Comparison of Seasonal Changes in Patient Hospitalizations in The Emergency Department

Yıl 2025, Cilt: 20 Sayı: 2, 122 - 130, 21.07.2025

Mustafa Alpaslan

Öz

Objective: To compare summer and winter hospitalizations in the emergency department and to provide insight for reviewing the functioning of the emergency department and hospital-wide service and intensive care capacities according to the results.
Material and Method: This retrospective study was conducted in the adult emergency department of a state hospital. Patients hospitalized in the emergency department between 01.07.2023-31.07.2023 and 01.01.2024-31.01.2024 were evaluated. Age, gender, time of admission (date and hour), admission diagnosis, clinic of admission, service or intensive care unit admission, and forensic case status were analyzed.
Results: In this study, 978 patients hospitalized in the emergency department were evaluated. Of the patients, 482 (49.2%) were admitted in winter and 496 (50.8%) in summer. In general, 54.2% were male. The mean age of the patients was 61.26±21.58 years. The most common reasons for hospitalization were pneumonia (24.6%), acute coronary syndrome (14.1%) and acute renal failure (7.6%) in winter, while pneumonia (16.3%), acute coronary syndrome (15.5%), and ischemic stroke (6.6%) in summer. In terms of the distribution of the clinics in which patients were hospitalized according to the seasons, the most frequently hospitalized clinics were pulmonology (22.8%), internal medicine (18%) and general surgery (14.7%) in winter, and internal medicine (18.8%), pulmonology (16.1%) and cardiology (14.9%) in summer.
Conclusion: Seasonal differences in diagnosis and clinical distribution can be observed in patient hospitalizations from the emergency department. Seasonal arrangements should be made in service and intensive care capacities in order to avoid disruption in patient hospitalizations.

Anahtar Kelimeler

Emergency Department , Epidemiology , seasonal variation , hospitality

Acil Servisten Yapılan Hasta Yatışlarında Mevsimsel Değişikliklerin Karşılaştırılması

Öz

Amaç: Acil servisten yaz ve kış döneminde yapılan hasta yatışlarını karşılaştırmak ve ortaya çıkan sonuçlara göre acil servis işleyişi ve hastane genelinde servis ve yoğun bakım kapasitelerinin gözden geçirilmesine yönelik fikirler sunulmasıdır.
Gereç ve Yöntem: Bu çalışma retrospektif olarak bir devlet hastanesinin erişkin acil servisinde yapıldı. Çalışma kapsamında 01.07.2023-31.07.2023 tarihleri ile 01.01.2024-31.01.2024 tarihleri arasında acil servisten hastaneye yatırılan hastalar değerlendirildi. Hastalarda yaş, cinsiyet, başvuru zamanı (tarih ve saat), yatış teşhisi, yatırıldığı klinik, servis ya da yoğun bakım yatışı ve adli vaka durumu analiz edildi.
Bulgular: Bu çalışmada acil servisten hastaneye yatan 978 hasta değerlendirildi. Hastaların 482’si (%49,2) kış, 496’sı (%50,8) ise yaz mevsiminde başvurmuştu. Genel olarak bakıldığında %54,2’si erkekti. Hastaların genel yaş ortalaması 61,26±21,58 oldu. En çok hasta yatışı nedenleri kış mevsiminde sırasıyla pnömoni (%24,6), akut koroner sendrom (%14,1) ve akut böbrek yetmezliği (%7,6) olurken yaz mevsiminde pnömoni (%16,3), akut koroner sendrom (%15,5) ve iskemik inme (%6,6) olmuştur. Mevsimlere göre hasta yatırılan kliniklerin dağılımına bakıldığında ise en çok yatış yapılan klinikler kış mevsiminde sırasıyla göğüs hastalıkları (%22,8), iç hastalıkları (%18) ve genel cerrahi (%14,7), yaz mevsiminde ise iç hastalıkları (%18,8), göğüs hastalıkları (%16,1) ve kardiyoloji oldu (%14,9).
Sonuç: Acil servisten yapılan hasta yatışlarında teşhis ve kliniksel dağılım olarak mevsimsel farklılıklar gözlenebilmektedir. Hasta yatışlarında mağduriyet yaşanmaması adına servis ve yoğun bakım kapasitelerinde mevsimsel olarak düzenlemeler yapılmalıdır.

Anahtar Kelimeler

Acil Servis , Epidemiyoloji , mevsimsel değişkenlik , hastane yatışı

Kaynakça

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