Anka Tıp Dergisi

Yazarlar: Ahu KARSANDI, Seda ÖZKAN, Kadir DİBEK, Engin Deniz ARSLAN

Konular:Acil Tıp

DOI:10.38175/phnx.868867

Anahtar Kelimeler:Crowded emergency,Triage,Anemnesis,Physical examination

Özet: Objective: The aim of this study is to compare the duration of limited physical examination with detailed physical examination in patients admitted to the emergency department and the accuracy rate of pre-diagnoses after these examinations. In addition, it is to evaluate the effectiveness of the complaints, physical examination and tests at the diagnosis stage of the patients. Material and Method: 500 yellow field patients who applied to the emergency department were included in the study. The demographic characteristics, complaints and physical examination findings of the patients were recorded. Preliminary diagnoses considered based on complaints, limited and detailed physical examination findings were recorded. Definitive diagnosis and other diagnoses were compared statistically. Results: The average age of the patients was 48.76 ±18.66 and 44% were male. Accuracy of preliminary diagnoses intended for complaint (Group 1), limited examination for complaint (Group 2) and detailed examination (Group 3) rates were respectively 64.6%, 76% and 89.2%. There was a statistically significant difference between the 3 groups (p<0.001). Limited examination for complaint and detailed examination time averages were respectively 2.53 ± 0.87 min and 7.00 ± 1.80 min. Both physical examination times were statistically compared with each other and a significant difference was found between them (p<0.001). 15.4% of the patients were hospitalized. Constitute a large majority of the admissions to the hospital 405 (81%) has been discharged from the hospital. Conclusion: In patients admitted to the emergency department, the rate of correct diagnosis increases as the duration of patient evaluation and examination increases.

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