Acil servise başvuran baş dönmesi olan hastaların değerlendirilmesi

Amaç: Bu çalışmanın amacı, acil servise baş dönmesi olan hastaların demografik özelliklerini, şikayete neden olan etyolojik nedenleri, laboratuvar bulgularını ve prognozu değerlendirmektir.Gereç ve yöntem: Adana Numune Eğitim ve Araştırma Hastanesi Acil Tıp Kliniğine Ocak 2013-Ocak 2015 tarihleri ​​arasında başvuran toplam 5.056 hastanın dosya verileri retrospektif olarak incelendi. Verilerin tanımlayıcı istatistiklerinde ortalama, standart sapma, ortanca, en düşük, en yüksek, frekans ve oran değerleri kullanılmıştır.Bulgular: İki bin dokuz yüz dört hasta (% 57.4) kadın, 2.152'si erkek (% 42.6) ve yaş ortalaması 53.6 (± 18.2) idi. Şikâyetlerin 51-70 yaş arası periferik periferik vertigo (n: 4.130,% 81.6), sistemik nedenler (n: 664,% 13.1) ve santral vertigo (n: 249) arasında yaygın olduğu saptanmıştır. En sık görülen etiyolojiler ise% 4.9'du. Acil serviste gerekli prosedürleri takiben hastaların% 83'ünün taburcu olduğu tespit edildi.Sonuç: Baş dönmesi, hastaları acil servise getiren en önemli belirtilerden biridir. Pek çok etiyolojinin bir parçası olmasına rağmen, nörolojik ve kardiyolojik değerlendirmelerin yapılması gerektiği belirlenir. Hastalar genellikle basit manevra veya tıbbi tedavi seçenekleri ile acil servislerde yönetilebilir.
Anahtar Kelimeler:

acil servis, vertigo, baş dönmesi

Evaluation of patients with dizziness who applied to emergency service

Purpose: The aim of this study was to evaluate the demographic characteristics of the patients presenting to the emergency room with dizziness, the etiologic causes leading to the complaints and the laboratory findings as well as the prognosis.Materials and methods: The file data of a total of 5,056 patients admitted to the Adana Numune Training and Research Hospital Emergency Medicine Clinic between January 2013 and January 2015 were reviewed retrospectively. Mean, standard deviation, median, lowest, highest, frequency and ratio values were used in the descriptive statistics of the data. Results: Two thousand nine hundred four of the patients were female (57.4%), 2,152 were male (42.6%) and the average age was 53.6 (± 18.2) years. It was determined that the complaints were common in the population between the ages of 51-70, and peripheric peripheral vertigo (n: 4.130, 81.6%), systemic causes (n: 664, 13.1%), and central vertigo (n: 249, 4.9%) were the most prevalent etiologies, respectively. It was determined that 83% of the patients were discharged following necessary procedures in the emergency room.Conclusion: Dizziness is one of the most important symptoms that bring patients to the emergency services. While many etiologies play a part, it is determined that neurological and cardiological evaluations must be done. Patients can mainly be managed in emergency services by simple maneuvering or medical treatment options. 

Kaynakça

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