Ürogeni̇tal Travmalar: Aci̇l Servi̇s Deneyimi

Öz

Bu çalışmanın amacı, acil servise başvuran ürogenital travma olgularının demografik özelliklerini, travma tiplerini, klinik sonlanışlarını ve tedavi yaklaşımlarını retrospektif olarak değerlendirmektir. Retrospektif olarak planlanan bu çalışmada, 01 Ocak 2024–31 Aralık 2024 tarihleri arasında acil servise travma nedeniyle başvuran toplam 80 hastanın tıbbi kayıtları incelendi. Hastaların yaş, cinsiyet, başvuru zamanı, travma tipi, tedavi yöntemi ve acil sonlanış bilgileri analiz edildi. Tanımlayıcı istatistikler kullanıldı; gruplar arası karşılaştırmalarda ki-kare testi ve One-Way ANOVA uygulandı. Çalışma döneminde acil servise başvuran toplam 80 ürogenital travma hastası değerlendirildi. Hastaların %81,3’ü erkekti (n:65). Travma tipleri incelendiğinde %67,5’inin multitravma (n:54), %32,5’inin ise izole ürogenital travma (n:26) olduğu belirlendi. Klinik sonlanış açısından hastaların %28,8’i taburcu olup (n:23), %70’i yatırılarak tedavi edilmiş (n:56) ve %1,3’ü acil serviste exitus olmuştur (n:1). Yaş ortalaması tüm hastalarda 40,27 ± 18,03 yıl oldu. Multitravma hastalarının %90,7’si (n:49) yatırılarak tedavi edilirken, izole ürogenital travmaların %73,1’i (n:19) taburcu edilmiştir (p<0,001). Başvuru saatlerinin dağılımı 16.00–23.59 aralığında belirgin yoğunluk göstermiştir (%55, n:44). Cerrahi işlem gerektiren hasta sayısı 7 olup, bu hastaların tamamı yatırılarak tedavi edilmiştir. Ürogenital travmaların klinik yönetiminde yaş, travma tipi ve tedavi yaklaşımı belirleyici faktörlerdir. Multitravma ile birlikte görülen olgularda hastane yatışı ve kötü klinik sonlanım riski artmaktadır. Bu çalışma, ürogenital travmaların acil servisteki değerlendirilmesine ve yönetim stratejilerinin geliştirilmesine katkı sağlamaktadır.

Anahtar Kelimeler

• Acil servis
• Hastane
• Çoklu travma
• Ürogenital sistem

Destekleyen Kurum

Bu çalışma için finansal destek alınmamıştır.

Proje Numarası

YOK

Etik Beyan

Yapılan çalışmada, araştırma ve yayın etiğine uyulmuştur.

Teşekkür

Bu çalışma için finansal destek alınmamıştır.

Urogenital Traumas: An Emergency Department Experience

Öz

The aim of this study is to retrospectively evaluate the demographic characteristics, types of trauma, clinical outcomes, and treatment approaches of urogenital trauma cases presenting to the emergency department. In this retrospective study, the medical records of a total of 80 patients who presented to the emergency department with trauma between January 1, 2024, and December 31, 2024, were examined. Information on the patients' age, gender, time of presentation, type of trauma, treatment method, and emergency outcome was analyzed. Descriptive statistics were used; chi-square test and one-way ANOVA were applied for intergroup comparisons. A total of 80 urogenital trauma patients who presented to the emergency department during the study period were evaluated. Of the patients, 81.3% were male. Examination of trauma types revealed that 67.5% (n:54) had multitrauma, whereas 32.5% (n:26) had isolated urogenital trauma. Regarding clinical outcomes, 28.8% of the patients were discharged (n:23), 70% were hospitalized (n:56), and 1.3% died in the emergency department (n:1). The overall mean age of the cohort was 40.27 ± 18.03 years. While 90.7% of multitrauma patients (n:49) required hospitalization, 73.1% of isolated urogenital trauma cases (n:19) were discharged (p<0.001). Age, trauma type, and treatment strategy are key determinants in the clinical management of urogenital trauma. Cases associated with multitrauma carry a higher risk of hospitalization and adverse outcomes. This study contributes valuable insight into the emergency department evaluation and management of urogenital injuries. A total of 7 patients required surgical intervention, and all of them underwent inpatient management.

Anahtar Kelimeler

• Emergency Service
• Hospital
• Multiple Trauma
• Urogenital System

Destekleyen Kurum

No financial support was received for this study.

Proje Numarası

YOK

Etik Beyan

This study was conducted in accordance with the principles of research and publication ethics.

Teşekkür

No financial support was received for this study.

Kaynakça

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