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Tüm acil servis başvuruların %30’ unu oluşturan Çocuk Acil Servis başvuruları gerekli önlemlerin alınmasına rağmen hala yüksek oranını korumaya devam etmektedir. Sunulan hizmetin daha iyi ve bilimsel olması açısından acile servis verilerinin değerlendirilmesi oldukça önem taşımaktadır. Çalışmamızda ebeveynlerin çocuk acil servislerine başvurmasına neden olan şikâyetlerinin tespit edilmesi ve değerlendirilmesi amaçlanmıştır. Değerlendirmede 01.01.2014 – 31.12.2017 tarihleri arasında, Çocuk Acil Servisine başvurular esas alındı. Triyaj yapan sağlık personeli tarafından ebeveynin ilk ve önemli bulduğu şikayeti, hastanın yaşı, yatış, reçete ve sevk bilgileri kayıt altına alındı. 24 saat içerisinde tekrarlayan başvurular değerlendirmeye dışı bırakıldı. Başvuran 132654 hastanın %52.8’ i erkek ve %47.2’ si kızdı. Yaş dağılımlarına bakıldığında, yenidoğan döneminde %2.1, 1 ay ile 2 yaş arasında %34.5, 2 yaş ile 6 yaş arası %31.2, 6 yaş ile 11 yaş arası % 19.9, 11 yaş ile 18 yaş arası ise %12.3 olduğu görüldü. En sık başvuru sebebi enfeksiyona ait nedenler (%44.24) ağrı (%17.8) ve gastrointestinal nedenler (%14.5) olarak bulundu. Başvuran hastaların yarısına reçete ile ayaktan tedavi verilirken, %1.5’i servis ve yoğun bakım yatışlarının uygun görüldüğü belirlendi. Çalışmamızda ebeveynlerin çocuklarını acil servise getiriş kaygılarının, ateş ve öksürük gibi enfeksiyon kaynaklı nedenler olduğu tespit edildi. Sonuçlar değerlendirildiğinde, alanında deneyimli sağlık çalışanlarının ateş ve öksürük ile seyreden hastalıklar hakkında bilgi vermelerinin ebeveynlerin gereksiz kaygılarını azaltabileceğini ve bu şekilde acil servis başvurularını da azaltabileceği düşünüldü.
Although there are several precautions, the number of applications to the Pediatric Emergency Department (PED) out of 30% of all applications still keeps its high rate. It is important to evaluate the emergency services' data in order to keep a good and scientific service. In this study, it was aimed to examine and evaluate the complaints that caused parents to apply to PED.Between 01.01.2014 and 31.12.2017, applications to PED were taken as basis. The first complaint of the parent which was considered to be most important; the patient's age; hospitalization, prescription and referral information were recorded by the triage medical staff. Repeated applications within 24 hours were not evaluated.Of the 132654 patients who applied, 52.8% were male and 47.2% were female. Among to the age distribution, 2.1% was in the newborn period, 34.5% was in between the age of 1 month to 2 years, 31.2% was in between 2 to 6 years, 19.9% was in between 6 to 11 years and 12.3% was in between 11 to 18 years old.When the distribution of causes was evaluated in the main group, the causes of infection (44.24%) were the most common, followed by pain causes (17.8%) and gastrointestinal causes (14,5%). While half of the patients were prescribed as outpatient treatment, the pediatric service and intensive care hospitalization of 1.5% of the main group were found to be proper. In this study, it was observed that the reasons and concerns for PED applications of the patients were the symptoms of infection such as fever or coughing. Upon the evaluation of the results, it can be considered that providing information to the parents about fever and cough by the experienced health workers may reduce their unnecessary concerns, leading to reducing the number of PED applications.
Although there are several precautions, the number of applications to the Pediatric Emergency Department (PED) out of 30% of all applications still keeps its high rate. It is important to evaluate the emergency services’ data in order to keep a good and scientific service. In this study, it was aimed to examine and evaluate the complaints that caused parents to apply to PED.Between 01.01.2014 and 31.12.2017, applications to PED were taken as basis. The first complaint of the parent which was considered to be most important; the patient's age; hospitalization, prescription and referral information were recorded by the triage medical staff. Repeated applications within 24 hours were not evaluated.Of the 132654 patients who applied, 52.8% were male and 47.2% were female. Among to the age distribution, 2.1% was in the newborn period, 34.5% was in between the age of 1 month to 2 years, 31.2% was in between 2 to 6 years, 19.9% was in between 6 to 11 years and 12.3% was in between 11 to 18 years old.When the distribution of causes was evaluated in the main group, the causes of infection (44,24%) were the most common, followed by pain causes (17,8%) and gastrointestinal causes (14,5%). While half of the patients was prescribed as outpatient treatment, the pediatric service and intensive care hospitalization of 1.5% of the main group were found to be proper. In this study, it was observed that the reasons and the concerns for PED applications of the patients were the symptoms of infection such as fever or coughing. Upon the evaluation of the results, it can be considered that providing information to the parents about fever and cough by the experienced health workers may reduce their unnecessary concerns, leading to reduce number of PED applications.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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