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Öğe Does Money Spent on Measuring Blood Levels of Acetaminophen Reduce the Cost of Treatment of Acetaminophen Poisoning?(Aves, 2015) Cebicci, Huseyin; Kilci, Ali Ihsan; Bol, Oguzhan; Gurbuz, Sukru; Vural, Abdussamed; Karaca, Bahadir; Cakir, IsilObjective: Acetaminophen has been used as a safe analgesic and antipyretic. Acute ingestion of 10 g or more than 200 mg/kg as a single ingestion is accepted as toxic for adults. To show that money spent on measuring blood levels of acetaminophen reduces the cost of treatment of acetaminophen poisoning. Materials and Methods: The files of patients who were admitted to Kayseri Training and Research Hospital with pre-diagnosis of acetaminophen intoxication were examined over 6 months. One of the costs is based on the patients' own estimation of the toxic level of acetaminophen and the other is according to the measure of the toxic blood level of acetaminophen. The cost of the two groups was compared. Results: A total of 558 patients were diagnosed to have drug overdose during 6 months. Of these patients, 55 patients were evaluated as having acetaminophen overdose. According to the claims of 19 patients, acetaminophen level was calculated as toxic. However, only five patients' blood acetaminophen level was measured as toxic. Conclusion: Measuring blood acetaminophen level would be more accurate and advantageous in terms of both treatment planning and the cost of therapy in developing countries as in developed countries that have advanced healthcare system.Öğe 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, RamazanAim: 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.