Gizem ISSİN, Mehmet GAMSIZKAN, Ersin TURAL, Diren ÇAĞATAY, Ferda KESKİN ÇİMEN

COVID-19 Pandemi Dönemi ve Öncesinde Cerrahi Patolojide Panik Tanı alan Hastaların Hastaneye Başvuru Sürelerini Etkileyebilecek Faktörlerin Değerlendirilmesi

Amaç: Bu çalışmada Panik tanı alan hastaların hastaneye başvuru sürleri belirlenmiş, hastaneye başvuru süresini etkileyebilecek faktörler değerlendirilmiş ve COVID-19 pandemisinin hastaneye başvuru süresi üzerine etkisi irdelenmiştir. Metod: Bu çalışmada, 2018-2021 yılları Ocak ayları arasında panik tanı alan hastalar belirlendi. Bu hastaların demografik, Klinik ve panik tanı formlarındaki bilgiler derlendi. COVID-19 pandemi dönemi ve öncesindeki hastaneye başvuru süreleri belirlendi. Bulgular: Panik tanı alan 65 hasta mevcuttu. Bunlardan birinde lökositoklastik vaskülit, 10’nunda villus veya trophoblast içermeyen uterin kürataj materyali ve 54’ünde beklenmeyen malignite mevcuttu. COVID öncesi dönemde panik tanı hakkında sözlü olarak bilgilendirlen ve bilgilendirilmeyen vakaların hastaneye başvuru süresinin ortalaması sırası ile, beş ve 156 gündü. COVID pandemic döneminde tüm hastalar sözel olarak bilgilendirilmişti ve hastaneye başvuru süreleri ortalama 18 gündü. Sözel olarak bilgilendirilen grubun hastaneye başvuru süreleri COVID pandemic döneminde önceki döneme göre 13 gün daha uzundu. Sonuç: COVID pandemic döneminde panik tanı vakalarında belirgin düşüş ve sözlü olarak bilgilendirlen hastaların hastaneye daha kısa zamanda başvurduğunu saptadık. Hastane panik tanı bildirim sistemlerinin, sağlık aplikasyonlarına ve Aile hekimliği sistemine integre edilmesi istenmeyen gecikmelerin önüne geçmek için yararlı olabilir.

Anahtar Kelimeler:

Panik Tanı, , beklenmeyen tanı, önemli tanı, Kritik Değer

An Examination of the Factors, Which May Affect the Duration of Admission to the Hospital of Panic Diagnosed Patient in Surgical Pathology during and Pre-COVID-19 Pandemic

Objective The present study aimed to determine the duration of hospital admission of the panic diagnosed patients, examine the factors that may influence hospital admission time, and identify the impact of the COVID-19 pandemic on hospital admission time. Method: In this study, the panic diagnosed patients between January 2018 and January 2021 were determined. These patients’ demographic, clinical, and panic diagnosis form data were documented. The duration of hospital admission of patients during and pre-COVID-19 pandemic period was determined. Results: There were 65 panic diagnosed cases, of which one patient had leukocytoclastic vasculitis, 10 patients had uterine contents without villi or trophoblasts, and 54 patients had unexpected malignancy. The mean time of admission to the hospital of verbally informed and not verbally informed cases were five days and 156 days, respectively in the pre-COVID group. All cases in the COVID pandemic group were verbally informed about panic diagnosis by phone call. The mean time (day) of admission to the hospital was 18.3 days (1-40). Admission times were on mean about 13.3 days longer in verbally informed cases in the COVID pandemic group compared to verbally informed cases in the pre-COVID group. Conclusion: We determined a dramatic decrease in the number of panic diagnosed cases during the COVID pandemic and patients who are verbally informed admitted to the hospital in a shorter time. Integrations of hospital panic diagnosis notification systems to health application programs and primary responsible family physician’s systems may be useful for preventing unwanted delays.

Keywords:

Panic diagnosis, unexpected diagnosis, significant diagnosis, critical value,

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez