Kapadokya Bölgesi̇nde Pandemi̇ni̇n Aci̇l Servi̇s Ve Poli̇kli̇ni̇k Başvurularina Etki̇si̇

YAKAR, Şule; BAYKAN, Necmi; İpekten, Funda

doi:10.18229/kocatepetip.934478

Kocatepe Tıp Dergisi

2022

DOI: 10.18229/kocatepetip.934478

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Kapadokya Bölgesi̇nde Pandemi̇ni̇n Aci̇l Servi̇s Ve Poli̇kli̇ni̇k Başvurularina Etki̇si̇

Şule YAKAR

Necmi BAYKAN²,

Funda İpekten

Abstract: AMAÇ: SARS-CoV-2 virüsünün neden olduğu yeni Koranavirüs hastalığının Çin’in Wuhan kentinden sonra tüm dünyada yayılması ile birlikte bir pandemi süreci başlamıştır. Bu çalışmada pandemi sürecinde hastanemizde acil servis ve polikliniklere yapılan hasta başvurularının pandemi öncesi dönemle karşılaştırılması amaçladık.GEREÇ VE YÖNTEM: Ocak 2019 - Ağustos 2020 tarihleri arasında Nevşehir Devlet Hastanesi acil servis ve polikliniklerine yapılan hasta başvurularına ait sistem kayıtları retrospektif olarak değerle… Show more

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The Effect of the Pandemic Process on the Number of Patient Admissions, Hospitalizations and Referrals in a Secondary Emergency Department

Kantar,

Yakar,

İmamoğlu

2024

Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi

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BACKGROUNDS/PURPOSE In December 2019, the respiratory disease caused by a coronavirus group virus, first seen in Wuhan, China, was named "coronavirus disease" (COVID-19). As a result of various decisions taken around the world to keep the disease under control, to provide healthcare services to diseases other than COVID-19, and to protect healthcare personnel from transmission, there have been some disruptions in healthcare service delivery. In this study, the daily number of patients admitted to the emergency department of a second-level district state hospital during the pandemic period, the number of patients hospitalized and the number of patients referred to another hospital were examined. These data were compared with the pre-pandemic and post-pandemic period. METHODS Applications made between January 01, 2019 and December 31, 2022 were examined retrospectively. The hospital where the study was conducted is a second-tier district state hospital serving a district with a total population of 130 thousand, approximately ten kilometers from the provincial center, and was not declared as a pandemic hospital during the pandemic period, but served both covid patients and patient groups presenting with non-covid complaints. Monthly data were collected on the number of patients admitted to the emergency department, the number of hospitalized patients and the number of patients referred to another institution during the four-year period. The effects of the pandemic period on the total number of admissions, referrals and hospitalizations were compared before and after the pandemic. In addition, the effect of the decisions taken by the Ministry of Internal Affairs during the pandemic on the number of patient applications on a monthly basis, and whether this change, if any, has an effect on the number of patient referrals and hospitalizations were investigated. RESULTS Although the number of patients admitted to the emergency department decreased significantly during the pandemic period, the total number of patients hospitalized and referred from the emergency department did not decrease at a similar rate. Within the framework of this information, we can say that among the patients who applied to the hospital, patients who needed to be hospitalized or who needed to be referred to another institution because treatment was not possible under hospital conditions received the necessary health services both during the pandemic period and before and after the pandemic. CONCLUSION Considering the significant decrease in patient admissions seen with the pandemic, it would be appropriate to examine whether the emergency department is used properly by patients outside the above-mentioned group (without hospitalization or referral) in order to ensure effective and quality health services.

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The Effect of the Pandemic Process on the Number of Patient Admissions, Hospitalizations and Referrals in a Secondary Emergency Department

Kantar,

Yakar,

İmamoğlu

2024

Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi

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Interhospital Patient Transfers from the Emergency Department: A Retrospective, Observational Study

Tatliparmak

2022

Genel Tıp Dergisi

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Aims: All patients requiring emergency intervention are given their first medical attention in the emergency department, regardless of the facilities, equipment, and occupancy of the hospital. When the hospital facilities are not sufficient, interhospital patient transfers may be done under some regulations and legislations. This study aimed to analyze interhospital patient transfers from emergency departments to other hospitals. Materials and methods: This retrospective, observational, descriptive study examined interhospital patient transfers from …………. Emergency Department to other hospitals for four years (2018–2022). While all referrals made by the emergency service through the …………. 112 Provincial Ambulance Service Transport Unit were eligible for the study, patients under the age of 18, those whose referral was due to COVID-19 infection, and those whose data could not be accessed were excluded. In addition to demographic data, interhospital patient transfers were evaluated according to time, department, diagnosis, distance between hospitals, and the characteristics of the referral institution. Results: The study included 4,280 transfers. Transfers were done most frequently in 2018 (1,310; 30.6%). Transfers were often handled outside of weekday daytime (2,919; 68.2%) and were most frequently done for cardiac events (2,592; 60.6%). The average transfer distance between hospitals was calculated as 24.29 km (standard deviation [SD]: 6.55 km), while the mean time between the first registration and the transfer was 344.8 minutes (SD: 275.3 minutes). In the analysis of transfers by year, a higher rate of transfers were to public institutions in each successive year (2018: 40.8%; 2019: 52.4%; 2020: 77.8%; 2021: 78.3%). Conclusion: The most common reason for transfer was cardiac events. Increasing the cardiology facilities and equipment of the hospital could reduce the number of interhospital patient transfers.

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Kapadokya Bölgesi̇nde Pandemi̇ni̇n Aci̇l Servi̇s Ve Poli̇kli̇ni̇k Başvurularina Etki̇si̇

Cited by 2 publications

References 4 publications

The Effect of the Pandemic Process on the Number of Patient Admissions, Hospitalizations and Referrals in a Secondary Emergency Department

The Effect of the Pandemic Process on the Number of Patient Admissions, Hospitalizations and Referrals in a Secondary Emergency Department

Interhospital Patient Transfers from the Emergency Department: A Retrospective, Observational Study

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