Hakan AYDIN, Attila BEŞTEMİR, Göksu BOZDERELİ BERİKOL, Halil DOĞAN

Pandemi Hastanesinin Acil Servisine Başvuran Hastaların Analizi: Bir Retrospektif Türkiye Çalışması

Pandemi hastanesinin acil servisine başvuran hastaların analizi: Bir retrospektif Türkiye çalışması Öz Giriş: Tüm dünyada COVID-19 pandemisi ve uygulanan politikaların sağlık sistemi ve sağlık arama davranışı üzerinde doğrudan ve dolaylı etkileri olduğu gözlemlenmiştir. Bu çalışmanın amacı bir pandemi hastanesinin acil servisine başvuran vakaları analiz etmek ve pandemi döneminin sağlık hizmetlerine ve uygunsuz ambulans kullanımına etkisini araştırmaktır. Metod: Bu tek merkezli, gözlemsel, retrospektif çalışmaya, Prof. Dr. Murat Dilmener Acil Durum Hastanesinin acil servisine (AS) 05 Ocak-05 Nisan 2021 tarihleri arasında başvuran COVID-19 hastaları alındı. Ambulans ile başvurun vakaların demografik özellikleri, yaşamsal belirtileri ve sonlanımları incelendi. Sonuçlar kendi imkanlarıyla başvuran vakaların (kontrol grubu) verileriyle karşılaştırıldı. Bulgular: Çalışmaya 2958 vaka dahil edildi. Hastaların yaş ortancası 45 yıl ve %53’ü kadındı. Hastaların %45.3’ü ambulans ile AS’e başvurdu. Charlson Komorbidite Indeksi açısından kendi imkanıyla ve ambulans ile başvuran hastalar arasında istatistiksel bir ilişki saptanmadı (CKI=0, p=0.238; CKI=1-2, p=0.399; CKI≥ 3, P=0.124). Ambulansla gelen hastalarda nabız hızı 60-90/dk arasında olanların oranı %88.6, SpO2'si %95 ve üzerinde olanların oranı ise %66.1 idi. Ambulans ile başvuranları %62.3’ü kendi imkanlarıyla başvuranların %70.1’i AS’ten taburcu edildi (p

Anahtar Kelimeler:

acil sağlık hizmetleri, acil servis, uygunsuz ambulans kullanımı, pandemi hastanesi, tıbbi sosyal hizmetler

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