Acil servise göz yakınmaları ile başvuran hastaların demografik analizi
Loading...
Date
2017-01-31
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
Çalışmamızda acil servise göz yakınmaları ile başvuran hastaların demografik özellikleri araştırılmış ve bu hastaların 3. basamak hastaneye başvuru gerekliliği değerlendirilmiştir. Çalışmaya 2378 hasta alındı. Hastaların demografik özellikleri, başvuru şikayetleri, sevkli veya direkt gelişleri, daha önceden tanı konmuş göz hastalığı olup olmaması, travma faktörü olup olmaması, mevcut tanıları, acil serviste aldıkları tanılar, radyolojik tetkikleri, konsültasyon istenip istenmediği, hastaneye izlem veya yatış, taburculuk sonlanma durumlarını içeren bilgiler değerlendirildi. Çalışmamızda yer alan hastaların %2.6 kadarı göz acili olarak başvurmuş olup, büyük çoğunluğu (%72.8) 21 ile 50 yaş arasında idi. Hastaların %87.8’i acil servise direkt başvuru biçiminde olup, %95.3’ünün tanı almış göz poliklinik takibi gereksinimi olan hastalığı bulunmamaktaydı, %85.9’unun yakınmaları tek göz organı sınırlı olup travma oranı %71.2 olarak saptandı. En sık göz yakınması ise (%64.4) gözlerde yanma olarak tariflendi. Hastaların yalnızca %6.7’sine acilde muayene dışında ek radyolojik tetkik istenmiş olup %85.1’i konsülte edilmişti. Konsültasyon sonuçlarına göre ise %52.8’i kornea ve kornea dışı yabancı cisim tanısı almıştı. Sonuç olarak; göz hastalıkları hekimi tarafından acil cerrahi işlem açısından değerlendirilmesine gerek olmayan hastalıkların uygun eğitim ve biyomikroskop, tonometri gibi uygun ek donanım desteğiyle acil serviste yönetimi yapılarak taburculuğu sağlanabilir.
In our study, we aimed to investigate the demographic characteristics of patients with eye emergencies. Also the necessity of the referral to a tertiary hospital is evaluated.2378 patients were included in the study. The demographic characteristics of the patients, complaints, referral or direct arrival status, having previously diagnosed eye disease, having trauma factor related, the current diagnosis, the diagnosis in the emergency department, radiological tests, consultations and the final status of the patients(admission or discharge) were evaluated. In our study, 2.6% of the patients were admitted as eye emergencies and the majority was (72.8%) between 21 and 50 years of age.87.8% of the patients were direct emergency service admissions and 95.3% of them had no previously diagnosed eye disease. %85.9 of the patients had complaints limited one eye and trauma ratio was 71.2%.The most common eye complaint was (64.4%) burning in the eyes. Only the 6.7% of the patients had additional radiological tests and 85.1% of them were consulted. 52.8% of the patients were diagnosed as corneal and out of corneal foreign body. In conclusion; diseases that are not needed to be evaluated in terms of eye surgery can be discharged from emergency service by appropriate education and supplementary hardware such as biomicroscope and tonometry.
In our study, we aimed to investigate the demographic characteristics of patients with eye emergencies. Also the necessity of the referral to a tertiary hospital is evaluated.2378 patients were included in the study. The demographic characteristics of the patients, complaints, referral or direct arrival status, having previously diagnosed eye disease, having trauma factor related, the current diagnosis, the diagnosis in the emergency department, radiological tests, consultations and the final status of the patients(admission or discharge) were evaluated. In our study, 2.6% of the patients were admitted as eye emergencies and the majority was (72.8%) between 21 and 50 years of age.87.8% of the patients were direct emergency service admissions and 95.3% of them had no previously diagnosed eye disease. %85.9 of the patients had complaints limited one eye and trauma ratio was 71.2%.The most common eye complaint was (64.4%) burning in the eyes. Only the 6.7% of the patients had additional radiological tests and 85.1% of them were consulted. 52.8% of the patients were diagnosed as corneal and out of corneal foreign body. In conclusion; diseases that are not needed to be evaluated in terms of eye surgery can be discharged from emergency service by appropriate education and supplementary hardware such as biomicroscope and tonometry.
Description
Keywords
Göz acilleri, Acil servis, Emergency service, Morbidite, Morbidity, Eye emergencies
Citation
Karasu, Ö. vd. (2018). ''Acil servise göz yakınmaları ile başvuran hastaların demografik analizi''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 44(1), 27-31.