CHARACTERISTICS OF PATIENTS HOSPITALIZED TO CARDIOVASCULAR SURGERY DEPARTMENT FROM EMERGENCY SERVICE

Yıl 2018, Cilt: 1 Sayı: 2, 24 - 27, 25.11.2018

Sema Avcı Bulut Demirel Zarife Selvan

Öz

Introduction: Emergency
service is the area where patients are first evaluated. Relevant physicians are
consulted in emergency services. The aim of this study is evaluation of the
patients hospitalized by cardiovascular surgery from emergency service.

Method: This retrospective study was
conducted in a state hospital between the dates 01.01.2012-01.09.2017. The
records of patients hospitalized by cardiovascular surgery from emergency
service were reached. The demographic features, hospitalization diagnosis,
complication rates, comorbidities, duration of emergency service, complete
blood count and bleeding parameters, hospitalization duration and outcomes of
patients were evaluated.

Results: Records
of 146 patients from the automation system were evaluated retrospectively, 88
(62%) of the 142 patients included in the study were male. The
most common (39.4%) cause of hospitalization was deep vein thrombosis. 92.3%
of the hospitalized patients were discharged with cure. Six patients were
referred to an advanced center, one patient refused treatment and four patients died. The most common concomitant
disease was hypertension.

Discussion:
Doctors working
in emergency service, should throughly evaluate the clinical characteristics of
patients before the Cardiovascular Surgery consultation.

Anahtar Kelimeler

Emergency service, surgery, consultation, hospitalization

ACİL SERVİSTEN KALP VE DAMAR CERRAHİSİ BÖLÜMÜNE YATIRILAN HASTALARIN ÖZELLİKLERİ

Öz

Amaç: Acil servis, hastaların ilk
değerlendirildiği alandır. İlgili hekimlere konsültasyon acil servislerde
yapılmaktadır. Bu çalışmanın amacı acil servisten kalp ve damar cerrahisi tarafından
yatırılan hastaları değerlendirmektir.

Yöntem: Bu retrospektif çalışma, bir
devlet hastanesinde 01.01.2012-01.09.2017 tarihleri arasında yapıldı. Acil
servisten, kalp ve damar cerrahisi tarafından yatırılan hastaların kayıtlarına
ulaşıldı. Hastaların demografik özellikleri, yatış tanıları, komplikasyon
oranları, komorbiditeleri, acilde kalış süreleri, tam kan sayımı ve kanama
parametreleri, yatış süreleri ve sonuçları değerlendirildi.

Bulgular: Otomasyon sisteminden 146
hastanın kayıtları geriye dönük olarak değerlendirildi. Çalışmaya dahil edilen
142 hastanın 88’i (%62) erkekti. Hastaların en sık (%39,4) yatış nedeni derin
ven trombozu  idi. Yatan hastaların %92,3’ü
şifa ile taburcu edildi. Altı hasta ileri merkeze sevk edildi, bir hasta
tedaviyi reddetti ve dört hasta öldü. Hastalara en sık eşlik eden hastalık
hipertansiyondu.

Tartışma:
Acil servis
hekimleri, kalp ve damar cerrahisi konsültasyonundan önce hastaların klinik
özelliklerini ayrıntılı değerlendirmelidir.

Anahtar Kelimeler

acil servis, kalp ve damar cerrahi, konsültasyon, yatış

Kaynakça

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