Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience

Can Akçura; Samet Alkan; Sedat Can Güney; Nilüfer Özdemir; Zeliha Hekimsoy

doi:10.19161/etd.1231955

TR EN

Son Beş Yılda Acil Serviste Değerlendirilen Endokrinoloji Konsültasyonları: Tek Merkez Deneyimi

Abstract

Amaç: Metabolik hastalıkların yıllar içinde artış eğiliminde olması acil servislerde gün geçtikçe daha sık endokrinolojik acillerle karşılaşılmasına neden olmakta; bu da acil servislerden istenen endokrinoloji konsültasyonların öneminin artmasını beraberinde getirmektedir. Bu konsültasyonların özelliklerinin incelenmesi, sürecin daha hızlı ve etkili şekilde sonuçlanabilmesine olanak sağlayacaktır. Gereç ve Yöntem: 1 Mart 2017 – 1 Mart 2022 tarihleri arasında Manisa Celal Bayar Üniversitesi Hafsa Sultan Hastanesi Acil Servis kliniğine başvurup Endokrinoloji ve Metabolizma Hastalıkları bölümü ile konsülte edilen hastalar çalışmaya dahil edildi. Hastaların yaşı, cinsiyeti, konsültasyon günü, konsültasyon sonucu aldıkları tanı, konsültasyon gerçekleşme süresi ve konsültasyon sonuçları değerlendirildi. Bulgular: Çalışmaya dahil edilen 326 hastanın ortalama yaşı 51.56 ± 19.4 yıl saptandı. %53.4’ü (n=174) kadın, %46.6’sı (n=152) erkek idi. Hastaların %29.4’ü (n=96) diyabetik ketoasidoz, %21.5’i (n=70) hiperglisemi, %10.7’si (n=35) diyabetik ketoz, %7.4’ü (n=24) yeni tanı diyabet tanısı almıştı. Ortalama konsültasyon sonuçlandırma süresi 65.21 ± 46.23 dakika saptandı. Hastaların en sık olarak acil servisten taburcu oldukları (%32.2; n=105), bunu endokrinoloji ve metabolizma hastalıkları servisi yatışının (%23.9; n=78) ve yoğun bakım servisi yatışının (%17.8; n=58) izlediği görüldü. Sonuç: Cinsiyet ve yaş dağılımı homojen olan örneklem grubunda hastaların çoğunluğunun diyabete bağlı acil durumlar ile acil servise başvurmuş olduğu görüldü. En sık olarak acil servisten taburcu edilen hastaların tanı spektrumu oldukça geniş olup ortalama yaklaşık bir saat içinde konsültasyon sürecinin sonuçlandığı görüldü. Acil servis endokrinoloji konsültasyon sürecinin detaylı bir şekilde irdelenmesi, süreçteki aksaklıkların saptanması ve sürecin iyileştirilmesine katkıda bulunacaktır.

Keywords

Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience

Abstract

Purpose: The increasing trend of metabolic diseases causes endocrine emergencies to be encountered more frequently in emergency services. This trend increases the importance of endocrinology consultations from emergency services. Examining the features of these consultations will allow the process to be concluded more quickly and effectively. Materials and Method: Patients who applied to Manisa Celal Bayar University Faculty of Medicine Emergency Department between March 1, 2017 and March 1, 2022, and were consulted with the Department of Endocrinology were included. The patients' age, gender, diagnoses, the day, the duration and the results of the consultations were evaluated. Results: The mean age of the 326 patients included in the study was 51.56 ± 19.4 years. 53.4% (n=174) were female, 46.6% (n=152) were male. Of the patients, 29.4% (n=96) were diagnosed as diabetic ketoacidosis, 21.5% (n=70) hyperglycemia, and 10.7% (n=35) diabetic ketosis. The mean consultation duration was 65.21 ± 46.23 minutes. 32.2% of the patients (n=105) were discharged from the emergency department. This was followed by endocrinology service admission (23.9%; n=78) and intensive care unit admission (17.8%; n=58). Conclusion: In the sample group with homogeneous gender and age distribution, it was observed that the majority of the patients applied to the emergency service with diabetes-related emergencies. The diagnosis spectrum of the patients was quite wide, and the consultations were concluded within an average of about one hour. A further investigation of the emergency department endocrinology consultations in detail will contribute to detecting the problems in this process and; therefore, its improvement.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Can Akçura ^*
0000-0003-4182-9002
Türkiye

Samet Alkan
0000-0003-3172-2770
Türkiye

Sedat Can Güney
0000-0002-2035-6843
Türkiye

Nilüfer Özdemir
0000-0002-0719-988X
Türkiye

Zeliha Hekimsoy
0000-0002-6003-0485
Türkiye

Publication Date

December 18, 2023

Submission Date

January 11, 2023

Acceptance Date

May 22, 2023

Published in Issue

Year 2023 Volume: 62 Number: 4

DOI

https://doi.org/10.19161/etd.1231955

IZ

https://izlik.org/JA68GP32WN

Cite

RIS / Bibtex

APA

Akçura, C., Alkan, S., Güney, S. C., Özdemir, N., & Hekimsoy, Z. (2023). Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience. Ege Tıp Dergisi, 62(4), 549-555. https://doi.org/10.19161/etd.1231955

AMA

1.Akçura C, Alkan S, Güney SC, Özdemir N, Hekimsoy Z. Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience. EJM. 2023;62(4):549-555. doi:10.19161/etd.1231955

Chicago

Akçura, Can, Samet Alkan, Sedat Can Güney, Nilüfer Özdemir, and Zeliha Hekimsoy. 2023. “Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience”. Ege Tıp Dergisi 62 (4): 549-55. https://doi.org/10.19161/etd.1231955.

EndNote

Akçura C, Alkan S, Güney SC, Özdemir N, Hekimsoy Z (December 1, 2023) Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience. Ege Tıp Dergisi 62 4 549–555.

IEEE

[1]C. Akçura, S. Alkan, S. C. Güney, N. Özdemir, and Z. Hekimsoy, “Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience”, EJM, vol. 62, no. 4, pp. 549–555, Dec. 2023, doi: 10.19161/etd.1231955.

ISNAD

Akçura, Can - Alkan, Samet - Güney, Sedat Can - Özdemir, Nilüfer - Hekimsoy, Zeliha. “Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience”. Ege Tıp Dergisi 62/4 (December 1, 2023): 549-555. https://doi.org/10.19161/etd.1231955.

JAMA

1.Akçura C, Alkan S, Güney SC, Özdemir N, Hekimsoy Z. Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience. EJM. 2023;62:549–555.

MLA

Akçura, Can, et al. “Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience”. Ege Tıp Dergisi, vol. 62, no. 4, Dec. 2023, pp. 549-55, doi:10.19161/etd.1231955.

Vancouver

1.Can Akçura, Samet Alkan, Sedat Can Güney, Nilüfer Özdemir, Zeliha Hekimsoy. Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience. EJM. 2023 Dec. 1;62(4):549-55. doi:10.19161/etd.1231955