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Kafa Travması Olgularına Ait Acil Servis Transferlerinin 2019-2020 Yıllarına Ait Retrospektif Analizi

Year 2021, Volume: 6 Issue: 3, 585 - 593, 27.12.2021
https://doi.org/10.47115/jshs.997667

Abstract

Amaç: Bu çalışmada kafa travması olgularına ait acil servis transferlerinin retrospektif analizi ile kafa travmalarının sıklığı ve vaka transfer bilgilerinin incelenmesi amaçlanmıştır.
Yöntem: Retrospektif nitelikte tasarlanan bu araştırmada, 2019 ve 2020 yıllarındaki çocuk ya da erişkin tüm kafa travması olgularına ait Malatya 112 Komuta Merkezi tarafından acil servislere yapılan transferler incelenmiştir. Kafa travmalarına ait veriler geriye dönük olarak değerlendirilmiştir. Veriler SPSS 24.0 istatistik paket programı kullanılarak değerlendirilmiştir.
Bulgular: 2019-2020 yıllarına ait toplam kafa travması transfer sayısı 4793’dir. Bu transferlerin 2297’si (%47.9) 2019 yılına, 2496’sı (%52.1) ise 2020 yılına aittir. Travma nedenleri arasında ilk üçte; %35.3 düşmeler, %24.5 araç içi trafik kazası, %20.7 travma nedeni bilinmeyen hastaneler arası nakiller yer almaktadır. 112 komuta merkezine yapılan vaka ihbar adresleri arasındaki ilk üçte adres; %31.6 trafiğe açık alan, %29.6 açık alan/sokak, %20.7 sağlık kurumudur. Nakil öncesi vakaların %99.6’sının yaşadığı, Glaskow Koma Skalası (GKS) sınıflamasına göre vakaların %97.1’inin hafif (13-15), %1’inin orta (9-12), %1.9’unun ise ağır (3-8) grupta yer aldığı belirlendi.
Sonuçlar ve Öneriler: Acil servislere yapılan kafa travması transferlerinin yaygın olduğu ve düşme ile araç içi trafik kazalarının en sık karşılaşılan travma nedenleri olduğu görüldü. Bulantı-kusma, bilinç kaybı, baş dönmesi ve baş ağrısının vaka ile ilk karşılaşmada rastlanan semptomlar olduğu belirlendi.

References

  • Rererans1 Çırak, B., Güven, M.B., Işık, S., Kıymaz, N., & Demir, Ö.(1999). Acil servise başvuran travma hastaları ile ilgili epidemiyolojik bir çalışma. Ulus Travma Derg, 5(3),157-159.
  • Rererans2 Çökük, A., Kozacı, N., Ay, M. O., Açıkalın, A., Seviner, M., & Satar, S. (2013). Acil Servise Başvuran Kafa Travması Olgularının Değerlendirilmesi. Cukurova Medical Journal, 38(1), 63-71.
  • Rererans3 Işık, H.S., Bostancı, U., Yıldız, Ö., Özdemir, C., & Gökyar, A. (2011). Kafa travması nedeniyle tedavi edilen 954 erişkin olgunun retrospektif değerlendirilmesi: Epidemiyolojik çalışma. Ulus Travma Acil Cerrahi Derg, 17(1), 46-50.
  • Rererans4 Karasu, A., Sapanci, P.A., Cansever, T., Hepgül, K.T., Imer, M., Dolaş, I., & Taviloğlu, K. (2009). Epidemiologicalstudy in head injury patients. Ulus Travma Emergency Surgery Journal, 15(2), 159-63.
  • Rererans5 Langlois, J.A., Rurland-Brown, W., & Wald, M.M. (2006). The epidemiology and impact of traumatic brain injury: a brief over view. J Head Trauma Rehabil, 21(5), 375 -578.
  • Rererans6 Mirzai, H., Yağlı, N., & Tekin, İ. (2005). Celal Bayar Üniversitesi Tıp Fakültesi acil birimine başvuran kafa travmalı olguların epidemiyolojik ve klinik özellikleri. Ulusal Travma Dergisi, 11(2), 146-152.
  • Rererans7 Moppett, I. K. (2007). Traumatic brain injury: assessment, resuscitation and early management. British Journal of Anaesthesia, 99(1), 18-31.
  • Rererans8 Ökten, A. İ., Ergün, R., Akdemir, G., Okay, Ö., Duyar, M., Anasız, H., & Taşkın, Y. (1997). The epidemiology of head trauma: Data of 1450 cases. Turkish Journal of Trauma and Emergency Surgery, 3(4), 291-297.
  • Rererans9 Pickering, A., Cooper, K., Harnan, S., Sutton, A., Mason, S., & Nicholl, J. (2015). Impact of prehospital transfer strategies in major trauma and head injury: systematic review, meta-analysis, and recommendations for study design. Journal of Trauma and Acute Care Surgery, 78(1), 164-177.
  • Rererans10 Silav, G., Uğur, H. Ç., Tun, K., Attar, A., & Egemen, N. (2000). Systemic effects of head traumas. Ankara University Medical Faculty Journal, 53(4), 293-297.
  • Rererans11 Söğüt, Ö., & Al, B. (2009).Kafa travmalı hastalarda hastane öncesi yaklaşım ve acil serviste yönetim. Genel Tıp Dergisi, 19(2), 85-90.
  • Rererans12 Sumardino, Widodo., & Poddar, S. (2020). Analysis of pre hospital emergency management in case of head injury. Enfermeria clinica, 30, 228-233.

A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020

Year 2021, Volume: 6 Issue: 3, 585 - 593, 27.12.2021
https://doi.org/10.47115/jshs.997667

Abstract

Aim: The aim of this study was to analyze respectively the frequency of head traumas and case transfer information by retrospective analysis of emergency department transfers of head trauma cases.
Method: In this retrospective study, transfers made by Malatya 112 Coordination Center to emergency services of all pediatric or adult head trauma cases in 2019 and 2020 were examined. The data were evaluated retrospectively. Statistical analyses were performed by using SPSS 24.0 statistical package program.
Results: It was detected that a total of 4793 patients were transferred due to head trauma in 2019 and 2020; of these 2297 (47.9%) patients were transferred in 2019, and 2496 (52.1%) in 2020. The most common causes of head traumas were found to be falls (35.3%), in-vehicle traffic accidents (24.5%), and trauma due to an unknown/ unspecified cause (20.7%), respectively. When the calls to 112 coordination centers were examined the most common places where the calls were made were found to be places open to traffic (31.6%), open areas /streets (29.6%), and health institutions (20.7%). It was found that 99.6% of the cases were alive before the transfer. When the cases were evaluated according to the Glasgow Coma Scale (GCS), it was found that 97.1% of the cases were in mild group (13-15), 1% in moderate (9-12), and 1.9% were in the severe group (3-8).
Conclusion and Suggestion: It was observed that head trauma transfers to emergency services were common and falls and in-vehicle traffic accidents were the most common causes of trauma. The most common symptoms at presentation were found to be nausea-vomiting, loss of consciousness, dizziness, and headache.

References

  • Rererans1 Çırak, B., Güven, M.B., Işık, S., Kıymaz, N., & Demir, Ö.(1999). Acil servise başvuran travma hastaları ile ilgili epidemiyolojik bir çalışma. Ulus Travma Derg, 5(3),157-159.
  • Rererans2 Çökük, A., Kozacı, N., Ay, M. O., Açıkalın, A., Seviner, M., & Satar, S. (2013). Acil Servise Başvuran Kafa Travması Olgularının Değerlendirilmesi. Cukurova Medical Journal, 38(1), 63-71.
  • Rererans3 Işık, H.S., Bostancı, U., Yıldız, Ö., Özdemir, C., & Gökyar, A. (2011). Kafa travması nedeniyle tedavi edilen 954 erişkin olgunun retrospektif değerlendirilmesi: Epidemiyolojik çalışma. Ulus Travma Acil Cerrahi Derg, 17(1), 46-50.
  • Rererans4 Karasu, A., Sapanci, P.A., Cansever, T., Hepgül, K.T., Imer, M., Dolaş, I., & Taviloğlu, K. (2009). Epidemiologicalstudy in head injury patients. Ulus Travma Emergency Surgery Journal, 15(2), 159-63.
  • Rererans5 Langlois, J.A., Rurland-Brown, W., & Wald, M.M. (2006). The epidemiology and impact of traumatic brain injury: a brief over view. J Head Trauma Rehabil, 21(5), 375 -578.
  • Rererans6 Mirzai, H., Yağlı, N., & Tekin, İ. (2005). Celal Bayar Üniversitesi Tıp Fakültesi acil birimine başvuran kafa travmalı olguların epidemiyolojik ve klinik özellikleri. Ulusal Travma Dergisi, 11(2), 146-152.
  • Rererans7 Moppett, I. K. (2007). Traumatic brain injury: assessment, resuscitation and early management. British Journal of Anaesthesia, 99(1), 18-31.
  • Rererans8 Ökten, A. İ., Ergün, R., Akdemir, G., Okay, Ö., Duyar, M., Anasız, H., & Taşkın, Y. (1997). The epidemiology of head trauma: Data of 1450 cases. Turkish Journal of Trauma and Emergency Surgery, 3(4), 291-297.
  • Rererans9 Pickering, A., Cooper, K., Harnan, S., Sutton, A., Mason, S., & Nicholl, J. (2015). Impact of prehospital transfer strategies in major trauma and head injury: systematic review, meta-analysis, and recommendations for study design. Journal of Trauma and Acute Care Surgery, 78(1), 164-177.
  • Rererans10 Silav, G., Uğur, H. Ç., Tun, K., Attar, A., & Egemen, N. (2000). Systemic effects of head traumas. Ankara University Medical Faculty Journal, 53(4), 293-297.
  • Rererans11 Söğüt, Ö., & Al, B. (2009).Kafa travmalı hastalarda hastane öncesi yaklaşım ve acil serviste yönetim. Genel Tıp Dergisi, 19(2), 85-90.
  • Rererans12 Sumardino, Widodo., & Poddar, S. (2020). Analysis of pre hospital emergency management in case of head injury. Enfermeria clinica, 30, 228-233.
There are 12 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Bora Tetik 0000-0001-7696-7785

Serdar Derya 0000-0001-5618-8514

Publication Date December 27, 2021
Submission Date September 19, 2021
Published in Issue Year 2021 Volume: 6 Issue: 3

Cite

APA Tetik, B., & Derya, S. (2021). A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020. Samsun Sağlık Bilimleri Dergisi, 6(3), 585-593. https://doi.org/10.47115/jshs.997667
AMA Tetik B, Derya S. A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020. JSHS. December 2021;6(3):585-593. doi:10.47115/jshs.997667
Chicago Tetik, Bora, and Serdar Derya. “A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020”. Samsun Sağlık Bilimleri Dergisi 6, no. 3 (December 2021): 585-93. https://doi.org/10.47115/jshs.997667.
EndNote Tetik B, Derya S (December 1, 2021) A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020. Samsun Sağlık Bilimleri Dergisi 6 3 585–593.
IEEE B. Tetik and S. Derya, “A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020”, JSHS, vol. 6, no. 3, pp. 585–593, 2021, doi: 10.47115/jshs.997667.
ISNAD Tetik, Bora - Derya, Serdar. “A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020”. Samsun Sağlık Bilimleri Dergisi 6/3 (December 2021), 585-593. https://doi.org/10.47115/jshs.997667.
JAMA Tetik B, Derya S. A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020. JSHS. 2021;6:585–593.
MLA Tetik, Bora and Serdar Derya. “A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020”. Samsun Sağlık Bilimleri Dergisi, vol. 6, no. 3, 2021, pp. 585-93, doi:10.47115/jshs.997667.
Vancouver Tetik B, Derya S. A RETROSPECTIVE ANALYSIS OF EMERGENCY SERVICE TRANSFERS OF HEAD TRAUMA CASES IN 2019 AND 2020. JSHS. 2021;6(3):585-93.

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