Pandemi Sürecinin Geriatrik Hastaların Acil Servise Tekrar Başvuruları Üzerine Etkisi

Amaç: Taburculuk sonrası 72 saat içerisinde acil servise yapılan tekrarlayan başvuruların bakım kalitesi ile ilişkili olduğu bilinmektedir. Bu çalışmada pandemi sürecinde acil servise geriatrik hastalar tarafından yapılan tekrarlayan başvuruların değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Ocak 2019-Haziran 2020 tarihleri arasında Nevşehir Devlet Hastanesi’ne yapılan 65 yaş üstü hasta başvurularına ait sistem kayıtları retrospektif olarak değerlendirilmiştir. Bulgular: Hastaların demografik özellikleri, acil servise yapılan başvuru sayılarının aylık dağılımı yıllara göre incelenmiştir. Tekrar başvuru saatleri 0-24, 24-48 ve 48-72. saat aralıkları olarak gruplandırılmış, aylara ve yıllara göre dağılımı değerlendirilmiştir. Pandemi sürecinin bu dağılıma etkisi incelenmiştir. Sonuç: Pandemi sürecinin etkileri göz önünde bulundurularak; acil servise tekrarlayan başvurularla ilişkili faktörler ele alınıp bakım kalitesinin arttırılması ve acil servis kalabalığının azaltılmasına yönelik çözümler üretilmelidir.

Anahtar Kelimeler:

Pandemi, acil servis, tekrarlayan başvuru

The Effect of The Pandemic Process on Re-Visits of Geriatric Patients to The Emergency Department

Aim: It is known that revisits to the emergency department within 72 hours of discharge are associated with the quality of care. In this study, it was aimed to evaluate the revisits by geriatric patients to the emergency department during the pandemic period. Materials and Methods: The data of patients over the age of 65 visits to Nevşehir State Hospital between January 2019 and June 2020 were evaluated retrospectively. Results: The demographic characteristics of the patients and the monthly distribution of the visits to emergency department were examined according to years. Revisit hours were grouped as 0-24, 24-48 and 48-72, and their distribution according to months and years was evaluated. The effect of the pandemic period on this distribution was examined. Conclusion: Considering the effects of the pandemic period; factors associated with revisits to emergency department should be addressed, and solutions should be produced to increase the quality of care and reduce the emergency crowding.

Keywords:

Pandemic, emergency department, revisit,

PDF

___

Bicakci S, Bicakci N, Duman A, Atilla R. Characteristics of recurrent emergency department visits within 72 hours of visits for the same or related complaints. Med Science 2016;5(4):937-40 doi: 10.5455/medscience.2016.05.8473
Aslaner MA. Revisits of Older Patients to the Emergency Department within 72 Hours. Acta Med. Alanya 2019;3(3):267-271. doi:10.30565/medalanya.562963
Chan AH, Ho SF, Fook-Chong SM, Lian SW, Liu N, Ong ME. Characteristics of patients who made a return visit within 72 hours to the emergency department of a Singapore tertiary hospital. Singapore Med J. 2016 ve 57:301-6.
Altınbilek E, Öztürk D, Atasoy C, Özlem M, Yılmaz F, Kavalci C. Analysis of the Patients Who Admitted To A Turkish Emergency Department During COVID-19 Pandemic. Acta Biomed. 2020 ve 91:e2020201.
Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006 Apr;15(2):102-8. doi: 10.1136/qshc.2005.016618.
Calder L, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits. BMJ Qual Saf. 2015 Feb;24(2):142-8. doi: 10.1136/bmjqs-2014-003194.
Guo DY, Chen KH, Chen IC, Lu KY, Lin YC, Hsiao KY. The Association Between Emergency Department Revisit and Elderly Patients. J Acute Med. 2020 Mar 1;10(1):20-26. doi: 10.6705/j.jacme.202003_10(1).0003
Cohen BA, Wessling EG, Serina PT, et al. Emergency department operations in a large health system during COVID-19. Am J Emerg Med. 2021 Mar;41:241-243. doi: 10.1016/j.ajem.2020.05.097.
de Gelder J, Lucke JA, de Groot B, et al. Predictors and Outcomes of Revisits in Older Adults Discharged from the Emergency Department. J Am Geriatr Soc. 2018 Apr;66(4):735-741. doi: 10.1111/jgs.15301.
Leow SH, Dean W, MacDonald-Nethercott M, et al. The Attend Study: A Retrospective Observational Study of Emergency Department Attendances During the Early Stages of the COVID-19 Pandemic. Cureus. 2020 Jul 21;12(7):e9328. doi: 10.7759/cureus.9328.
Wong LE, Hawkins J, Langness S, Murrel KL, Iris P, Sammann A. Where Are All the Patients? Addressing Covid-19 Fear to Encourage Sick Patients to Seek Emergency Care. NEJM Catalyst Innovations in Care Delivery 2020. Vol. No. | May 14, 2020 DOI: 10.1056/CAT.20.0193