Acil servise başvuran adli olguların ve düzenlenen adli raporların değerlendirilmesi
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Dosyalar
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızda adli olguların ilimizdeki profilinin belirlenmesini ve adli olayın niteliği ile olgulara düzenlenen geçici veya kesin raporların ilişkisinin irdelenmesini amaçladık. Yöntemler: Abant İzzet Baysal Üniversitesi Araştırma ve Uygulama Merkezi Acil Servisi’ne 01.01.2008-31.12.2009 tarihleri arasında başvuran adli olgulara ait hasta dosyaları ve adli raporlar retrospektif olarak incelendi. Bulgular: Acil servise başvuran tüm olguların %7,01’ini adli olgular oluşturmaktaydı. Bu olguların %66,4’ü erkek olup yaş ortalaması 32,41±17,83 bulundu. En sık trafik kazası (%53,7) nedeni ile başvuru yapıldığı, olayların çoğunlukla gündüz saatlerinde meydana geldiği (12:00-18:00), olguların ortalama 82,63 dakikada hastaneye ulaştıkları ve acil serviste en sık 1-4 saat kaldıkları tespit edildi. Olguların %30,6’sına hiçbir konsültasyon istenmediği, tedavi sonucu açısından acil servisten taburcu edilen olguların (%68,5) fazla bulunduğu belirlendi. Olguların %69,8’sına geçici adli rapor düzenlendiği ve taburcu edilen olgulara düzenlenen geçici raporların, kesin raporlara göre anlamlı olarak fazla olduğu saptandı. Sonuç: Adli olgulara düzenlenen kesin rapor sayılarının arttırılması, acil serviste çalışan hekimler için mezuniyet öncesi ve sonrası eğitim programlarının yaygınlaştırılması ile hız kazanabilir. (Ha se ki T›p Bül te ni 2012; 50: 14-20)
Aim: In this study, the aim was determining the profile of the forensic cases in our city and investigating the relationship between the type of forensic events and the temporary or definite reports that were prepared in these cases. Methods: Medical documents and forensic reports of the patients, who had presented to the emergency department at Abant Izzet Baysal University Research and Application Center, between 01.01.2008-31.12.2009, were analyzed retrospectively. Results: Forensic patients constituted 7.01% of all cases in the emergency department. Majority of patients were male (66.4%), the mean age was 32.41±17.83. The most common type of forensic event was motor vehicle accident (53,7%). Forensic events were reported to occur mostly during daytime, in the 12.00-18.00 hour period. Hospital arrival time was 82.63 minutes in average, length of stay in emergency department was 1-4 hours and, 30.6% of the patients were discharged without any consultations. Discharge rate from the emergency department was 68.5%. The rate of temporary reports prepared for patients who were discharged from emergency service were as high as 69.8% and was significantly higher than that of definite reports. Conclusion: Generalization of the pre- and post-graduate training programs for the physicians working in emergency department can increase the number of definite reports in forensic cases. (The Me di cal Bul le tin of Ha se ki 2012; 50: 14-20)
Aim: In this study, the aim was determining the profile of the forensic cases in our city and investigating the relationship between the type of forensic events and the temporary or definite reports that were prepared in these cases. Methods: Medical documents and forensic reports of the patients, who had presented to the emergency department at Abant Izzet Baysal University Research and Application Center, between 01.01.2008-31.12.2009, were analyzed retrospectively. Results: Forensic patients constituted 7.01% of all cases in the emergency department. Majority of patients were male (66.4%), the mean age was 32.41±17.83. The most common type of forensic event was motor vehicle accident (53,7%). Forensic events were reported to occur mostly during daytime, in the 12.00-18.00 hour period. Hospital arrival time was 82.63 minutes in average, length of stay in emergency department was 1-4 hours and, 30.6% of the patients were discharged without any consultations. Discharge rate from the emergency department was 68.5%. The rate of temporary reports prepared for patients who were discharged from emergency service were as high as 69.8% and was significantly higher than that of definite reports. Conclusion: Generalization of the pre- and post-graduate training programs for the physicians working in emergency department can increase the number of definite reports in forensic cases. (The Me di cal Bul le tin of Ha se ki 2012; 50: 14-20)
Açıklama
Anahtar Kelimeler
Adli Olgu, Acil Servis, Adli Rapor, Forensic Case, Emergency Department, Legal Report
Kaynak
Haseki Tıp Bülteni
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
50
Sayı
1
