ACİL SERVİSTEN KALP VE DAMAR CERRAHİSİ BÖLÜMÜNE YATIRILAN HASTALARIN ÖZELLİKLERİ

Amaç: Acil servis, hastaların ilk değerlendirildiği alandır. İlgili hekimlere konsültasyon acil servislerde yapılmaktadır. Bu çalışmanın amacı acil servisten kalp ve damar cerrahisi tarafından yatırılan hastaları değerlendirmektir.Yöntem: Bu retrospektif çalışma, bir devlet hastanesinde 01.01.2012-01.09.2017 tarihleri arasında yapıldı. Acil servisten, kalp ve damar cerrahisi tarafından yatırılan hastaların kayıtlarına ulaşıldı. Hastaların demografik özellikleri, yatış tanıları, komplikasyon oranları, komorbiditeleri, acilde kalış süreleri, tam kan sayımı ve kanama parametreleri, yatış süreleri ve sonuçları değerlendirildi.Bulgular: Otomasyon sisteminden 146 hastanın kayıtları geriye dönük olarak değerlendirildi. Çalışmaya dahil edilen 142 hastanın 88’i (%62) erkekti. Hastaların en sık (%39,4) yatış nedeni derin ven trombozu  idi. Yatan hastaların %92,3’ü şifa ile taburcu edildi. Altı hasta ileri merkeze sevk edildi, bir hasta tedaviyi reddetti ve dört hasta öldü. Hastalara en sık eşlik eden hastalık hipertansiyondu. Tartışma: Acil servis hekimleri, kalp ve damar cerrahisi konsültasyonundan önce hastaların klinik özelliklerini ayrıntılı değerlendirmelidir.

CHARACTERISTICS OF PATIENTS HOSPITALIZED TO CARDIOVASCULAR SURGERY DEPARTMENT FROM EMERGENCY SERVICE

Introduction: Emergency service is the area where patients are first evaluated. Relevant physicians are consulted in emergency services. The aim of this study is evaluation of the patients hospitalized by cardiovascular surgery from emergency service.Method: This retrospective study was conducted in a state hospital between the dates 01.01.2012-01.09.2017. The records of patients hospitalized by cardiovascular surgery from emergency service were reached. The demographic features, hospitalization diagnosis, complication rates, comorbidities, duration of emergency service, complete blood count and bleeding parameters, hospitalization duration and outcomes of patients were evaluated.Results: Records of 146 patients from the automation system were evaluated retrospectively, 88 (62%) of the 142 patients included in the study were male. The most common (39.4%) cause of hospitalization was deep vein thrombosis. 92.3% of the hospitalized patients were discharged with cure. Six patients were referred to an advanced center, one patient refused treatment and four patients died. The most common concomitant disease was hypertension. Discussion: Doctors working in emergency service, should throughly evaluate the clinical characteristics of patients before the Cardiovascular Surgery consultation.

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