Evaluation of Patients Who Applied to the Emergency Department with Falls From the Same Level Before and After the Covid-19 Pandemic

Öz

Trauma is one of the leading causes of death worldwide, and falls constitute a significant portion of trauma-related admissions to emergency departments. Falls may occur due tolack of care, accidents, or due to various metabolic problems or other diseases. Our study aimed to evaluate the cases that were admitted to a university hospital due to falling from the same level in the pre-pandemic and post-pandemic periods and aimed to contribute to the literature. In this cross-sectional study, 1073 patients who were admitted to a university hospital emergency department before the pandemic due to falling from the same level and 1857 patients who were admitted during the pandemic were retrospectively included. 50% of the cases were male and the average age was 59.04 ± 20.87 years. The most common causes of falls were mechanical falls with 36.2%, falls due to neurological reasons with 27.6%, and vasovagal syncope with 26.2%. While 61.1% of the cases were discharged, 24.2% were admitted to the clinic, 7.6% were admitted to the intensive care unit and 1.4% died. In conclusion it was observed that the cases presenting with the same level of fall during the pandemic period were younger, the frequency of comorbidities and additional drug use increased, and the time spent in the emergency room decreased.

Anahtar Kelimeler

• emergency department
• fall
• covid-19

COVID-19 Pandemi Öncesive Sonrası Dönemde Acil Servise Aynı Seviyeden Düşme ile Başvuran Hastaların Değerlendirilmesi

Öz

Travma dünya genelinde ölümlerin başlıca nedenlerinden olup düşmeler ise acil servislere travma nedenli başvuruların önemli bir kısmını oluşturmaktadır. Düşme; dikkatsizlik, kaza nedenleriyle olabileceği gibi çeşitli metabolik sorunlara veya hastalıklara bağlı olarak da meydana gelebilir. Çalışmamızda pandemi öncesi ve sonrası dönemde bir üniversite hastanesine aynı seviyeden düşme nedeniyle başvuran olguların değerlendirilmesi amaçlanmış ve literatüre katkı sağlamak hedeflenmiştir.. Kesitsel tipte olan bu çalışmaya bir üniversite hastanesi acil servisine aynı seviyeden düşme nedeniyle pandemi öncesinde başvuran 1073 ve pandemi döneminde başvuran 1857 hasta retrospektif olarak dahil edilmiştir. Olguların %50’si erkekti ve yaş ortalaması 59,04 ± 20,87 yıldı. En sık düşme nedenleri %36,2 ile mekanik düşme, %27,6 ile nörolojik nedenlere bağlı düşme ve %26,2 ile vazovagal senkop olarak belirlendi. Olguların %61,1’i taburcu olurken, %24,2’si kliniğe, %7,6’sı yoğun bakım ünitesine yatırıldı ve %1,4’ü eksitus oldu. Sonuç olarak; pandemi döneminde aynı seviyeden düşme ile başvuran olguların daha genç olduğu, ek hastalık ve ek ilaç kullanım sıklığının arttığı ve acil serviste geçirilen sürenin azaldığı gözlenmiştir.

Anahtar Kelimeler

• acil servis
• düşme
• covid-19

Kaynakça

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