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    Evaluation and cost analysis of the patients, who applied to the emergency service with an open injury of hand and / or wrist
    (2019) Hakkoymaz, Hakan; Topak, Duran; Baykan, Halit; Kilci, Ali Ihsan; Guler, Ozlem; Azim, Ramazan
    Aim: This study was planned to determine the demographic, etiological and clinical characteristics and the treatment costs of the patients with open isolated hand and/or wrist injuries.Material and Methods: In this study, the data of 127 patients who were admitted to the adult emergency department due to hand and / or wrist trauma between 01.01.2018 and 06.30.2018 were examined. Data on demographic data, shape and clinic of injury were summarized as number and percentage. Shapiro Wilk test was used to determine whether the numerical measurements were compatible with the normal distribution and Kruskal Wallis test was used for comparison of cost between groups.Results: Of the patients, 81.1% were male and the most common injury was seen in the age group of 19-64 and workers. Fingers were the most frequently injured areas and the most common injured finger was the index finger. The first two reasons in the aetiology were home and occupational accidents. Penetrating/cutting was the most common injury mechanism. There was no significant difference between occupation groups in terms of cost (p>0.05) but there was a significant difference between diverse treatment methods (p0.0001). Conclusion: Hand and / or wrist open injuries not only represent a significant part of all injuries but also represent a significant economic burden with high health costs. Measures to prevent such injuries could contribute to lowering health expenditures.
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    Retrospective analysis of pediatric road traffic accidents admitted to the emergency department of a university hospital
    (2019) Guler, Ozlem
    Aim: Road traffic accidents are common in our country, but there are not many scientific studies related to childhood road traffic accidents. We aimed to report the frequency of road traffic accidents in children, the demographic characteristics of the patients, the physical effects of accidents on children and their results.Material and Methods: Study data were obtained by retrospective screening of the files of pediatric cases presenting to our emergency department because of road traffic accident between September 2017-2018. The cases were evaluated in terms of age, gender, type of accidents, type of injury, radiologic imaging rates, hospitalization and mortality rates.Results: 377 cases were reviewed. 136 (36.1%) patients were female and 241 (63.9%) were male. 36.9% (n=139) of the admissions were in summer. According to the occurrence of accidents, in-vehicle traffic accidents constituted 61.8% (n=233) of the cases. Among isolated injuries the most common site of injury was head and neck region (n=120, 31.8%). In 81.4% (n=307) of the cases tomography, in 72.1% (n = 273) of cases X-ray, in 25.7% (n=96) of cases ultrasound were requested. 270 (72.2%) patients were discharged from the emergency department with the diagnosis of soft tissue trauma. 58 (15.4%) patients were hospitalized in the respective clinics and 43 (11.4%) patients were hospitalized in the intensive care unit. It was detected that 8 patients (2.1%) died, 4 of them occurred in the emergency department. Conclusion: Pediatric road traffic accidents mostly occur in the summer and most of them are in-vehicle accidents. Boys are more exposed to road traffic accidents. Injuries in traffic accidents mostly locate in the head and neck regions followed by extremities. It was found that tomographic imaging was overused in our study. New strategies should be developed to reduce tomography overuse.