对儿科急诊服务收治患者的评估：土耳其一家三级培训医院儿科急诊与创伤诊所的横断面分析。

Evaluation of the patients admitted to the pediatric emergency service: Cross-sectional analysis of the pediatric emergency and trauma clinic of a tertiary training hospital in Turkey.

作者信息

Pakdemirli Ahu, Orbatu Dilek, Berksoy Emel

机构信息

Department of Physiology, University of Health Sciences, Gülhane Facult of Medicine, Ankara-Turkey.

Department of Pediatric, University of Health Sciences, Tepecik Training and Research Hospital, İzmir-Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2020 Mar;26(2):296-300. doi: 10.14744/tjtes.2020.80079.

DOI:10.14744/tjtes.2020.80079

PMID:32185774

Abstract

BACKGROUND

This study aims to carry out a cross-sectional analysis of the applications during three months to the Pediatric Emergency Service of İzmir University of Health Sciences, Tepecik Training and Research Hospital and determination of demographical features and distribution of cases in line with provided data and planning the positive changes and innovations in the current service and functioning of the Pediatric Emergency Service.

METHODS

The file records of 46038 patients between the ages of 0-18 who applied to the University of Health Science, Tepecik Training and Research Hospital Pediatric Emergency Training Clinic were examined retrospectively in this study.

RESULTS

A total of 46038 patients (53.6% male) applied to the emergency service. The average age was 7.07 for both genders. In the application, the average age of the patients with a history of trauma was 9.3, whereas the average age of the patients without a history of trauma is 6.7. While 82.7% of the patients was male with no trauma history, 86.9% was female without a history of trauma. When the application diagnoses were examined, the most common diagnosis was Upper Respiratory Infection (58.5%). More than half of the applications were monitored in the emergency observation unit (62.5%). When the patients were evaluated according to age groups, 49.2% of them were the children aged between 1-6. While 10.5% of the applicants were infants, and 38.7% were game children, it was noteworthy that the number of male patients was higher in the 1-6 age group, with 54.7%. There was no trauma in 49.5% of the cases. 78,3% of the cases were applied directly to the Paediatric Emergency. Secondly, 16.6% were to the Green Area-1 and Green Area-2. 98.2% of the cases were applied to the Emergency Service for ambulatory care. The 48.8% of the applications were made out of working hours. 97.6% of the cases were not hospitalized for the treatment and were addressed to home. The average staying period of the hospitalized cases in the Service was 4.53 days. Among applications, seven cases died.

CONCLUSION

Most of the patients admitted to pediatric emergency service for non-urgent reasons which can be managed in primary care services.

摘要

背景

本研究旨在对伊兹密尔健康科学大学特佩奇培训与研究医院儿科急诊服务三个月期间的应用情况进行横断面分析，根据所提供的数据确定人口统计学特征和病例分布，并规划儿科急诊服务当前服务和功能方面的积极变化与创新。

方法

本研究回顾性检查了46038名年龄在0至18岁之间、申请进入健康科学大学特佩奇培训与研究医院儿科急诊培训诊所的患者的档案记录。

结果

共有46038名患者（53.6%为男性）申请了急诊服务。男女平均年龄均为7.07岁。在申请中，有创伤史患者的平均年龄为9.3岁，而无创伤史患者的平均年龄为6.7岁。无创伤史的患者中82.7%为男性，无创伤史的患者中86.9%为女性。检查申请诊断时，最常见的诊断是上呼吸道感染（58.5%）。超过一半的申请在急诊观察室接受监测（62.5%）。根据年龄组对患者进行评估时，49.2%为1至6岁的儿童。虽然10.5%的申请者为婴儿，38.7%为学龄儿童，但值得注意的是，1至6岁年龄组中男性患者数量较多，占54.7%。49.5%的病例无创伤。78.3%的病例直接申请儿科急诊。其次，16.6%申请了1号绿地和2号绿地。98.2%的病例申请急诊服务进行门诊护理。48.8%的申请在非工作时间提出。97.6%的病例未住院治疗而是回家。住院病例在该服务中的平均停留时间为4.53天。申请病例中有7例死亡。