An Evaluation of Cases Presenting to the Pediatric Emergency Department of a Training and Research Hospital

Abstract

Günümüzde acil servislerin hizmet yükünü çoğunlukla tıbbi anlamda acil olmayan ve diğer polikliniklerde kolaylıkla çözümlenebilecek problemlere sahip hastaların oluşturması gerek hizmet kalitesi ve sunumu gerekse çalışan memnuniyetini olumsuz derecede etkilemektedir. Ülkemiz koşullarında acil servis kullanımının özelliklerinin bilinmesi, etkin ve kaliteli bir acil sağlık sisteminin oluşturulmasına yönelik verilerin elde edilmesine kaynak oluşturacaktır. Bu çalışmada, üç aylık bir süre içerisinde bir eğitim araştırma hastanesi çocuk acil kliniğine yapılan başvuruların incelenmesi amaçlanmıştır.

Evaluation of the patients admitted to the pediatric emergency service: Cross-sectional analysis of the pediatric emergency and trauma clinic of a tertiary training hospital in Turkey

“…Another study conducted in our country showed that only 1/3 of the patients admitted to pediatric emergency services were monitored in the observation unit. [1] This may be because we are the only pediatric trauma centre in our province as a training hospital of Ministry of Health, and due to lack of equipment and specialists, pediatric surgery, pediatric intensive care, pediatric side branches and emergency patients are accepted from surrounding districts. However, according to the data of our hospital from the year 2011, only 10% of pediatric emergency applications were monitored in the emergency observation unit.…”

“…Our hospital takes place on the top, in which patients and their relatives can make a positive or negative decision and complaints are concentrated. [1] Definition of the emergency case, it should be considered as unusual events which happen suddenly, endangers life and/or impair the quality of life and cannot be resolved by patient relatives in a short time. Only injuries: It causes the death of more than five million people in the world every year and millions of people apply to emergency clinics.…”

A Quasi-Experimental Controlled Educational Intervention for Mothers To Reduce Unnecessary Emergency Department Admissions in Children with Respiratory Tract Infection Symptoms

“…'Inappropriate', 'Non-urgent' or 'Unnecessary' admissions to the ED are complaints that do not require ED resources and immediate management (2). Patients use the ED to receive faster access to care without appointment, and for situations that could easily be resolved in Family Health Centers (FHC) (3). There are many studies on the reasons for admissions to the ED, its frequency, and the sociodemographic characteristics of the admissions.…”

“…According to Türkiye Health Survey 2022 data, among the main health problems seen in the last 6-months in children aged 0-6, upper RTI ranks first with 31.3%, and RTI constitute almost half of all admissions in total (4). In some studies, it is reported that RTI constitute more than 50% of emergency admissions (3,5).…”