Aim: In emergency services applications, patients are stable as a general condition and have simple health problems that may be provided outpatient treatment, are defined as green area patients. Abdominal pain is a common cause of referral to the emergency clinic. In our study, patients admitted to our hospital with acute abdominal pain in the emergency room green areas were evaluated in all respects.
Methods: A retrospective observational study was designed to evaluate patients presenting with acute abdominal pain in green areas. The sample group consisted of 342 patients. Diagnosed / pre-diagnosed patients were identified as specific diagnosis. Diagnosis unclear patients were identified as non-specific diagnosis. Results are evaluated in two categories: 1. Inpatient treatment (surgical or medical treatment), 2. Outpatient (medical treatment ).
Results: The values of hematologic parameters such as BASO%, HCT, PDW, RBC and RDW were statistically significant different between the groups of specific and nonspecific diagnosis. (p in order 0.049, 0.003, 0.015, <0.001 and 0.005). Also a statistically significant difference was found in LY%, MO#, NEU#, NEU%, WBC values between discharged from inpatient and outpatient clinic control groups (p <0.0001, 0.0002, <0.0001, <0.0001 and <0.0001, respectively).
Conclusion: Although non-specific acute abdominal pain is the most common cause of referral to the emergency services green area, careful history, physical examinations and inspections for detection of acute abdominal pain in our patients are guiding us.
Amaç: Acil servis başvuruları içinde genel durumu itibariyle stabil olan ve ayaktan tedavisi sağlanabilecek basit sağlık sorunları bulunan hastalar, yeşil alan hastaları şeklinde tanımlanmıştır. Karın ağrısı acil kliniklere sık başvuru nedenlerindendir. Çalışmamızda hastanemiz acil servis yeşil alana akut karın ağrısı ile başvuran hastalar tanısal açıdan çok yönlü değerlendirildi.
Materyal ve Metod: Yeşil alana akut karın ağrısı ile başvuran hastaları değerlendirmek üzere retrospektif gözlemsel çalışma planlandı. Örneklem grubu 342 hastadan oluştu. Tanı / ön tanı konulan hastalar spesifik tanı olarak belirlendi. Tanısı belirli olmayan hastalar nonspesifik tanı olarak değerlendirildi. Hastaların sonuçlanması iki kategoride değerlendirildi; 1. Yatarak (ameliyat veya medikal tedavi), 2. Ayaktan (Medikal tedavi).
Bulgular: Karın ağrısı nedeniyle spesifik ve nonspesifik tanı alan grupların hematolojik parametrelerden BASO%, HCT, PDW, RBC ve RDW değerleri arasında istatistiksel anlamlı farklılık saptandı (p sırasıyla 0,049, 0,003, 0,015, <0,001 ve 0,005). Ayrıca karın ağrısı nedeniyle tanısı konulan ve yatarak veya ayaktan poliklinik kontrolü ile taburcu edilen grupların LY%, MO, NEU, NEU%, WBC değerleri arasında da istatistiksel anlamlı farklılık saptandı (p sırasıyla <0,0001, 0,0002, <0,0001, <0,0001 ve <0,0001).
Sonuç: Acil servis yeşil alana akut karın ağrısı ile en sık başvuru nedeni nonspesifik karın ağrısı olmakla birlikte dikkatli öykü, fizik muayene ve tetkikler, spesifik akut karın ağrılı hastaları saptamamızda bize yol gösterici olmaktadır.
| Subjects | Medicine |
|---|---|
| Journal Section | Research article |
| Authors |
|
| Dates |
Publication Date : August 25, 2017 |
| Bibtex | @research article { josam342160,
journal = {Journal of Surgery and Medicine},
issn = {},
eissn = {2602-2079},
address = {jsurgmed@gmail.com},
publisher = {Fatih BAŞAK},
year = {2017},
volume = {1},
pages = {24 - 27},
doi = {10.28982/josam.342160},
title = {Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study.},
key = {cite},
author = {Kayışoğulları, Umut and Başak, Fatih and Uçak, Sema}
} |
| APA | Kayışoğulları, U , Başak, F , Uçak, S . (2017). Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study. . Journal of Surgery and Medicine , 1 (2) , 24-27 . DOI: 10.28982/josam.342160 |
| MLA | Kayışoğulları, U , Başak, F , Uçak, S . "Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study." . Journal of Surgery and Medicine 1 (2017 ): 24-27 <http://jsurgmed.com/en/pub/issue/31222/342160> |
| Chicago | Kayışoğulları, U , Başak, F , Uçak, S . "Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study.". Journal of Surgery and Medicine 1 (2017 ): 24-27 |
| RIS | TY - JOUR T1 - Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study. AU - Umut Kayışoğulları , Fatih Başak , Sema Uçak Y1 - 2017 PY - 2017 N1 - doi: 10.28982/josam.342160 DO - 10.28982/josam.342160 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 24 EP - 27 VL - 1 IS - 2 SN - -2602-2079 M3 - doi: 10.28982/josam.342160 UR - https://doi.org/10.28982/josam.342160 Y2 - 2017 ER - |
| EndNote | %0 Journal of Surgery and Medicine Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study. %A Umut Kayışoğulları , Fatih Başak , Sema Uçak %T Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study. %D 2017 %J Journal of Surgery and Medicine %P -2602-2079 %V 1 %N 2 %R doi: 10.28982/josam.342160 %U 10.28982/josam.342160 |
| ISNAD | Kayışoğulları, Umut , Başak, Fatih , Uçak, Sema . "Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study.". Journal of Surgery and Medicine 1 / 2 (August 2017): 24-27 . https://doi.org/10.28982/josam.342160 |
| AMA | Kayışoğulları U , Başak F , Uçak S . Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study.. J Surg Med. 2017; 1(2): 24-27. |
| Vancouver | Kayışoğulları U , Başak F , Uçak S . Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study.. Journal of Surgery and Medicine. 2017; 1(2): 24-27. |
| IEEE | U. Kayışoğulları , F. Başak and S. Uçak , "Retrospective evaluation of patients presenting with acute abdominal pain in the green area of emergency clinic: A cohort study.", Journal of Surgery and Medicine, vol. 1, no. 2, pp. 24-27, Aug. 2017, doi:10.28982/josam.342160 |