Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Acil Servisten Dermatoloji Polikliniğine Yönlendirilen Hastaların İncelenmesi
Evaluation of Patients Directed from Emergency Department to Dermatology Clinic
Zekiye KANATa, Mustafa Safa PEPELEb
aElazığ Fethi Sekin Şehir Hastanesi, Deri ve Zührevi Hastalıkları Kliniği, Elazığ, TÜRKİYE
bElazığ Fethi Sekin Şehir Hastanesi, Acil Servis Kliniği, Elazığ, TÜRKİYE
Turkiye Klinikleri J Dermatol. 2021;31(1):1-5
doi: 10.5336/dermato.2020-78575
Article Language: TR
Full Text
ÖZET
 Amaç: Dermatolojik şikâyetler nedeni ile acil servise başvuran hastalar, genellikle polikliniklere yönlendirilmektedir. Bu uygulama, doğru tanı ve tedavi oranını artırarak, aynı zamanda acil servisin gereksiz meşguliyetini de önlemektedir. Bu yazıda, acil servise başvuran ancak dermatolojik acil olmayıp, polikliniğimize yönlendirilen hastaları irdelemek istedik. Gereç ve Yöntemler: Ağustos 2018 ile Şubat 2020 tarihleri arasında acil servisten polikliniğimize yönlendirilen hastalar; bilgisayar kayıtlarından, poliklinik doktor kayıtlarından retrospektif olarak değerlendirildi. Yaş, cinsiyet, şikâyet süresi ve tanı açısından tanılarına göre ürtiker, ilaç erüpsiyonu, viral döküntülü hastalıklar, dermatitler, böcek ısırığı, enfektif durumlar ve pruritus olarak ayrıldı. Bulgular: Acil servisten polikliniğimize yönlendirilen %61,1'i kadın ve %38,9'u erkek, toplam 72 hasta değerlendirildi. Ortalama yaş 39,94±14,10 (18-68) yıl idi. Yirmi altı (%36,1) hasta ürtiker, 12 (%16,7) hasta dermatit, 12 (%16,7) hasta pruritus, 7 (%9,7) hasta enfektif durumlar, 6 (%8,3) hasta ilaç erüpsiyonu, 5 (%6,9) hasta viral döküntülü hastalıklar ve 4 (%5,6) hasta böcek ısırığı tanısı aldı. Tanılara göre yaş ortalamalarına bakıldığında en genç grubu 32,75±15,34 yıl ortalaması ile böcek ısırığı tanısı alan hastalar oluşturmaktayken; en yaşlı grubu ise 52,00±14,68 yıl ile viral döküntülü hastalık tanısı alan grup oluşturuyordu. Tüm hastaların ortalama şikâyet süresi 2,47±1,85 (1-10) gün idi. Sonuç: Mesai saatleri içerisinde gerçek dermatolojik acil olmayan hastaların, dermatoloji polikliniklerine yönlendirilmesi faydalı olabilir.

Anahtar Kelimeler: Dermatoloji; acil tıbbi servisler; konsültasyon
ABSTRACT
 Objective: Patients who come to the emergency department with dermatological complaints are generally referred to polyclinics. This practice increases the rate of correct diagnosis and treatment. It also reduces the workload of the emergency service. In this article, we wanted to examine the patients who applied to the emergency department and referred to our outpatient clinic but had any dermatological emergencies. Material and Methods: Patients between August 2018 and February 2020 were retrospectively evaluated from computer records and outpatient doctor records. In diagnoses were divided groups like urticaria, drug eruption, viral rash diseases, dermatitis, insect bites, infective conditions and pruritus. Results: 61.1% of the patients referred from the emergency service to our outpatient clinic were female and 38.9% male. Total number of patients was 72. The mean age was 39.94±14.10 (18-68) years. Twenty-six (36.1%) patients urticaria, 12 (16.7%) patients dermatitis, 12 (16.7%) patients pruritus, 7 (9.7%) patients infective conditions, 6 (8.3%) patients drug eruption, 5 (6.9%) patients had viral eruptions diseases and 4 (5.6%) patients were diagnosed with insect bites. The youngest group was the patients diagnosed with insect bites with an average of 32.75±15.34 years and the oldest group was the group diagnosed with viral rash with an average of 52.00±14.68 years. The average complaint duration of all patients was 2.47±1.85 (1-10) days. Conclusion: It may be useful to refer patients to dermatology outpatient clinics who are not dermatological emergencies in during working hours.

Keywords: Dermatology; emergency medical services; consultation
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