Syrian refugees received inpatient treatment in services with different diagnoses. Preventive health measures targeting Syrian refugees may provide treatment at an earlier stage and reduce the rate of hospitalization.
Introduction: Emergency departments are 24-hour open health services. Patients can register to the emergency departments by their own or via emergency ambulance services (EAS). In this study, we aimed to examine the characteristics of patients who were admitted to a pediatric emergency department via EAS and to evaluate clinical and laboratory data of the patients as well as their managements during hospital stay. Methods: Patients brought to the emergency department via EAS between 1 June 2017 and 30 December 2017 were retrospectively analyzed. Data on demographic characteristic and presenting complaints of the patients and resources used were collected. Results: A total of 1234 patients (631 males, 51.1%) were included in the study. The median age of the patients was 75 months (Interquartile range 24-162 months). The majority of patients (n=514, %42) were admitted to the emergency department between the hours 16.01 and 23.59. The most common complaints were convulsion in 231 patients (18.7%), fever in 139 (11.3%), abdominal pain in 129 (10.4%), and intoxication in 86 (6.97%). We noticed that patients used EAS for non-urgent complaints such as constipation, toothache, red eye, nasal discharge, leg pain, leg tenderness, sore throat, and skin rashes and eruptions. No laboratory tests were necessary for 207 patients (17.8%), and 690 patients (56%) did not require hospitalization. Conclusion: There were various reasons for calling ambulances but it was found that families called ambulances for non-urgent complaints such as constipation, toothache, redness in eye and nasal discharge. For this reason, it is necessary to improve the public awareness of the role of ambulance services in order to minimize unnecessary use of ambulance transportation.
ÖZAmaç: Vizing İngilizce kökenli bir kelimedir ve İngilizcenin anadil olmadığı ülkelerde aileler yakınmalarını farklı terminolojiler kullanarak anlatırlar. Bu anlatım farklılığı tanıda zorluklar yaşanmasına yol açabilmektedir. Çalışmada, halkın vizing sesini nasıl tarif ettiği saptanmaya çalışılmıştır. Gereç ve Yöntem: ISAAC (International Study of Asthma andAllergies in Childhood) çalışma grubu tarafından video anket yöntemi için hazırlanan görüntü akıllı telefonlar yardımıyla gönüllü kişilere izletildi. İlk aşamada gönüllülerden izledikleri görüntüdeki sesi tarif etmeleri istendi, ikinci aşamada ise daha önceden belirlenmiş olan seçenekler verilerek bu sese en yakın tanımın hangisi olduğu soruldu. Kişilerin tanımlayıcı bilgileri ve sosyoekonomik durumları kaydedildi.Bulgular: Çalışmaya ortalama yaşı 36.1±9.4 yıl olan 322 gönüllü katıldı. Katılımcıların %52.2'si erkek idi ve %66.1'i videoda dinletilen sesi daha önce duymuştu. 322 katılımcının vizing sesi için 55 farklı tarif kullandığı saptandı. En çok kullanılan tarifler nefes darlığı sesi (%23.2), hırıltı (%15.8), boğulma sesi (%11.1) ve astımlı hasta kriz sesi (%9.3) idi. Hışıltı tüm cevapların %1.2'sini oluşturmaktaydı. Katılımcıların cinsiyetine ve ailelerinde allerjik hastalık öyküsü olup olmamasına göre vizing sesine verdikleri cevaplar arasında anlamlı farklılık saptandı (sırası ile p=0.005 ve p<0.001). Çalışmanın son kısmında katılımcılara daha önce hazırlanmış olan anketten seçenekler verilerek (hırıltı, hışıltı, kedi miyavlaması, fokurtu, haşırtı) dinledikleri sese en yakın ifadenin hangisi olduğu sorulduğunda en çok verilen 3 cevabın hırıltı, hışıltı ve kedi miyavlaması olduğu görüldü. ABSTRACTObjective: Wheezing is a word derived from English. However, the parents use different terminologies for the respiratory complaints of their children especially in countries where English is not a mother tongue. This expression variety can lead to difficulties in diagnosis. In this study, we aimed to determine how people describe the sound of wheezing. Materials and Methods:The video, prepared for the video questionnaire method by the ISAAC study group (International Study of Asthma and Allergies in Childhood), was watched by volunteers with the help of smartphones. In the first stage, they were asked to describe the voice in the video they watched. In the second stage they were given options and asked which is the closest description for the sound they heard. The descriptive information and socioeconomic status of the volunteers were recorded.Results: 322 volunteers with a mean age of 36.1 ± 9.4 years participated in this study. 52.2% of the participants were male. 66.1% of the participants had heard the voice played on the video before. It was determined that 322 participants used 55 different definitions for the wheezing sound. The most frequently used definitions were shortness of breath (23.2%), grunting (15.8%), choking sound (11.1%) and asthma patient crisis noise (9.3%). The wheezing accounted for 1.2% of all answers. Significant differences were found...
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