Covid-19 Hastalarının Acil Servise Tekrar Başvuru Oranı ve Klinik Özellikleri: Tek Merkezli Çalışma

Öz

Amaç: Bu araştırmada, COVID-19 tanısıyla 72 saat içerisinde bir eğitim ve araştırma hastanesi acil servisine tekrar başvuran hastaların demografik ve klinik özelliklerini belirlemek amaçlanmıştır.

Materyal ve Metot: Araştırma tanımlayıcı ve tek merkezli planlandı. COVID-19 tanısıyla acil servise başvuran hastaların verileri geriye dönük olarak Hastane Bilgi Yönetim Sisteminden elde edildi.

Bulgular: Acil servise COVID-19 tanısıyla toplam 56.497 hasta başvurmuş ve bu hastalardan %0,4’ü 72 saat içinde benzer şikayetlerle acil servise tekrar başvuru yapmıştır. Tekrar başvuru yapan hastaların %51,4’ü kadın ve yaş ortalaması 41,67 olduğu tespit edildi. Tekrar başvuran kişilerin %30,8’inde en az bir komorbidite olduğu saptandı, komorbiditesi olan hastalarda en sık başvuru nedeni bulantı ve öksürük idi.

Sonuç: COVID-19 hastalarının güvenli bir şekilde eve gönderilme kriterlerinin oluşturulması ve tekrar başvuru oranlarının düşürülüp bakım kalitesinin artırılması için ileri çalışmaların tasarımına ihtiyaç vardır. 

Anahtar Kelimeler

• Acil servis
• COVID-19
• tekrar başvuru

Readmission to the Emergency Room and Clinical Characteristics of Patients with Covid-19: A Single-Center Trial

Öz

Objective: This study aims to determine the demographic and clinical characteristics of patients admitted to the emergency department of a training and research hospital within 72 hours of the diagnosis of COVID-19.

Materials and Methods: The study was designed as descriptive and single-centered. The data of patients who presented to the emergency room with the diagnosis of COVID-19 were obtained retrospectively from the Hospital Information Management System.

Results: 56.497 patients diagnosed with COVID-19 presented to our emergency room, and 0.4% returned to the emergency room with similar complaints within 72 hours. Among those who returned, 51.4% were female, and the mean age was 41.67. This study found that 30.8% of readmitted people had at least one comorbidity. It was found that 30.8% of the readmission had at least one comorbidity; nausea and cough were the most common reasons for admission in patients with comorbidities.

Conclusion: There is a need to design further studies to establish the criteria for the safe return of COVID-19 patients to home, to reduce the re-admission rates, and increase the quality of care. 

Anahtar Kelimeler

• COVID-19
• Acil servis
• readmission

Kaynakça

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