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

Cilt: 62 Sayı: 4 18 Aralık 2023
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Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience

Öz

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.

Anahtar Kelimeler

Kaynakça

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  3. 3. van der Veen D, Heringhaus C, de Groot B. Appropriateness, reasons and independent predictors of consultations in the Emergency Department (ED) of a Dutch Tertiary care center: A prospective cohort study. PLoS One. 2016 Feb 1;11(2).
  4. 4. Idowu A, Adesegun O, Osonuga A, Osibowale B, Ajiro T, Ngubor T, et al. Patterns and Impact of Consultations to an Endocrinology Unit in a Tertiary Hospital in Southwestern Nigeria. Nigerian Medical Journal. 2018;59(3):28.
  5. 5. Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013 Feb;28(2):169–80.
  6. 6. Anyanwu A, Fasanmade O, Mojeed A, Odeniyi I, Ohwovoriole A, Olofin K, et al. Endocrine-related diseases in the emergency unit of a Tertiary Health Care Center in Lagos: A study of the admission and mortality patterns. Nigerian Medical Journal. 2013;54(4):254.
  7. 7. Umpierrez G, Korytkowski M. Diabetic emergencies-ketoacidosis, hyperglycaemic hyperosmolar state and hypoglycaemia. Nat Rev Endocrinol [Internet]. 2016;12(4):222–32.
  8. 8. Barranco RJ, Gomez-Peralta F, Abreu C, Delgado-Rodriguez M, Moreno-Carazo A, Romero F, et al. Incidence, recurrence and cost of hyperglycaemic crises requiring emergency treatment in Andalusia, Spain. Diabetic Medicine. 2017 Jul 1;34(7):966–72.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Yayımlanma Tarihi

18 Aralık 2023

Gönderilme Tarihi

11 Ocak 2023

Kabul Tarihi

22 Mayıs 2023

Yayımlandığı Sayı

Yıl 2023 Cilt: 62 Sayı: 4

DOI

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

IZ

https://izlik.org/JA68GP32WN

Kaynak Göster

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. ETD. 2023;62(4):549-555. doi:10.19161/etd.1231955
Chicago
Akçura, Can, Samet Alkan, Sedat Can Güney, Nilüfer Özdemir, ve 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 (01 Aralık 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, ve Z. Hekimsoy, “Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience”, ETD, c. 62, sy 4, ss. 549–555, Ara. 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 (01 Aralık 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. ETD. 2023;62:549–555.
MLA
Akçura, Can, vd. “Endocrinology Consultations Evaluated in the Emergency Department over the Last Five Years: A Single Center Experience”. Ege Tıp Dergisi, c. 62, sy 4, Aralık 2023, ss. 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. ETD. 01 Aralık 2023;62(4):549-55. doi:10.19161/etd.1231955

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