KAPADOKYA BÖLGESİNDE PANDEMİNİN ACİL SERVİS VE POLİKLİNİK BAŞVURULARINA ETKİSİ

Yıl 2022, , 219 - 222, 20.04.2022

Şule Yakar , Necmi Baykan , Funda İpekten

https://doi.org/10.18229/kocatepetip.934478

Cited By: 2

Öz

AMAÇ: SARS-CoV-2 virüsünün neden olduğu yeni Koranavirüs hastalığının Çin’in Wuhan kentinden sonra tüm dünyada yayılması ile birlikte bir pandemi süreci başlamıştır. Bu çalışmada pandemi sürecinde hastanemizde acil servis ve polikliniklere yapılan hasta başvurularının pandemi öncesi dönemle karşılaştırılması amaçladık.
GEREÇ VE YÖNTEM: Ocak 2019 - Ağustos 2020 tarihleri arasında Nevşehir Devlet Hastanesi acil servis ve polikliniklerine yapılan hasta başvurularına ait sistem kayıtları retrospektif olarak değerlendirilmiştir.
BULGULAR: Acil servis ve diğer polikliniklere yapılan başvurular olmak üzere hastalardan iki grup oluşturulmuştur. Hastaneye başvuran hasta sayılarının, hospitalize edilen hasta sayılarının ve eksitus sayılarının aylık ve yıllık dağılımı ayrı ayrı incelenmiştir. Her iki gruptaki hasta başvurularının pandemi sürecinde azaldığı saptanmıştır. Altmışbeş yaş üstü hasta başvuru sayıları her iki grup için ayrıca değerlendirilmiştir. Hasta başvuru sayıları, hospitalizasyon sayıları ve 65 yaş üstü başvuru sayıları önceki yıl ile karşılaştırılmış, pandemi sürecinin başladığı mart ayı itibariyle istatistiksel olarak anlamlı bir fark saptanmıştır (p<0.05).
SONUÇ: Salgın süreciyle birlikte etkilenen hasta başvuru sayılarının; ülkemizde sağlık sistemlerinin yeniden düzenlenmesinde yol gösterici olabileceği düşünülmektedir.

Anahtar Kelimeler

Pandemi, Acil servis, Covid-19

THE EFFECT OF PANDEMIC ON EMERGENCY DEPARTMENT AND POLYCLINIC APPLICATIONS IN THE CAPPADOCIA REGION

Öz

OBJECTIVE: With the spread of the new coranavirus disease caused by the SARS-CoV-2 virus all over the world after the city of Wuhan in China, a pandemic process has begun. In this study, we aimed to compare the patient visits to emergency department and polyclinics in our hospital during the pandemic period with the pre-pandemic period.
MATERIAL AND METHODS: System records of patients admitted to Nevşehir State Hospital Emergency Department and Polyclinics between January 2019 and August 2020 were evaluated retrospectively.
RESULTS: The patients were divided into two groups as those who applied to the emergency department or those who applied to the polyclinics. The monthly and annual distribution of the number of patients admitted to the hospital, the number of hospitalized patients and the number of deaths were examined separately. It was found that the patient visits in both groups decreased during the pandemic process. The number of patients over the age of sixty-five was evaluated separately for both groups. The number of visits, the number of hospitalizations and the number of applications over the age of 65 were compared with the previous year, and a statistically significant difference was found as of March, when the pandemic process started (p<0.05).
CONCLUSIONS: The number of patient applications affected by the epidemic process; it is thought that it can be a guide in the reorganization of health systems in our country.

Anahtar Kelimeler

Pandemic, Emergency department, Covid-19

Kaynakça

• 1. Duanmu Y, Brown IP, Gibb WR, Singh J, et al. Characteristics of Emergency Department Patients With COVID-19 at a Single Site in Northern California: Clinical Observations and Public Health Implications. Acad Emerg Med. 2020;27:505-9.
• 2. Altınbilek E, Öztürk D, Atasoy C, ve ark. Analysis of the Patients Who Admitted To A Turkish Emergency Department During COVID-19 Pandemic. Acta Biomed. 2020;91:e2020201.
• 3. Cohen BA, Wessling EG, Serina PT, et al. Emergency department operations in a large health system during Covid-19. Am J Emerg Med. 2021;41:241-3.
• 4. Mantica G, Riccardi N, Terrone C, et al. Non-COVID-19 visits to emergency departments during the pandemic: the impact of fear. Public Health. 2020;183:40-1.
• 5. Leow SH, Dean W, MacDonald-Nethercott M, et al. The Attend Study: A Retrospective Observational Study of Emergency Department Attendances During the Early Stages of the COVID-19 Pandemic. Cureus. 2020;12:e9328.
• 6. Bjornsen LP, Naess-Pleym L, Dale J, et al. Patient visits to an emergency department in anticipation of the COVID-19 pandemic. Tidsskr Nor Laegeforen. 2020;140.
• 7. Wong LE, Hawkins J, Langness S, et al. Where Are All the Patients? Addressing Covid-19 Fear to Encourage Sick Patients to Seek Emergency Care. NEJM Catalyst Innovations in Care Delivery 2020. Epub May 14, 2020. doı: 10.1056/CAT.20.0193