Acil Serviste Yapılan Kan Transfüzyonları Acil Servis İşleyişini Etkiliyor mu?
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Date
2020-06-03
Authors
Yüksel, Melih
Kaya, Halil
Atmaca, Suna Eraybar
Aygün, Hüseyin
Bulut, Mehtap
Journal Title
Journal ISSN
Volume Title
Publisher
Bursa Uludağ Üniversitesi
Abstract
Bu çalışmanın amacı acil serviste yapılan kan ve kan ürünleri transfüzyonlarının acil servis işleyişini etkileyip etkilemediğini araştırmaktır. 01.08.2019 ile 31.12.2019 tarihleri arasında Sağlık Bilimleri Üniversitesi Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi Acil Servisi’nde kan ve kan ürünü transfüzyonu yapılan hastalar çalışmaya dahil edildi. Çalışmaya alınan hastaların yaş, cinsiyet, yapılan transfüzyon türü ve sayısı, kan grubu, kan bekleme süresi, transfüzyon işlem süresi ve acil servisteki toplam kalış süresi değişkenleri kaydedildi. Toplam 227 hasta çalışmaya dahil edildi. Hastaların %54,6’sı erkek olup ortalama yaş 63,86±17,81, ortalama hemoglobin (Hg) düzeyi 7,12±2,42 g/dL, ortalama kan bekleme süresi 6,44±3,02 saat, ortalama transfüzyon işlem süresi 3,54±3,45 saat, ortalama toplam acil serviste kalış süresi 10,13 ±4,00 saat olarak saptandı. Hastaların %74,0’ ünde anemi tanısı mevcut idi. Oneway Anova testi ile yapılan analizde acil serviste toplam kalış süresi ile hasta tanıları arasında anlamlı fark olduğu görüldü (F=4,235; p=0.001). Post hoc tukey testi ile farkın koagülasyon bozuklukları ile anemi (p=0.001) ve koagülasyon bozuklukları ile gastrointestinal sistem kanamalarından (p=0.013) kaynaklandığı saptandı. Acil endikasyonu olmayan kan ve kan ürünleri transfüzyonlarının acil servislerde yapılması acil servis yoğunluğuna ve hastaların bekleme sürelerinin uzamasına neden olmaktadır. Dolayısıyla bu işlemlerin acil servislerde yapılması acil servis işleyişini olumsuz yönde etkilemektedir.
The goal of this study is to investigate whether blood and blood products transfusions in the emergency department (ED) affect the operations in the ED. Patients who were subjected to blood and blood product transfusions in the ED at the Health Sciences University Bursa Yüksek İhtisas Training and Research Hospital between 01.08.2019 and 31.12.2019 were included in the study. The patients were classified with regard to age, gender, transfusion type and numbers, blood type, waiting duration for blood, duration of transfusion operation, and total hospitalization period in the ED. In total, 227 patients were included. 54.6% of the patients were male and the average age was 63,86±17,81. The average hemoglobin (Hg) level was 7,12±2,42 g/dL, the average blood waiting duration 6,44±3,02 hours, average transfusion operation duration was 3,54±3,45 hours, and the average total service in the ED was 10,13±4,00 hours. 74,0% of the patients had been diagnosed with anemia. Through the one-way Anova test, it was observed that there was a meaningful difference between the total service time and the diagnosis (F=4,235; p=0.001). With the post-hoc Tukey test, it was determined that the difference arose from coagulation abnormalities and anemia (p=0.001) and coagulation abnormalities and gastrointestinal hemorrhages (p=0.013). Blood and blood product transfusions with no associated emergency indicators contribute to additional load and longer waiting times in the ED. Therefore, conducting these operations in the ED adversely affects the operational capacities of the ED.
The goal of this study is to investigate whether blood and blood products transfusions in the emergency department (ED) affect the operations in the ED. Patients who were subjected to blood and blood product transfusions in the ED at the Health Sciences University Bursa Yüksek İhtisas Training and Research Hospital between 01.08.2019 and 31.12.2019 were included in the study. The patients were classified with regard to age, gender, transfusion type and numbers, blood type, waiting duration for blood, duration of transfusion operation, and total hospitalization period in the ED. In total, 227 patients were included. 54.6% of the patients were male and the average age was 63,86±17,81. The average hemoglobin (Hg) level was 7,12±2,42 g/dL, the average blood waiting duration 6,44±3,02 hours, average transfusion operation duration was 3,54±3,45 hours, and the average total service in the ED was 10,13±4,00 hours. 74,0% of the patients had been diagnosed with anemia. Through the one-way Anova test, it was observed that there was a meaningful difference between the total service time and the diagnosis (F=4,235; p=0.001). With the post-hoc Tukey test, it was determined that the difference arose from coagulation abnormalities and anemia (p=0.001) and coagulation abnormalities and gastrointestinal hemorrhages (p=0.013). Blood and blood product transfusions with no associated emergency indicators contribute to additional load and longer waiting times in the ED. Therefore, conducting these operations in the ED adversely affects the operational capacities of the ED.
Description
Keywords
Anemi, Bekleme süresi, Trombositopeni, Kan transfüzyonu, Acil servis, Anemia, Blood transfusion, Waiting time, Thrombocytopenia, Emergency, Department.
Citation
Yüksel, M. vd. (2020). ''Acil Serviste Yapılan Kan Transfüzyonları Acil Servis İşleyişini Etkiliyor mu?''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 46(2), 139-143.