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Öğe Acil Serviste Yatağa Bağımlı Hastalar: Onları Evlerinde Tedavi Edebilir Miyiz?(Oğuz KARABAY, 2025) Şengüldür, Erdinç; Selki, KudretAmaç: Acil servise başvuran yatağa bağımlı hastaların demografik ve klinik özelliklerini ayrıntılı olarak incelemek ve evde bakım hizmetlerinin bu hasta grubuna uygulanabilirliğini değerlendirmek. Materyal ve Metot: Bu çalışma, Düzce, Türkiye'deki üçüncü basamak bir üniversite hastanesinin acil servisinde yürütülen retrospektif, tek merkezli gözlemsel bir çalışmadır. 01.07.2021 - 01.07.2024 tarihleri arasında 1012 hasta ile yürütülmüştür. Dahil edilme kriterleri: herhangi bir nedenle tamamen yatağa bağımlı olmak. Dışlama kriterleri: Destekli veya desteksiz yürüyebilme, geçici olarak yatağa bağımlı olma. Bulgular: Yatağa bağımlı hastaların oranı %0,003 idi. En sık başvuru nedeni 65 yaş altı hastalarda üriner kateter replasmanı (%24,2), yaşlı hastalarda ise genel durum bozukluğuydu (%25,6). Her iki grupta da en sık tanılar sırasıyla bakım ihtiyacı, pnömoni ve inme oldu. Ölen hastalarda 48 saat ve 30 gün içinde kalsiyum ve albümin değerleri hayatta kalanlara göre istatistiksel olarak anlamlı derecede düşük, BUN değerleri ise yüksekti (pÖğe An Aortic Abscess Associated with Psoas Abscess: A Case Report(Emergency Medicine Physicians Assoc Turkey, 2023) Selki, Kudret; Demir, Mehmet Cihat; Bogan, MustafaIn this article, we report a case in which a psoas abscess opened into the aneurysmatic abdominal aorta, and abscess formation was observed in the aortic lumen containing a stent. A 57-year-old male patient presented to the emergency department with a complaint of abdominal pain. During the abdominal examination of the patient, tenderness and defense were detected in the right lower quadrant. Contrast-enhanced computed tomography (CT) angiography of the abdominal aorta was ordered because the patient had a history of previous stenting and right lower quadrant deficiency. In the right iliopsoas muscle, there was an increase in size suggestive of abscess formation with air densities. The diameter of the ascending aorta was 44 mm. At the level of the descending thoracic aortic bifurcation, an aneurysmatic appearance was noted in a segment of approximately 140 mm extending to the proximities of both main iliac arteries, and USG showed air in the wall in the aneurysmatic section and mural wall thickening with thrombus. In this case, although the abscess eroded the aneurysmatic aortic wall, acute bleeding did not develop due to the presence of a stent. We wanted to share the rare image on computed tomography (massive air-fluid level around the stent in the aortic lumen), especially in our case with the medical literature.Öğe Can end-tidal CO2 measurement replace arterial partial CO2 in emergency department respiratory distress management?(Elsevier Espana Slu, 2024) Selki, Kudret; Demir, Mehmet Cihat; Senguldur, Erdinc; Erdem, Emre; Guldal, Hatice; Tasdemir, Murat; Kiciroglu, Alp Kaan FurkanObjective: To assess the feasibility of using end-tidal carbon dioxide (EtCO2) as a non-invasive substitute for partial pressure of arterial carbon dioxide (PaCO2) in emergency department (ED) triage and follow-up, and to explore the potential of partial pressure of venous carbon dioxide (PvCO(2)) as an alternative to PaCO2. Design: Prospective cross-sectional study. Setting: Tertiary university hospital. Patients or participants: 97 patients presenting with acute respiratory distress to the ED. Interventions: EtCO2, arterial blood gases, and venous blood gases measured at admission (0 min), 60 min, and 120 min. Main variables of interest: CO2 levels. Results: Among 97 patients (mean age: 70.93 +/- 9.6 years; 60.8% male), EtCO2 > 45 mmHg at admission showed strong positive correlations with PaCO2 and PvCO(2) (r = 0.844, r = 0.803; p < 0.001, respectively). Significant positive correlation was observed between 60-min EtCO2 and PaCO2 (r = 0.729; p < 0.001). Strong correlation between PaCO2 and PvCO(2) at 120 min when EtCO2 > 45 mmHg (r = 0.870; p < 0.001). EtCO2 was higher in hospitalized patients compared to discharged ones. Conclusions: EtCO2 appears promising as a substitute for PaCO2 in ED patients with acute respiratory distress within the initial two hours of treatment. Venous blood gas sampling offers a less invasive alternative to arterial sampling, facilitating simultaneous blood tests. (c) 2024 Elsevier Espana, S.L.U. and SEMICYUC. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe Can the Fluctuation Observed in the Endotracheal Tube with Compression Applied to the Epigastric Region be Used as a Confirmation Method for Endotracheal Intubation?(Bentham Science Publishers, 2025) Boǧan, Mustafa; Alatlı, Tufan; Karakeçili, Ceren; Selki, Kudret; Erdem, Emre; Karakoyun, Salih; Kömürcü, ÖzkanBackground: The traditional methods are mostly used to detect tracheal localization and to exclude esophageal localization. Therefore, the aim of this study was to investigate the usefulness of epigastric manual compression in the confirmation of esophageal placement of the tube. Methods: Out-of-hospital ETE was performed by experienced paramedics working in the emergency ambulance service, while ETE in the emergency department was performed by emergency medicine residents or emergency medicine specialists with at least 2 years of emergency department experience. Epigastric compression was performed by applying pressure to the epigastric region at least three times (in 5 sec) with the volar side of the intubated patient while the patient was ventilated with a balloon-valved mask. Immediately after ETI was performed, Ultrasonography (USG) was performed as the gold standard confirmation method. If a double path sign was observed and the pleural sliding motion was not seen, it was considered unsuccessful. Results: A total of 78 patients were included in the study (an equal number of successful and unsuccessful ETE applications). Approximately 59% (n=46) of the patients were female, median age was 73 years (64-80), and 22(28.2%) patients were intubated due to traumatic etiology. The specificity and sensitivity of epigastric fluctuation for esophageal intubations were 83.33% and 60%, respectively. The positive predictive value was 92.31%, and the negative predictive value was 38.46%. Epigastric auscultation airflow sound had a specificity of 86.96% and a sensitivity of 65.45% for esophageal intubation. Conclusion: Although the fluctuation that occurs in the tube with epigastric compression is not as sensitive and specific as USG, it is a better method than lung auscultation. © 2025 Elsevier B.V., All rights reserved.Öğe Characteristics of patients leaving the emergency department without being seen by a doctor: The first report from Türkiye(Lippincott Williams & Wilkins, 2024) Senguldur, Erdinc; Demir, Mehmet Cihat; Selki, Kudret; Erdem, Emre; Guldal, HaticeThe presence of patients who leave without being seen (LWBS) by a physician in the emergency department (ED) is an essential indicator of the accessibility and quality of healthcare delivery. A high LWBS rate implies low patient satisfaction. This study aims to analyze the prevalence and characteristics of LWBS patients in T & uuml;rkiye and their ED readmission rate within 3 days. This retrospective, single-center, observational study was conducted in the ED of a Turkish tertiary university hospital. It looked at patients who left without being evaluated by a physician admitted to the ED between June 01, 2021, and June 01, 2023. Data on age, gender, residential area, health insurance status, ED readmission within 3 days, complaints, and hospitalization were obtained through the hospital's electronic record system. The prevalence of LWBS patients was 0.43%. Only 0.6% (n = 5) of LWBS patients had no health insurance. About 12.8% (n = 99) of them were 65 years and older. About 10.2% (n = 79) of LWBS patients were readmitted to the ED within 72 hours. The most common reason for readmission was musculoskeletal system complaints. Statistically, ED readmission was significantly more common in older adults (P = .05). Older LWBS patients are more likely hospitalized upon return visits to the ED (P = .014). LWBS patients are both a result and a consequence of ED crowding. A zero LWBS rate is crucial for older adults' health as they may fall victim to an invisible accident while avoiding ED traffic. Prioritizing older adults and reorganizing waiting areas can reduce ED crowding and cost burden due to delayed treatments.Öğe COVID-19 Pandemisi Öncesi ve Sonrası Alt Ekstremite Venöz Doppler Ultrasonografi Sonuçlarının Değerlendirilmesi; Retrospektif Bir Çalışma(Duzce University, 2024) Boğan, Mustafa; Bal, Melih; Gürdal, Tarık; Selki, Kudret; Kaya, Abdulkadir; Kömürcü, Özkan; Altınsoy, Hasan BakiAmaç: COVID-19 testi pozitifliği asemptomatik bireyler arasında bildirilmiştir ve asemptomatik kişilerin de tromboembolik olaylar için risk altında olduğu düşünülmektedir. Bu çalışmanın amacı, COVID-19 testinden bağımsız olarak, pandemi öncesi ve sonrasında derin ven trombozu (DVT) ön tanısıyla alt ekstremite Doppler ultrasonografisi (DUS) yapılan hastaların sonuçlarını karşılaştırmaktır. Yöntem: Toplam 35 aylık süre boyunca (01/08/2018 - 01/07/2021) Radyoloji Bölümünde RDUS yapılan hastalar analiz edildi. Çalışma dönemi boyunca toplam 599 hastaya RDUS yapılmıştır. Bulgular: Pandemi sonrasında daha fazla pozitif DVT bulgusu gözlenmiştir (n=43, %18,3, p=0,005) (bu hastaların yalnızca ikisinde pozitif COVID-19 sonucu vardı). Son üç ay içinde hastaneye yatış öyküsü, D-dimer, platelet (PLT), ortalama platelet hacmi (MPV), (lökosit sayısı) WBC, nötrofil sayısı, lenfosit sayısı, nötrofil/ lenfosit oranı (NLR) değerleri, komorbidite ve antiagregan kullanımı farklı değildi (p>0.05). Sonuç: Pandemi sırasında virüse maruz kalan ancak semptom göstermeyen bireyler (özellikle yaşlı bireyler) bile DVT riski altındadır.Öğe Deep Vein Thrombosis as a Harbinger of Malignancy in the Emergency Department(Coll Physicians & Surgeons Pakistan, 2024) Demir, Mehmet Cihat; Selki, Kudret; Demir, Mehmet CihatObjective: To determine whether malignancy was discovered within one year of follow-up in patients with deep vein thrombosis (DVT) in the emergency department (ED). Study Design: Descriptive study. Place and Duration of the Study: Department of Emergency Medicine, School of Medicine, Duzce University, Duzce, Turkiye, from November 2019 to November 2022. Methodology: All patients diagnosed with lower limb DVT on venous Doppler ultrasound were included in this study. Patients with a confirmed diagnosis or suspicion of malignancy were excluded. The study outcome was the discovery of malignancy within a year. DVT patients subsequently diagnosed with malignancy were grouped as secondary or idiopathic. Results: A total of 224 DVT patients without malignancy were studied. The median age of patients diagnosed with DVT was 65.5 years (47-77), of which, 51.8% were females. Malignancy was detected in 5.4% (12/224) of the patients within one year. Malignancy discovery was significantly higher in the secondary DVT group (OR = 4.52, 95% CI = 1.31-11.55; p = 0.021). Ten of 12 patients (83.3%) diagnosed with malignancy were from the genitourinary or gastrointestinal systems. Conclusion: In patients without known malignancy who were diagnosed with DVT in the ED, the rate of malignancy discovery in a one-year follow-up was 5.4%. EDs, where DVT is frequently diagnosed, are a hub of opportunities for early detection of malignancy. Arranging primary care follow-up of patients with DVT will contribute to better early diagnosis and survival rates, especially for genitourinary and gastrointestinal malignancies.Öğe Diagnostic value of tearing pain alone in aortic dissection(Mre Press, 2024) Senguldur, Erdinc; Selki, Kudret; Demir, Mehmet C.; Guldal, HaticeSevere and sudden chest or back pain that feels like tearing is the most common symptom of aortic dissection. This study aimed to investigate if chest or abdominal pain alone is a marker of aortic dissection and to determine its patient characteristics. This was a retrospective, single-center observational study. It was conducted in the emergency department (ED) of a tertiary university hospital in Turkey. During three years, patients admitted to the ED and underwent contrast-enhanced thoracic and abdominal computed tomography angiography (CTA) were detected through the hospital computer system. Patients with tearing chest or abdominal pain at admission were identified. Patients with and without aortic dissection were compared based on gender, triage code, comorbidity, aortic aneurysm, and one-month mortality. 76.3% (n = 730) out of 957 CTAs were performed due to complaints of tearing chest or abdominal pain. Aortic dissection was detected in 4.5% (n = 33) of patients with tearing pain. Pre-existing aortic aneurysm was statistically significantly higher in the dissection group (p <0.001). When the chest or abdominal pain and CTA findings regarding the presence of aortic dissection were compared, the sensitivity of tearing pain was 84.62%, and the specificity was 24.07%. The positive predictive value of tearing pain was 4.52%, and the negative predictive value was 97.36%. In conclusion, the negative predictive value of tearing pain for aortic dissection was approximately 97%. This severe pain raises the possibility of aortic dissection. However, aortic dissection is only detected in a small percentage of cases in CTAs performed immediately to confirm the diagnosis.Öğe Does Loss of Appetite in Acute Appendicitis Indicate an Empty Stomach?(2025) Naldemir, İbrahim Feyyaz; Ozel, Mehmet Ali; Coşkun, Sinem Kantarcıoğlu; Selki, Kudret; Boğan, MustafaAim: Loss of appetite (anorexia) is a prevalent symptom in patients with acute appendicitis. In these cases, it can be hypothesized that the stomach is empty, and the gallbladder is contracted due to loss of appetite. In this study, we aimed to investigate gastric fullness and gallbladder status in patients with acute appendicitis. We investigated whether these parameters can be indirectly supported by imaging findings of anorexia and to what extent they are significant in terms of aspiration risk in emergency surgery planning. Material and Methods: CT images of patients with acute appendicitis and the control group were evaluated for gastric fullness and gallbladder appearance. Results: A total of 266 patients were included in the study. A hundred and thirty-nine patients (52.3%) were diagnosed with acute appendicitis, while 127 patients (47.7%) were classified as the control group. The proportion of patients with an empty stomach was statistically significantly higher in patients with acute appendicitis compared to the control group (p<0.001). Gastric filling grade 3 (high-risk solid gastric content for aspiration) was in 23% (n=32) of the cases with acute appendicitis. Conclusion: Gastric fullness and gallbladder contraction are straightforward findings on CT that can provide indirect evidence in suspected acute appendicitis cases. Although anorexia is a key symptom, over half of patients continue oral intake irregularly, leaving up to one-fifth at high risk for aspiration during emergency surgery. Therefore, preoperative starvation protocols should not rely solely on the presence of anorexia.Öğe Emergency Department Neurosurgical Consultations in a Tertiary Care Hospital(Duzce Univ, Fac Medicine, 2023) Senguldur, Erdinc; Selki, Kudret; Tuncer, Cengiz; Demir, Mehmet CihatObjective: To reveal the characteristics of patients in need of neurosurgery by examining neurosurgery consultations within the emergency department (ED) admissions of a tertiary academic hospital.Methods: This is a retrospective, single-centre observational study. Patients admitted to the ED between 01.01.2022 -31.12.2022 and consulted to the neurosurgery department were identified through the hospital computer system and included in the study. The demographic information of the patients, mode of admission to the ED, the reasons for admission, the time of admission, the number of brain computed tomography (CT) scans, whether they underwent surgery or not, and the mortality results were recorded.Results: A total of 441 neurosurgery consultations were examined. Fall 35.6% (n=157) and traffic accident 16.6% (n=73) were the most common reasons for consultation. It was observed that 92.5% (n=408) of the patients had a brain CT scan, and 19.5% (n=86) had two or more brain CTs. It was determined that 12.7% (n=56) of the patients consulted to neurosurgery were operated on, and 4.1% (n=18) of the patients' hospital admissions resulted in death. Only 53.7% (n=237) of the patients who underwent neurosurgery consultation were discharged from the ED. It was determined that significantly more Neurosurgery consultations were requested during working hours (p = 0.013).Conclusions: Most consultation calls from the ED to neurosurgery are for trauma patients. Brain CT examination is frequently used in neurosurgical patient evaluation. As a result of the consultations, almost half of the patients are hospitalized. Emergency physicians can select patients who need neurosurgery well.Öğe Evaluation of patients with decreased general condition and comparing HOTEL, WPS, and REMS for mortality prediction(Nature Portfolio, 2025) Aykol, Emine; Demir, Mehmet Cihat; Selki, Kudret; Sultanoglu, HasanThe emergency department (ED) plays a crucial role in evaluating patients with decreased general condition (DGC). Prompt diagnosis and precise risk stratification enhances clinical care outcomes. This study aimed to reveal which scoring system is better for predicting mortality in patients with DGC. This single-center prospective study was conducted between 1 March 2021 and 1 June 2021 in a tertiary university hospital's ED. All patients presented with DGC were included. The scores assessed upon ED admission for patients include the Hypotension, Oxygen saturation, low Temperature, ECG changes, and Loss of independence, abbreviated as HOTEL score, Rapid Emergency Medicine Score (REMS), and the Worthing Physiological Scoring (WPS). The study aimed to compare the scoring systems to identify which is the best mortality predictor. Independent risk factors for 30-day mortality were analyzed using binary logistic regression and ROC curves to assess the effectiveness of HOTEL, REMS, and WPS scores in predicting mortality. The study was conducted with 137 DGC patients. The median age of patients presented to the ED with DGC was 77 (66.5-87), and 50.4% were male. 52.6% of patients died within one month. Analysis of mortality risk factors revealed that gender, age, day of admission, visit type, home oxygen, urinary catheter use, and speech status were not independent risk factors. For one-month mortality prediction, AUCs were: HOTEL 0.644 (cut-off 1), REMS 0.635 (cut-off 8), WPS 0.547 (cut-off 5). For mechanical ventilation: HOTEL 0.689 (10), REMS 0.790 (10), WPS 0.777 (4). For ICU admission: HOTEL 0.697 (2), REMS 0.770 (9), WPS 0.728 (4). Both the HOTEL and REMS scoring systems have moderate prognostic value in predicting mortality in patients with a DGC. The REMS, and WPS scores are also more helpful in determining the need for intensive care unit admission and mechanical ventilation.Öğe Impact of inter-visit duration on mortality in older adults who use emergency department frequently(Mre Press, 2024) Demir, Mehmet C.; Selki, Kudret; Senguldur, ErdincThe incidence of older adults presenting to the emergency department (ED) is increasing, and assessing their potential mortality risk for those returning frequently to the ED remains important. This study aims to evaluate the effects of frequent ED visits and the interval between these visits on the mortality of older adults.We retrospectively assessed the data of patients aged 65 years and above who frequently visited an academic ED in Turkey in 2021 and divided them into two groups: ED-frequent users (FUs) (4-7 visits) and ED-highly frequent users (HFUs) (>7 > 7 visits), following which we compared their characteristics, inter-visit duration, and 6-month mortality. The results indicated that out of the 2947 ED visits, 516 older adults were identified who visited the ED at least four times, averaging 5.7 visits per patient. HFUs constituted approximately 12% (n = 61)of the cohort. Further analysis revealed a significant increase in mortality associated with shorter inter-visit duration between ED visits (p p < 0.001). Specifically, visiting the ED at intervals shorter than 74 days was associated with a fourfold increase in mortality risk (odds ratio (OR): 3.84; 95% confidence interval (CI): 2.64-5.57; p < 0.001), which escalated to sixfold in patients with a history of recent hospitalization (OR: 5.87; 95% CI: 3.81-9.07; p < 0.001).The data indicated that most older adults with frequent ED visits had multiple comorbidities, and those who did not survive were significantly older. This study highlights the important need to acknowledge the increased mortality risk among older adults with frequent ED visits, with recent hospitalization and short inter- visit duration being contributing factors.Öğe Is Lactate Clearance Useful in Predicting Cardiopulmonary Resuscitation Outcome and 48-Hour Mortality?(Coll Physicians & Surgeons Pakistan, 2025) Senguldur, Erdinc; Demir, Mehmet Cihat; Selki, KudretObjective: To investigate the predictive value of lactate clearance (AL) in witnessed cardiac arrest patients in the emergency department (ED) at two time points: Cardiopulmonary resuscitation (CPR) outcome and 48-hour mortality. Study Design: Observational study. Place and Duration of the Study: Department of Emergency Medicine, Duzce University, Duzce, Turkiye, from July 1 to December 31, 2023. Methodology: Patients aged 18 years and older presenting with cardiac arrest in the ED, whose relatives signed the informed consent form, were included. Out-of-hospital cardiac arrest, trauma-related cardiac arrest, major bleeding, and known malignancy were excluded from the study. All patients who met the criteria were included. All data were recorded prospectively. Receiver operating characteristic (ROC) analysis and risk analysis were performed for lactate clearance (AL) and 20-minut Results: The predictive power of AL at 10 minutes (AL0-10), 20 minutes (AL0-20), and between 10 and 20 minutes (AL10-20) was found to be significantly high for both the likelihood of no-ROSC (return of spontaneous circulation) and 48-hour mortality across all patients. The AUC values for AL at first 10 minutes, 20 minutes, and within 10-20 minutes were 0.991, 0.997, and 0.944, respectively for the no-ROSC group, and 0.942, 0.947, and 0.882, respectively for 48-hour mortality in the ROSC group. ROSC was not achieved in any patient with AL0-20 value of <=-0.15. AL below the calculated thresholds increased the risk of not achieving ROSC and 48-hour mortality by tenfold. Conclusion: AL during CPR is a useful tool to predict the outcome of CPR and 48-hour mortality. The AL0-20 value was evaluated as a valuable parameter that can be used after the 20th minute of CPR when deciding whether to continue or terminate CPR.Öğe Prevalence and clinical significance of hypouricemia in the emergency department(Lippincott Williams & Wilkins, 2024) Senguldur, Erdinc; Demir, Mehmet Cihat; Selki, KudretHypouricemia prevalence has been reported in different clinical settings, but its prevalence and characteristics in the emergency department (ED) are limitedly studied. This study aimed to assess hypouricemia prevalence and clinical significance in the ED of a Turkish tertiary-care hospital. It was a retrospective, single-center observational study. Patients aged 18 years and older who presented to the ED between June 1, 2022 and June 1, 2023 were included. Data including age, gender, comorbid disease, final diagnosis, serum electrolytes, albumin, and serum uric acid (SUA) levels were obtained. SUA <2 mg/dL was considered as hypouricemia. The study included 35,923 patients, 362 of whom had SUA <2 mg/dL. The prevalence of hypouricemia was 1.008% and was higher in women (1.4% vs 0.4%, P < .001). Hypouricemic patients were younger than non-hypouricemic ones (34.5 [26-57] vs 50 [31-68], P < .001). Hypouricemic patients had a higher 6-month mortality rate than non-hypouricemic patients (5.2% vs 2.8%, P = .006). Among hypouricemic patients, men had a higher mortality rate than women (12.9% vs 3.4%, P = .004). A total of 33.7% of hypouricemic patients were pregnant, and the most common final diagnosis in the ED was abortus imminens, with 17.7%. The prevalence of hypouricemia in ED patients differs between genders. Hypouricemia increases 6-month mortality, more so in men. Obstetric pathologies are the most common final diagnosis of ED in hypouricemic patients. SUA can be monitored as a useful biomarker to ensure a healthy pregnancy and has a warning role in predicting mortality risk. Further studies are needed on hypouricemia.Öğe Tıp Fakültesi Öğrencilerinin Bilimsel Araştırmalara Yönelik Tutumları(2022) Sungur, Mehmet Ali; Akçakoca, Muhammed Yasin; Selki, Kudret; Gamsızkan, Zerrin; Günel, Mehmet GöktuğAmaç: Bu çalışmanın amacı, tıp öğrencilerinin bilimsel araştırmalara yönelik tutumlarının hangi düzeyde olduğunu tespit etmektir. Çalışmada ayrıca Öğrencilerin cinsiyetlerine ve sınıf düzeylerine göre araştırmaya yönelik tutumları arasında anlamlı bir farklılık olup olmadığı da incelenmiştir. Materyal ve Metod: Çalışma, tanımlayıcı kesitsel olarak planlanmıştır. Tıp Fakültesi’nde eğitim gören öğrencilerin bilimsel araştırmalara karşı tutumları sorgulanmıştır. Çalışmada ‘Bilimsel Araştırmaya Yönelik Tutum Ölçeği’ kullanılmıştır. Bulgular: Öğrencilerin ölçek alt boyutlarından aldıkları puan ortalamaları incelendiğinde; araştırmacılara yardımcı olmaya isteksizlik puanları 21,39±8,33 ile bilimsel araştırmalara yönelik olumsuz tutum puanları 23,50 ±8,15; bilimsel araştırmalara yönelik olumlu tutum puanları 23,86±6,37 ve araştırmacılara yönelik olumlu tutum puanları 22,00± 7,20 ise olarak belirlendi. Araştırmalara yönelik olumsuz tutum puanı üçüncü sınıf öğrencilerde en az düzeyde tespit edilmiş olup, hem birinci sınıf öğrencilerden hem de dördüncü ve altıncı sınıf öğrencilerden anlamlı olarak farklıydı (p<0,001). Araştırmalara yönelik olumlu tutum açısından dördüncü ve beşinci sınıflar en düşük ve üçüncü sınıf öğrencilerinden anlamlı şekilde farklılık gösteriyordu (p<0,02). Üçüncü sınıfların bu boyuttan en yüksek puanı olan öğrenciler olduğu tespit edildi. Sonuç: Çalışma sonuçlarımıza göre tıp öğrencilerinin bilimsel araştırmalara yönelik olumlu ve olumsuz tutum puanlarının benzer olduğu tespit edildi. Öğrencilerin cinsiyeti açısından bilimsel araştırmalara yönelik tutumda anlamlı bir farklılık tespit edilmedi. Bilimsel araştırma uygulama dersi alan üçüncü sınıf öğrencilerinin araştırmacılara ve araştırmalara karşı olumlu tutumu anlamlı olarak yüksek bulundu.
