The Demographic Characteristics of Patients Admitted to the Emergency due to Low Back Pain
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Tarih
2015
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: 2007-2015 yılları arasında bel şikayetiyle acile başvuran hastaların demografik özelliklerini incelemek istedik Gereç-Yöntem: Abant İzzet Baysal Üniversitesi Tıp Fakültesi Hastanesi ve Kamu Hastaneler birliğine bağlı acil servislere 2007- 2015 yılları arasında bel şikayetiyle acile başvuran hastalar retrospektif olarak kayıtlardan incelendi. Hastaların demografik özellikleri ve hasta bilgileri kayıtlardan elde edildi. Acile başvurduğunda ilk teşhisi bel olan hastalar çalışmaya dahil edildi. Travma veya kaza geçiren, akut kırık teşhisi konulmuş olan hastalar incelemeye dahil edilmedi. Hastaların yaş, cinsiyet, başvuru zamanının hangi saat, gün, ay, yıl ve mevsimde olduğu, acilde ne kadar kaldığı ve başka servise sevk edilmişse hangi bölüme sevk edildiği ve orda kaç gün yattığı incelendi. Cerrahi servislerden birine sevk edilmişse cerrahi yapılıp yapılmadığı kaydedildi. Bulgular: Bel ağrısı teşhisiyle acile başvurmuş ve tedavi almış toplam hasta sayısı 43233 idi. Bunlardan 22372 hasta yaklaşık % 51.7’si erkek, 20861 hasta yaklaşık %48.3’ü kadındı.11 hasta Genel cerrahiye nakledilmiş, 14 hasta Ortopedi ve Travmatoloji servisine, 3 hasta Kadın Hastalıkları ve Doğum servisine, 1 hasta üroloji servisine, 1 hasta Göğüs Cerrahisi servisine, 699 hasta Beyin Cerrahi servisine yatırılmış. 5 hasta Algoloji, 3 hasta Çocuk Hastalıkları, 20 hasta Enfeksiyon Hastalıkları, 89 hasta Fizik Tedavi ve Rehabilitasyon, 9 hasta Dahiliye, 5 hasta Kardiyoloji, 11 hasta Nöroloji, 1 hasta Yoğun Bakım servisine yatırılmıştır. Sonuç: Hastanın anemnezi ve fizik muayenesi çok iyi yapılırsa gereksiz tetkik ve tedavilerin önüne geçilmiş olur. Yapılacak geniş çaplı çalışmalar sayesinde acil hekimlerinin karşılaşabilecekleri bel ağrılı hastadaki teşhis ve tedavi stratejisinin belirlenmesi konusunda izleyecekleri bir paradigma oluşturulabilir.
Objectives: We want to examine the demographic characteristics of patients admitted to the emergency department due to waist complaints between 2007-2015 years. Methods: Records of the patients presented to the emergency with low back pain emergency services of Abant Izzet Baysal University Medical Faculty and Public Hospitals affiliated Public Hospitals Alliance between 2007-2015 years were analyzed retrospectively. The demographic characteristics of patients and information were obtained from the records. The patients’ diagnosed low back pain at the time they admitted to emergency were included in the study. The patients undergoing trauma or accident and diagnosed acute fracture were excluded from the study. The patients elaborated in terms of age, gender, admission time at which clock, day, month, year, and season, how to remain in emergency and if referred to another service, to which department was referred and how many days they admitted. If referred to one of the surgical departments, they were recorded to undergo surgery. Results: Total number of patients diagnosed low back pain and received treatment in emergency was 43233. Of these, 22372 patients were male, 20861 patients were female. 11 patients admitted to general surgery, 14 patients to the Orthopedics and Traumatology service, 3 patients to Obstetrics and Gynecology, 1 patient to Urology, 1 patient to Thoracic Surgery, 699 patients to Neurosurgery service. 5 patients admitted to algology, 3 patients to Pediatrics, 20 patients to Infectious Disease, 89 patients to Physical Therapy, 9 patients to Internal Medicine, 5 patients to Cardiology, 11 patients to Neurology, 1 patient to Intensive Care Unit. Conclusions: If the patient's anamnesis and physical examination is done very well, it will prevent unnecessary tests and treatments. Paradigm about diagnose and treatment strategies for the patients with low back pain that emergency doctors can follow when they encounter can be created through extensive studies.
Objectives: We want to examine the demographic characteristics of patients admitted to the emergency department due to waist complaints between 2007-2015 years. Methods: Records of the patients presented to the emergency with low back pain emergency services of Abant Izzet Baysal University Medical Faculty and Public Hospitals affiliated Public Hospitals Alliance between 2007-2015 years were analyzed retrospectively. The demographic characteristics of patients and information were obtained from the records. The patients’ diagnosed low back pain at the time they admitted to emergency were included in the study. The patients undergoing trauma or accident and diagnosed acute fracture were excluded from the study. The patients elaborated in terms of age, gender, admission time at which clock, day, month, year, and season, how to remain in emergency and if referred to another service, to which department was referred and how many days they admitted. If referred to one of the surgical departments, they were recorded to undergo surgery. Results: Total number of patients diagnosed low back pain and received treatment in emergency was 43233. Of these, 22372 patients were male, 20861 patients were female. 11 patients admitted to general surgery, 14 patients to the Orthopedics and Traumatology service, 3 patients to Obstetrics and Gynecology, 1 patient to Urology, 1 patient to Thoracic Surgery, 699 patients to Neurosurgery service. 5 patients admitted to algology, 3 patients to Pediatrics, 20 patients to Infectious Disease, 89 patients to Physical Therapy, 9 patients to Internal Medicine, 5 patients to Cardiology, 11 patients to Neurology, 1 patient to Intensive Care Unit. Conclusions: If the patient's anamnesis and physical examination is done very well, it will prevent unnecessary tests and treatments. Paradigm about diagnose and treatment strategies for the patients with low back pain that emergency doctors can follow when they encounter can be created through extensive studies.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Acta Medica Anatolia
WoS Q Değeri
Scopus Q Değeri
Cilt
3
Sayı
1