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Amaç: Dispepsi sindirim işleminin zorluğu anlamına gelip üst batında hissedilen şişkinlik, ağrı, yanma, erken doyma, bulantı ve geğirti semptomlarından oluşur. Dispepsi acil servislere başvurunun en önde gelen nedenlerinden bir tanesidir. Dispeptik hastaların acil serviste yönetimi hakkında halen bir uzlaşmanın olmaması nedeni ile gereğinden fazla tetkikler yapılmaktadır. Bu makalede amaç bir acil serviste dispeptik yakınma ile başvuran hastaların yönetiminde nelerin yapıldığını incelemektir. Gereç ve Yöntem: Bu çalışma, retrospektif dosya taraması yöntemi ile yapılmış olup; 1ocak-31 aralık 2019 tarihleri arasında acil servise dispeptik yakınma nedeni ile başvuran 2798 vaka üzerinde yapılmıştır. Bulgular: Çalışmaya dahil edilen hastaların çoğunluğu (%58,1’i) kadın olup yaş ortalaması 39.73∓17,34 yıldır. Dahil edilen hastaların %77,8 (n=2176)’i sarı alana kabul edilerek tedavi alırken tanı kodlarına göre ise de %54,8 (n=1534) oranında K29 (gastrit) tanısı konulmuştur. Hastaların %98,5’i acil servis gözleminde günübirlik tedavi alarak taburcu olurken sadece %1,5’ine hastane yatışı yapılmıştır. Dispepsi tanı kodu ile kabul edilen ve epigastrik ağrı ile başvuran 1 vaka ex olmuştur. Sonuç: Bu çalışma ile dispeptik yakınmalı hastaların acil servise önemli oranda başvurduğu ancak hastaların %98,5 oranında ayaktan tedaviden fayda gördüğü tesbit edilmiştir. Dispeptik yakınmalı hastalardan alınacak dikkatli bir öykü ve ayrıntılı fizik muayene gereksiz tetkiklerin önlenmesi ve tedavisinde maliyet etkin davranış sergilenmesinin milli servetin korunması açısından önemli olduğu değerlendirilmektedir.
Purpose: Dispepsia means the difficulty of the digestive process and consists of the symptoms of swelling, pain, burning, early saturation, nausea and swelling that are felt in the upper west. Dispepsi is one of the reasons for applying for emergency services. There is no agreement on the management of the dyspeptic patients in the emergency service. The purpose of this article is to explore what is done in the management of patients with dyspeptic approach in an emergency service. Tool and Method: This study was conducted using the retrospective file scan method; it was conducted on 2798 cases that were applied for dispeptic approach to emergency service between 1 January and 31 December 2019. The majority of the patients involved in the study (58.1%) are women and the average age is 39. It was 17 years and 17 years. 77.8 percent of the patients included (n=2176) were admitted to the yellow area and received treatment, while according to the diagnostic codes, 54.8 percent (n=1534) were diagnosed with K29 (gastritis). 98.5 percent of patients were hospitalized in emergency surveillance, while only 1.5 percent were hospitalized. Dispepsia diagnosis is accepted with the code and the case with epigastric pain has been 1 ex. Result: This study has shown that dispeptic-related patients have received a significant number of emergency services, but 98.5 percent of patients benefit from foot treatment. A cautious history to be taken from dyspeptic patients and a detailed physical examination is considered to be important for the preservation of national wealth in the prevention and treatment of unnecessary examinations.
Aim: Dyspepsia means difficulty in the digestive process and consists of symptoms of bloating, pain, burning, early satiety, nausea and burping. Dyspepsia is one of the leading causes for applying to emergency services. Medical workups are overdone since there is still no consensus about the management of dyspeptic patients in emergency service. The aim of this article is to evaluate what is done for the management of patients with dyspeptic complaints in the emergency service. Materials and Methods:This study was conducted by retrospective file scanning method and consisted 2798 cases who applied to the emergency service between 1 January – 31 December 2019 with dyspeptic complaints. Results: Most of the patients who were included in the study were female (%58,1) and the average age was 39.73∓17,34. %77,8 (n=2176) of the included patients were treated by admission to the yellow area while %54,8 (n= 1534) was diagnosed with K29 (gastritis) according to the diagnostic codes. While 98.5% of the patients were discharged with outpatient treatment in the emergency observation room, only 1.5% were hospitalized. One case admitted with dyspepsia diagnostic code and presented with epigastric pain died. Conclusion: In this study, it was determined that patients with dyspeptic complaints present to the emergency department at a significant rate, but patients benefit from outpatient treatment at a rate of %98,5. A careful history taken from and detailed physical examination of patients with dyspeptic complaints for preventing unnecessary examinations and cost-effective behavior in the treatment are considered to be important for the preservation of national wealth.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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