Acil servise başvuran 65 yaş üstü onkoloji hastalarının başvurularının demografik incelenmesi
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada amacımız acil servise başvuran 65 yaş ve üzeri onkolojik hastalarının, laboratuvar sonuçlarını, tanı, yatış, mortalite açısından incelenip ek olarak NEWS, MEWS, ECOG skorları ile değerlendirilip hastaların klinik gidişatını erken saptamada ne kadar yararı olduğunu göstermektir. Erken uyarı skorlarının acil serviste olası yoğunluk ve hastaların acil servis başvuruları sırasında oluşacak enfeksiyon risklerinin önüne geçmek amaçlı kullanımı açısından değerlendirmektir. Gereç Ve Yöntem: İnönü Üniversitesi Turgut Özal Tıp Merkezi Erişkin Acil Servisine 01.01.2019-31.12.2019 tarihleri arasında başvuran 65 yaş ve üzerindeki onkoloji tanıları olan hastaların tüm başvuruları dâhil edilmiştir. Başvurular retrospektif olarak değerlendirilmiştir. Elde edilen verilerin istatiksel değerlendirilmesi SPSS 26.0 ile yapılmıştır. Bulgular: Çalışmada 330 hastanın toplamda 747 acil servis başvurusu dâhil edilmiştir. Bu vakaların 131'i (%40) kadın, 169'u (%60) erkek cinsiyetindedir. Tüm hastaların yaş ortalaması 73±6 olarak tespit edildi. Tüm hastalarda ECOG PS ortalaması 3 olup, ölen hastalarında ortalaması 3 tür. Tüm hastalarda MEWS ortalaması 2 olup ölen hastalarda 3 olarak değerlendirildi. Tüm hastaların NEWS ortalaması 2 olup ölen hastalarda 3 olarak değerlendirildi. ECOG PS, MEWS ve NEWS yaşam açısından anlamlı bulunmuştur (p<0.0001). Acil servise başvuru sayısı ölen grupta ortalama 3.1±2.2 olarak tespit edilmiş olup yaşayan gruptan istatiksel olarak anlamlı fazladır (p<0.0001). Yine ölen hasta grubu ile yaşayan hasta grubu arasında hastaneye yatış istatiksel olarak anlamlı olarak fazladır (p<0.0001). Sonuç: Acil servise başvuran 65 yaş üstü onkoloji hastalarının daha erken tanı konulması ve tedaviye daha hızlı başlanıp, yatışının hızlı bir şekilde yapılması için gereken EWS'larının acil servisteki geçerliliklerini test edip, acil servis pratiğinden yer etmesini sağlamaktır.
Objective: Our aim in this study is to examine laboratory results, diagnosis, hospitalization and mortality of oncological patients who were admitted to the emergency department in terms of their demographic characteristics, laboratory results, and additionally, NEWS, MEWS, ECOG scores, and to show how useful they are in determining the clinical course of the patients early. To evaluate the early warning scores in terms of possible intensity in the emergency department and the use of patients to prevent infection risks that may occur during emergency service admissions. Materials and Methods: All admissions of patients aged 65 and over with oncology diagnoses who applied to İnönü University Turgut Özal Medical Center Adult Emergency Service between 01.01.2019-31.12.2019 were included. Applications were evaluated retrospectively. Statistical evaluation of the obtained data was made with SPSS 26.0. Results: A total of 747 emergency room admissions from 330 patients were included in the study. 131 (40%) of these cases were female and 169 (60%) were male. The average age of all patients was 73 ± 6. The average of ECOG PS in all patients was 3, and the average of patients who died was 3. MEWS mean was 2 in all patients and it was evaluated as 3 in the patients who died. The mean NEWS of all patients was 2, and it was evaluated as 3 in the patients who died. ECOG PS, MEWS and NEWS were found to be significant in terms of life (p <0.0001). The average number of admission to the emergency service was found to be 3.1 ± 2.2 in the group who died, and it was statistically significantly higher than the surviving group (p <0.0001). Again, between the patient group who died and the living patient group, hospitalization was statistically significantly higher (p <0.0001). Conclusion: It is to test the validity of the EWSs required for early diagnosis of oncology patients over 65 years of age who applied to the emergency department, to start treatment faster and to be hospitalized quickly, and to ensure that they take part in the emergency service practice.
Objective: Our aim in this study is to examine laboratory results, diagnosis, hospitalization and mortality of oncological patients who were admitted to the emergency department in terms of their demographic characteristics, laboratory results, and additionally, NEWS, MEWS, ECOG scores, and to show how useful they are in determining the clinical course of the patients early. To evaluate the early warning scores in terms of possible intensity in the emergency department and the use of patients to prevent infection risks that may occur during emergency service admissions. Materials and Methods: All admissions of patients aged 65 and over with oncology diagnoses who applied to İnönü University Turgut Özal Medical Center Adult Emergency Service between 01.01.2019-31.12.2019 were included. Applications were evaluated retrospectively. Statistical evaluation of the obtained data was made with SPSS 26.0. Results: A total of 747 emergency room admissions from 330 patients were included in the study. 131 (40%) of these cases were female and 169 (60%) were male. The average age of all patients was 73 ± 6. The average of ECOG PS in all patients was 3, and the average of patients who died was 3. MEWS mean was 2 in all patients and it was evaluated as 3 in the patients who died. The mean NEWS of all patients was 2, and it was evaluated as 3 in the patients who died. ECOG PS, MEWS and NEWS were found to be significant in terms of life (p <0.0001). The average number of admission to the emergency service was found to be 3.1 ± 2.2 in the group who died, and it was statistically significantly higher than the surviving group (p <0.0001). Again, between the patient group who died and the living patient group, hospitalization was statistically significantly higher (p <0.0001). Conclusion: It is to test the validity of the EWSs required for early diagnosis of oncology patients over 65 years of age who applied to the emergency department, to start treatment faster and to be hospitalized quickly, and to ensure that they take part in the emergency service practice.
Açıklama
Anahtar Kelimeler
Onkoloji, Oncology, İlk ve Acil Yardım
