Düzce Üniversitesi Tıp Fakültesi çocuk acil servis başvurularının adli olgular yönünden incelenmesi
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Tarih
2016
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Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı bir eğitim araştırma hastanesi acil servisine başvuran çocuk adli olguların demografik epidemiyolojik özelliklerini ortaya koymak, başvuru nedenlerini, başvuru zamanlarını, yatış ve ölüm oranlarını belirlemektir. Böylece kliniğimizde sık karşılaşılan adli olgulara farkındalığı arttırmak, adli olguların nitelikleri ve sonuçları hakkında ulusal ve uluslararası karşılaştırma yapabilmek için veri tabanı oluşturmaktır. Gereç ve Yöntem: Düzce Üniversitesi Tıp Fakültesi Hastanesi Çocuk Acil Ünitesine 01.01.2012 ile 31.12.2014 tarihleri arasında 3 yıl boyunca başvuran 0- 18 yaş arası 605 adli olgu geriye yönelik olarak incelendi. Her bir olgu yaşı, cinsiyeti, başvuru saati-günü-ayı, başvuru şekli, izlendiği yer, geliş nedenleri, ikametgahları ve doğum yeri yönlerinden incelendi. Çalışma sonucu elde edilen veriler, tanımlayıcı yöntemler (ortalama standart sapma), t test ve ki-kare testleri kullanılarak değerlendirildi. Sonuçlar %95'lik güven aralığında ortalama±SD olarak verildi, anlamlılık p<0.05 düzeyinde değerlendirildi. Bulgular: Çalışmaya 590 hasta dahil edildi. Erkeklerin yaş ortalaması 6,6 yıl ve standart sapması 5,6 yıl iken; kızların yaş ortalaması 8,4 yıl ve standart sapması 6,4 yıl saptandı. Hastaların 319 (%54)'u kız, 271(%46)'i erkek idi. 0-6 yaş grubu hasta sayısı (n=342, %57,9) diğerlerine oranla fazla saptandı(p<0,0001). Yaz mevsimi başvuruların en sık gözlendiği mevsim idi. En sık başvuru yapılan saat dilimi 16: 00-23: 59 arası saptandı. En sık başvuru nedeni kaza ile ilaç alımı (n=162, %27,4) ikinci sırada ise intihar amaçlı ilaç alımı (n=104, %17,7) saptandı. Hastanemiz çocuk acil polikliniğine başvuran olguların 467 'si (%80) il içinden 123'ü(%20) il dışından gelmiştir. Adli olgulara bağlı ölüm vakasına rastlanmadı. Sonuç: Çalışmamızda 0-6 yaş grubu adli vakaların büyük kısmı (n=303, %51,3) zehirlenme nedeniyle başvurmuş ve bu zehirlenmelerin kaza gibi tedbir alınarak önlenebilecek zehirlenmeler olduğu görülmüştür. Buna istinaden toksik maddelerin kilitli kapaklı ambalajlarda saklanması, ev içinde güvenlik tedbirlerine iii önem verilmesi ve buna yönelik eğitim verilmesi zehirlenme sıklığını azaltabileceği düşünüldü. Erken müdahale ve tedavi ile ölüm oranlarının düşük olduğu saptanmış olup, sağlık personelinin zehirlenme konusunda bilgilerinin güncellenmesi acil ünitelerinin güçlendirilmesi gerektiği düşünüldü.
Objective: The purpose of this study is to reveal the demographic epidemiological features and to determine the reasons for the admittence, admittence time, length of hospital stay and mortality rate. So we wanted to increase awareness of pediatric forensic cases and create database in order to make national and international comparisons on characteristics and consequences of pediatric forensic cases which admitted to Düzce University Research Hospital. Material and Method: 605 pediatric forensic cases who applied to Düzce University Medical Faculty Hospital Pediatric Emergency Unit between 01.01.2012 and 31.12.2014 and patients up to 18 years old were analyzed retrospectively. All cases were examined according to their age, gender, time of admittance, admittance type, reasons, place of residence and place of birth. The data that obtained from study results were evaluated using methods of descriptive methods, t test and chi-square test were calculated by statistical analysis. Results were expressed as mean ±SD of confidence interval. Results: 590 patients were included in this study. While the mean age of the boys was 6,6 years and their standard deviation was 5,6 years,the mean age of the girls was 8,4 years and their standard deviation is 5,6 years. 319 patients (54%) were females, 271 (46%) were male. The number of patients aged 0-6 years (n=342, %57,9) were more than others (p<0,0001). Most of the admittances were in the summer.The most frequently admittance time zone was determined between 16: 00- 23: 59. The first reason of the admittance was accidental drug use (n=162, %27,4) and second one was suicidal drug use (n=104, %17,7). 467 (%80) cases who applied to our Hospital Pediatric Emergency Unit through the province and 123 cases (%20) applied from outside the province. There was no case of death due to forensic cases. v Conclusion: In our study, the majority of forensic cases who were at 0-6 age group admitted to hospital due to intoxication (n=303, %51,3) and it had been realized these cases showed that these intoxications could be prevented by taking precautions. Therefore, toxicants should be stored in package having lid lock, and should be paid attention to security measures at home and education for parents should be given. Intoxication cases can be reduced by these necessary precautions and the low morbidity and mortality rates might be obtained by early diagnosis and treatment methods. The health care personel should be educated about update knowledge about intoxication and Emergency Units should be equipped by healthcare facilities.
Objective: The purpose of this study is to reveal the demographic epidemiological features and to determine the reasons for the admittence, admittence time, length of hospital stay and mortality rate. So we wanted to increase awareness of pediatric forensic cases and create database in order to make national and international comparisons on characteristics and consequences of pediatric forensic cases which admitted to Düzce University Research Hospital. Material and Method: 605 pediatric forensic cases who applied to Düzce University Medical Faculty Hospital Pediatric Emergency Unit between 01.01.2012 and 31.12.2014 and patients up to 18 years old were analyzed retrospectively. All cases were examined according to their age, gender, time of admittance, admittance type, reasons, place of residence and place of birth. The data that obtained from study results were evaluated using methods of descriptive methods, t test and chi-square test were calculated by statistical analysis. Results were expressed as mean ±SD of confidence interval. Results: 590 patients were included in this study. While the mean age of the boys was 6,6 years and their standard deviation was 5,6 years,the mean age of the girls was 8,4 years and their standard deviation is 5,6 years. 319 patients (54%) were females, 271 (46%) were male. The number of patients aged 0-6 years (n=342, %57,9) were more than others (p<0,0001). Most of the admittances were in the summer.The most frequently admittance time zone was determined between 16: 00- 23: 59. The first reason of the admittance was accidental drug use (n=162, %27,4) and second one was suicidal drug use (n=104, %17,7). 467 (%80) cases who applied to our Hospital Pediatric Emergency Unit through the province and 123 cases (%20) applied from outside the province. There was no case of death due to forensic cases. v Conclusion: In our study, the majority of forensic cases who were at 0-6 age group admitted to hospital due to intoxication (n=303, %51,3) and it had been realized these cases showed that these intoxications could be prevented by taking precautions. Therefore, toxicants should be stored in package having lid lock, and should be paid attention to security measures at home and education for parents should be given. Intoxication cases can be reduced by these necessary precautions and the low morbidity and mortality rates might be obtained by early diagnosis and treatment methods. The health care personel should be educated about update knowledge about intoxication and Emergency Units should be equipped by healthcare facilities.
Açıklama
YÖK Tez No: 447361
Anahtar Kelimeler
Adli Tıp, Forensic Medicine, Acil servis-hastane, Emergency service-hospital, Acil tıp, Emergency medicine, Acil tıp servisleri, Emergency medical services, Adli tıp, Forensic medicine, Zehirlenmeler, Poisonings, Çocuk acil servisi, Pediatric emergency medicine, Çocuklar, Children, Çocuk Acil Servisi; adli vaka; çocuk hasta; zehirlenmeler, Pediatric emergency department; forensic case; pediatric patient; intoxication
