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Amaç Çalışmamızda pandemi dönemi ve öncesinde, ürolojik şikayetlerle acil servise başvuran hastaların sıklığı ve aciliyet durumuna göre dağılımları incelenmiştir. Gereç ve Yöntem Çalışmamıza ülkemizde COVID-19 pandemisinin başladığı ve sıkı kısıtlamaların uygulandığı 11 Mart 2020–1 Haziran 2020 tarihleri arasında acil servise ürolojik şikayetlerle başvuran erişkin hastalar (n=217) ve 2019 yılındaki aynı tarih aralığında acil servise başvuran hastalar (n=249) dahil edildi. Hastaların demografik verileri, başvuru tanıları, aynı şikayetler ile acil ve üroloji polikliniklerine başvuru sıklıkları, tedavileri ve triyaj kategorileri değerlendirildi. Bulgular Hastaların tanılarına göre dağılımları %60,1(n=280) idrar yolu enfeksiyonu, %20(n=93) renal kolik, %13,9(n=65) üriner sistem taş hastalığı, %4,1(n=19) idrar retansiyonu, %1,1(n=5) hematüri, %0,6(n=3) orşit, %0,2(n=1) skrotal yaralanma olarak bulundu. 71(%15,2) hasta acil servis başvurusu sonrasında üroloji polikliniğine başvurdu. 24(%5,2) hastanın acil servise tekrarlayan başvurusu oldu. Hastaların aciliyet durumlarına göre dağılımlarında 2019(sarı alan n=193, yeşil alan n=56) ve pandemi dönemi(sarı alan n=156, yeşil alan n=61) arasında anlamlı fark izlenmedi(p=0,163). Acile başvuran hastalar arasında yıllara göre yaş(p=0,348) ve cinsiyet(p=0,120) açısından fark bulunmadı. Üroloji polikliniğine ve acil servise yapılan tekrarlayan başvurularda 2019 yılı ile pandemi dönemi arasında anlamlı fark izlenmedi(p=0,604 ve p=0,234). Üroloji polikliniğine başvurular 2019 ve 2020’de benzer oranda gözlendi(p=0,809). Hastaların tanılarına göre dağılımları 2019 yılı ve 2020 yılı için farklılık göstermedi(p=0,386). Hastaların yıllara göre tedavi ihtiyaçlarındaki dağılımlar incelendiğinde, 2019 yılıyla 2020 yılı arasında istatistiksel olarak anlamlı farklılık bulunmadı (p=1,000). Sonuç Acil servise ürolojik şikayetlerle başvuran hastaların büyük çoğunluğunu idrar yolu enfeksiyonu geçiren hastalar ve taş hastaları oluşturmaktadır. COVID-19 pandemisi gibi riskli ve yoğun kısıtlamaların olduğu bir dönemde bile hastaların ürolojik hastalıkları sebebiyle acil servise başvurma oranları değişmemiştir.
In our study, the distribution of patients who apply for emergency service with urological complaints in the period and before the pandemic has been examined according to the frequency and emergency status. Our tool and method of study included adult patients with urological complaints to emergency service between 11 March 2020-1 June 2020 when the COVID-19 pandemic began in our country and strict restrictions were applied (n=217) and patients with emergency service within the same period of date in 2019 (n=249). The demographic data of patients, application diagnoses, the same complaints and the frequency of application to emergency and urological clinics, treatments and trial categories were evaluated. According to the diagnosis of patients, the distribution was 60.1 (n = 280) urinary tract infection, 20 (n = 93) renal colic, 13.9 (n = 65) urinary system stone disease, 4.1 (n = 19) urinary retention, 1.1 (n = 5) hematuria, 0.6 (n = 3) orchitis, 0.2 (n = 1) scrotal injury. 71(15,2%) of patients appealed to the urology clinic after the application for emergency service. 24 (5.2%) of the patient was repeatedly requested emergency service. According to emergency conditions, there was no significant difference in distribution between 2019 (yellow area n=193, green area n=56) and pandemic period (yellow area n=156, green area n=61) (p=0,163). There were no differences between the patients in emergency by age (p=0,348) and gender (p=0,120) according to years. Repeated applications to the urology clinic and emergency service did not observe any significant difference between 2019 and the pandemic period (p=0,604 and p=0,234). Applications to the urology clinic were observed in a similar rate in 2019 and 2020(p=0,809). According to the diagnoses of patients, their distribution did not differ for 2019 and 2020 (p=0,386). When the distribution of patients’ treatment needs was examined by years, there was no statistically significant difference between 2019 and 2020 (p=1,000). The majority of patients who apply to emergency services with urological complaints are patients with urinary tract infection and stone patients. Even in a period of risky and intense restrictions, such as COVID-19 pandemic, the rates of emergency services for patients due to urological diseases have not changed.
Objective We assessed the frequency and urgency of patients who admit to emergency room (ER) with urologic complaints during and before pandemia. Materials and Methods Patients(n=217) who admitted to ER with urologic complaints between March 11–June 01, 2020 during strict regulations in Turkey and patients(n=249) who admitted during the same period in 2019 included in the study. Patients’ demographics, diagnosis, frequency of admission to the ER and urology clinic(UC), treatments and triage codes were assessed. Results Diagnosis of patients were 60.1%(n=280) urinary tract infection, 20%(n=93) renal colic, 13.9%(n=65) urinary calculus, 4.1%(n=19) urinary retension, 1.1%(n=5) hematuria, 0.6%(n=3) orchitis, and 0.2%(n=1) scrotal trauma. 24(5.2%) patients had repetitive admissions to ER. Distribution of patients according to class of urgency were similar between 2019(yellow zone n=193, green zone n=56) and 2020(yellow zone n=156, green zone n=61, p=0.163). There was no significant difference between patients who admitted to ER in 2019 and 2020 regarding patients age(p=0.348) and gender(p=0.120). Frequency of repetitive admissions to the UC and ER were similar between 2019 and 2020(p=0.604 vs p=0.234). Rate of admission to the UC was similar in 2019 and 2020(p=0.809). Also distiribution of diagnosis was similar in 2019 and 2020(p=0.386). There was no difference between 2019 and 2020 regarding administered treatments(p=1.000). Conclusions The vast majority of patients presenting to the ER with urological complaints were patients with urinary tract infections and urinary stone disease. Even in a risky period like COVID-19 pandemia and despite strict regulations, patients’ admission rate to ER with their urological complaints didn’t change.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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