Analysis of the necessity of routine tests in trauma patients in the emergency department

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dc.contributor.buuauthorKöksal, Özlem
dc.contributor.buuauthorÇevik, Şebnem Eren
dc.contributor.buuauthorAydın, Şule Akköse
dc.contributor.buuauthorÖzdemir, Fatma
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Acil Tıp Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0003-2271-5659tr_TR
dc.contributor.orcid0000-0001-7602-8104tr_TR
dc.contributor.researcheridAAK-8332-2020tr_TR
dc.contributor.scopusid23389880200tr_TR
dc.contributor.scopusid54894485300tr_TR
dc.contributor.scopusid15757217900tr_TR
dc.contributor.scopusid7006765911tr_TR
dc.date.accessioned2022-04-08T12:09:06Z
dc.date.available2022-04-08T12:09:06Z
dc.date.issued2012-01
dc.description.abstractBACKGROUND: The necessity of routine tests as regarded in the Advanced Trauma Life Support protocols has become controversial in recent years. The aim of this study was to analyze the necessity of routine tests in trauma patients. METHODS: This was a prospective study. A total of 103 blunt trauma patients aged between 15 and 65 years who presented to the emergency department with major trauma, Glasgow Coma Scale of 15 and Revised Trauma Score of 12 were admitted to the study. RESULTS: The average age of the patients (30.1% female, 69.9% male) was 35 +/- 12.97 years. A total of 72.8% of the patients presented for motor vehicle crashes, 12.6% for pedestrian injury and 14.6% for fall from a height. All of the routine tests were evaluated separately. With the exception of cervical examination-lateral cervical X-ray results and pelvic examination-complete blood count and urinalysis test results, significant relations were determined between the reason for requiring a test and the results of the other tests (complete blood count, lateral cervical X-ray and abdominal ultrasonography). CONCLUSION: According to our study, biochemical tests, anterior-posterior chest X-ray and anterior-posterior pelvic X-ray can be ordered as targeted tests. Conducting targeted tests will reduce costs and workload.en_US
dc.description.abstractSon yıllarda ileri travma yaşam desteği protokollerine göre rutin testlerin gerekliliği tartışılmaktadır. Bu çalışmanın amacı, majör travma hastalarında rutin testlerin gerekliliği ve tanısal değerini analiz etmektir. GEREÇ VE YÖNTEM Bu prospektif çalışmada, Glasgow Koma Skoru 15, Revize Travma Skoru 12 olan ve 15-65 yaş arası majör travma ile acil servise başvuran toplam 103 künt travma hastası değerlendirildi. BULGULAR Hastaların (%30,1 kadın,%69,9 erkek) yaş ortalaması 35±12.97 idi. Tüm hastaların %72,8’i araç içi trafik kazası, %12,6’sı araç dışı trafik kazası ve %14,6’sı yüksekten düşme ile başvurdu. Rutin testlerin hepsi ayrı ayrı değerlendirildi. Servikal inceleme ile lateral servikal röntgen istemi, pelvik muayene ile tam kan sayımı ve idrar testi istemi hariç, tam kan sayımı, yan servikal röntgen ve karın ultrasonografisi istem nedenleri ile diğer test sonuçları ve istem nedenleri karşılaştırıldığında önemli farklılıklar saptandı. SONUÇ Çalışmamıza göre biyokimyasal testler, ön-arka göğüs grafisi ve ön-arka pelvis grafisi hedefe yönelik testler olarak istenebilir. Hedefe yönelik testlerin istemi ile maliyet ve iş yükü azalacaktır.tr_TR
dc.identifier.citationKöksal, Ö. vd. (2012). "Analysis of the necessity of routine tests in trauma patients in the emergency department". Ulusal Travma ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery, 18(1), 23-30.tr_TR
dc.identifier.endpage30tr_TR
dc.identifier.issn1306-696X
dc.identifier.issue1tr_TR
dc.identifier.pubmed22290046tr_TR
dc.identifier.scopus2-s2.0-84855792405tr_TR
dc.identifier.startpage23tr_TR
dc.identifier.urihttps://doi.org/10.5505/tjtes.2012.84748
dc.identifier.urihttps://jag.journalagent.com/travma/pdfs/UTD_18_1_23_30.pdf
dc.identifier.urihttp://hdl.handle.net/11452/25676
dc.identifier.volume18tr_TR
dc.identifier.wos000300521700006tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.trdizinTrDizinen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherTürk Travma ve Acil Cerrahi Derneğitr_TR
dc.relation.journalUlusal Travma ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgerytr_TR
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency medicineen_US
dc.subjectMajor traumaen_US
dc.subjectRoutine testsen_US
dc.subjectReason for requirementen_US
dc.subjectTargeted testen_US
dc.subjectPelvic x-rayen_US
dc.subjectUtilityen_US
dc.subjectMajör travmatr_TR
dc.subjectRutin testlertr_TR
dc.subjectİstem nedenitr_TR
dc.subjectTargeted testtr_TR
dc.subjectHedefe yönelik testtr_TR
dc.subject.emtreeAdolescenten_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAge distributionen_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeBlood cell counten_US
dc.subject.emtreeBlunt traumaen_US
dc.subject.emtreeCervical spine radiographyen_US
dc.subject.emtreeClinical protocolen_US
dc.subject.emtreeClinical trialen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeEchographyen_US
dc.subject.emtreeEmergency warden_US
dc.subject.emtreeExaminationen_US
dc.subject.emtreeFallingtren_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeGlasgow coma scaleen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeInjuryen_US
dc.subject.emtreeLong term careen_US
dc.subject.emtreeMajor clinical studyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreePedestrian injuryen_US
dc.subject.emtreePhysical examinationen_US
dc.subject.emtreeProspective studyen_US
dc.subject.emtreeRevised trauma scoreen_US
dc.subject.emtreeRoutine testen_US
dc.subject.emtreeScoring systemen_US
dc.subject.emtreeSex ratioen_US
dc.subject.emtreeTraffic accidenten_US
dc.subject.emtreeUrinalysisen_US
dc.subject.scopusFocused Assessment with Sonography of Trauma; Abdominal Injuries; Hemoperitoneumen_US
dc.subject.wosEmergency medicineen_US
dc.titleAnalysis of the necessity of routine tests in trauma patients in the emergency departmenten_US
dc.title.alternativeAcil servise başvuran travma hastalarında rutin testlerin gerekliliǧinin analizitr_TR
dc.typeArticle
dc.wos.quartileQ4en_US

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