Acil Serviste 18-45 Yaş Vefat Eden Genç Vakaların Demografik Karakteristikleri ve Hazırlayıcı Faktörlerin Analizi: Retrospektif Kesitsel Bir Araştırmanın Sonuçları

Amaç: Acil servis (AS), ölüm vakaları konusunda benzersizdir. Bununla birlikte, genç yaş ölüm vakaları ile ilgili AS sonuçları yaygın olarak bildirilmemiştir. Bu çalışma, bir akademik AS’in genç ölüm nedenlerini ve hazırlayıcı faktörleri incelemeyi amaçladık. Materyal ve metot: Çalışma 2018-2023 tarihleri arasında, AS’e başvuran 18-45 yaşarası ardışık 256 genç erişkin ölüm vakasının geriye dönük kesitsel incelenmesini içermektedir. Değişkenler arasındaki ilişkiyi incelemek amacıyla Chi-Square Tests, iki değişkenli verileri analizi için Mann Whitney U testi kullanılırken, ikiden fazla veri analizi için Kruskal Wallis H testi kullanılmıştır. İstatistiksel olarak p>0,05 anlamlı kabul edilmiştir. Bulgular: Vakaların %66,4(n=170) erkek, %33,6(n=87)si kadın, yaş ortalaması 30,84 (18-45) ve ortalama kardiyo-pulmoner resusitasyon (KPR) süresi 41,48(0-240) dakika olarak tespit edilmiştir. Vakaların %82,8(n=212) ile en sık ambulansla başvuru yaptığı, zaman dilimi olarak %39,8(n=102) ile 12:01-18:00 saatleri olduğu tespit edilmiştir. AS’e geliş zamanı ile ölüm nedeni arasındaki ilişki incelendiğinde istatistiksel olarak anlamlı bir ilişki olmadığı (p>0,05) ve tüm vakaların %55,3(n=141)‘i AS’e geldiğinde arrest durumunda olmadığı tespit edilmiştir. Ölüm nedenlerine göre incelendiğinde ise %21,1(n=54) ile travma birinci sırada, %10,5(n=27) ile organ yetersizliğine bağlı ölümler ikinci sırada ve %7(n=18) ile üçüncü sırada kardiyak sebepler gelmektedir. Vakaların AS’e en sık başvuru şikayeti sırasıyla travma %18,4(n=47), nefes darlığı %18(n=46) ve ani bilinç kaybı %9,4(n=24) ile şuur bozukluğu %9,4(n=24) olduğu görülmüştür. Sonuç: Araştırmamız birden fazla sonucu bulunmaktadır. Şikayet göre travma, organlara sistemlerine kalple ilgili nedenler, tüm tanılara göre ise medikal nedenler genç ölümlerde birinci sırada geldiği tespit edilmiştir. Önlenebilir genç ölümler için sağ kalım oranını arttırmak amacıyla kurumsal politikalar geliştirmek önemlidir.

Anahtar Kelimeler:

Acil Servis, genç ölümler, kardiyak arrest

Analysis of Demographic Characteristics and Predisposing Factors of a Young Cases aged 18-45 years who died in the Emergency Service: Results of a Retrospective Cross-sectional Study

Background: The emergency department (ED) is unique in cases of death. However, ED outcomes for young age deaths have not been widely reported in literatures. We aimed to examine the young adult deaths of an academic ED and its precursor. Materials and Methods: The study includes a retrospective cross-sectional analysis of 256 consecutive deaths of young adults aged 18-45 years who applied to ED between 2018-2023. Chi-Square Tests were used to analyze the relationship between variables, Mann Whitney U test was used for bivariate data analysis, Kruskal Wallis H test was used for more than two data analysis. Statistically, p>0.05 was considered significant. Results: 66.4% (n=170) of the cases were male, 33.6% (n=87) were female, mean age was 30.84 (18-45) and mean cardiopulmonary resuscitation (CPR) time was 41.48 (0-240) minutes. It was found that 82.8% (n=212) of the cases were admitted by ambulance. 12:01-18:00 hours were the most intense admission interval with 39.8% (n=102). It was determined that there was no significant relationship between the time of arrival in the ED and the cause of death (p>0.05), When the causes of death are trauma 21.1% (n=54), organ failure10.5% (n=27), and cardiac7% (n=18) causes, are aligned respectively. The most common complaints of the cases to the ED were trauma 18.4% (n=47), shortness of breath 18%(n=46) and sudden loss of consciousness 9.4% (n=24) and unconsciousness 9.4% (n=24). Conclusions: Our research has multiple results. The primary result is that trauma, cardiac and other medical causes came first place in young deaths, respectively. It is important to develop institutional policies to increase the surviv-al rate for preventable young deaths.

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