Acil servise başvuran iş kazalarının klinik profili

Yıl 2019, Cilt: 4 Sayı: 1, 1 - 6, 01.04.2019

Sinem Burul Alp Seda Özkan , Sinan Yıldırım Selim Genç Kadir Dibek

Öz

Giriş: Bu çalışmanın amacı;
acil servise iş kazaları nedeniyle başvuran hastaların sosyodemografik
özelliklerini, yaralanma tiplerini, yaralanma bölgelerini ve hastane
maliyetlerini araştırmaktır.

Material ve metod: Çalışmaya 1 Nisan
2014-31 mart 2015 tarihleri arasında acil servise iş kazası nedeniyle başvuran
659 hasta dahil edildi. Hastaların demografik verileri, yaralanma tipleri,
yaralanma mekanizmaları, travma skorları ve hastane maliyetleri araştırıldı.

Bulgular: Olguların %96.3’ünü
erkekler oluşturdu. En sık başvuru 26-35 yaşları arasındaydı. En sık başvuru
nedeni birşey üzerine düşme idi. Hastaların ikisinde mortalite görüldü. Her iki
olguda da birden fazla vücut bölgesinde yaralanma mevcuttu. Hastaneye yatış
oranı %7.1 idi. Hastalerın %48.1’inde sadece yumuşak doku yaralanması mevcuttu,
bunu %28.2 ile laserasyonlar izledi. Ortalama ISS skoru 1 (1-75), NISS
skoru 1 (1-75), RTS skoru 7.84 (1.96-7.84) idi. Ortalama hastane maliyeti 27.9
dolardı (7 - 4744.2 dolar).

Sonuç: İş kazaları,
eğitim ve kazalara karşı alınacak önlemler ile azaltılabilir; ayrıca işin
tehlike sınıfına göre eğitimler düzenli olarak tekrarlanmalıdır.

Anahtar Kelimeler

İş, kaza, travma

The Clinical Profile Of Occupational Accidents Admitted To Emergency Department

Öz

Introduction: The aim of this study was to investigate the the sociodemographic features, injury types,
injury regions and hospital costs of the patients who admitted to emergency
department due to occupational accidents.

Material and methods: This study includes 659
patiens who applied with occupational accident to emergency department between
1st of April 2014-31st of March 2015. The demographic data of patients with
injury, types of injury, mechanisms of injury, trauma scores and hospital costs
were investigated.

Results: 96.3% of the cases
were male. The most frequent admission was betwen the ages 26-35. The most
frequent cause of admission was “fall over something”. Mortality was observed
in two of the patients; there were more than one regional injury in both of the
patients. The hospitalization rate was 7.1%. There was only simple soft tissue
injury in 48.1% of the patients; following with laceration 28.2%. The median
ISS score was 1 (range 1-75), NISS score was 1 (range 1-75), RTS score was 7.84
(1.96-7.84). The median of the hospital cost was 27.9$ (range 7.0$-4744.2$).

Conclusion: Occupational injuries
could be reduced by education and precautions against accidents; also the
educations have to be repeated regularly according to the danger class of the
work.

Anahtar Kelimeler

occupational, accident, trauma

Kaynakça

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