Anatolian Journal of Emergency Medicine

Yazarlar: Mehmet Mahir KUNT, Meltem AKKAŞ, Nalan METİN AKSU, Mehmet Ali KARACA

Konular:-

Anahtar Kelimeler:Emergency Room,History of Chronic Disease,Diagnosis,Emergency Medicine Education

Özet: Objectives: Admissions due to chronic diseases (CD) constitute the significant number of emergency room (ER) visits. The current study aimed to evaluate chronic disease related to admission (CDRA) to ER. Material and methods: In this descriptive retrospective study, patients (> 16 years of age) who admitted to Hacettepe University Faculty of Medicine Emergency Department, from May 1st to 10th days, 2010 were enrolled in this study.  Results: 161 (52.4%) of the patients were in Admissions Related to Newly Diagnosed Disease (ARNDD), remaining 146 (47.6%) patients were in CDRA group. In CDRA group, median age of visitors was 59 year, whereas the median age of the patients with ARNDD was 40 year. Most frequent CDRA causes were: Cerebrovascular Disease (CVD) in 3%, Chronic Kidney Disease (CKD) in 3%, Diabetes Mellitus (DM) in 8%, Chronic Obstructive Pulmonary Disease(COPD) and Asthma in 11%, Hypertension (HT) in 12%, Malignancy in 17%, Ischemic Heart Disease (IHD) in 18%, more than one chronic disease in 9% and other chronic diseases in 18% of the patients. Critical and emergent cases constituted the 39% and 19% of CDRA and ARNDD, respectively. Conclusions: The rate of admission to emergency rooms due to chronic diseases increases day by day. In addition, there is a higher rate of critical and urgent cases in patients with chronic diseases. When planning emergency medical education, chronic diseases should be considered as an important factor.

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