. Methods: This retrospective study was conducted in a public hospital pediatric emergency clinic between November 2018 and March 1, 2021. The sample of the study consisted of 400 pediatric patients who applied to the Emergency Service with a 112 ambulance. The data obtained in the study were analyzed using the SPSS (Statistical Package for Social Sciences) for Windows 22.0 software program. Results: 54% of the children included in the study were between the ages of 6-12 and 70% were male. A significant relationship was found between pre- and post-Covid-19 applications and descriptive features (age, gender, airway status, fever, SpO2, pulse, complaint, triage officer, result) (p<0.05). In addition, the increase in the rates of sore throat, muscle and joint pain, seizures, syncope, chest pain, palpitation, bronchitis, difficulty in breathing and allergy, which are the causes of emergency admission in the post-Covid-19 period, was found to be statistically significant (p<0.05). Conclusion: It was determined that in the post-Covid 19 period, children were brought to the emergency unit by 112 ambulance with more sore throat, muscle and joint pain, seizures, syncope, chest pain, palpitations, bronchitis, difficulty in breathing, and allergies than before. Emergency services are the first units to apply for Covid-19 complaints. Thus, it is necessary to include the reasons for children's admission to emergency units in in-service trainings for all health personnel, to add triage steps to trainings, to follow current changes, to create and implement more comprehensive health protocols and procedures. Keywords: Covid 19, Child, Emergency Supporting institution:-----

Anahtar Kelimeler

• Covid 19
• chilh
• emergency

Bir çocuk acil kliniğinde 112 ambulansı ile getirilen olguların covid-19 öncesi ve sonrası başvuru nedenlerinin değerlendirilmesi

Öz

Başlık: Bir çocuk acil kliniğine 112 ambulansı ile getirilen olguların covid-19 öncesi ve sonrası başvuru nedenlerinin değerlendirilmesi Öz Amaç: Çocuk acil kliniğine getirilen olguların Covid-19 öncesi ve sonrası dönemde başvuru nedenleri farklıdır. Sağlık çalışanları tarafından bu farklılıkların bilinmesi acil müdahalede önemlidir. Bu çalışmada; çocuk acil kliniğine 112 ambulansı ile getirilen olguların Covid-19 öncesi ve sonrası başvuru nedenlerinin değerlendirilmesi amaçlandı. Yöntem: Retrospektif tipte planlanan bu çalışma, bir devlet hastanesi çocuk acil kliniğinde 1 Kasım 2019-1 Mart 2021 tarihleri arasında gerçekleştirildi. Araştırmanın örneklemini; 112 ambulansı ile Acil Servise başvuran 400 çocuk hasta oluşturdu. Araştırmada elde edilen veriler SPSS (Statistical Package for Social Sciences) for Windows 22.0 programı kullanılarak analiz edildi. Bulgular: Araştırmaya dahil edilen çocukların %54’ü 6-12 yaş aralığında ve %70’i erkekti. Covid-19 öncesi ve sonrası dönem başvuruları ile tanımlayıcı özellikler arasında (yaş, cinsiyet, havayolu durumu, ateş, SpO2, nabız, şikâyet, triaj görevlisi, sonuç), anlamlı ilişki bulundu (p<0.05). Ayrıca Covid-19 sonrası dönemde acile başvuru nedenlerinden; boğaz ağrısı, kas eklem ağrısı, nöbet, senkop, göğüs ağrısı, çarpıntı, bronşit, nefes almada zorluk ve alerji oranları arasındaki artışın istatistiksel düzeyde anlamlı olduğu saptandı (p<0.05). Sonuç: Çocukların Covid 19 sonrası dönemde, öncesine göre daha çok boğaz ağrısı, kas eklem ağrısı, nöbet, senkop, göğüs ağrısı, çarpıntı, bronşit, nefes almada zorluk ve alerji nedenleri ile acil birime 112 ambulansı ile getirildikleri belirlendi. Acil servisler Covid-19 şikayetleriyle başvurulan ilk birimlerdir bu nedenle; tüm sağlık personeline yönelik hizmet içi eğitimlerde çocukların acil ünitelere başvuru nedenlerinin yer alması, eğitimlere triyaj basamaklarının eklenmesi, güncel değişikliklerin takip edilmesi, sağlık protokolleri ve prosedürlerinin daha kapsamlı oluşturulması ve uygulanması gerekmektedir. Anahtar Kelimeler: Covid 19, Çocuk, Acil Destekleyen Kurum: ----

Anahtar Kelimeler

• Covid 19
• çocuk
• acil

Kaynakça

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