2017, Cilt 43, Sayı 1, Sayfa(lar) 023-028

Analysis of the Process of Consultations in the Emergency Department
Serdar Süha DÖNMEZ1, Vahide Aslıhan DURAK2, Gökhan TORUN3, Özlem KÖKSAL2, Şule AYDIN2
1Kırşehir Ahi Evran Üniversitesi, Eğitim ve Araştırma Hastanesi, Acil Servis, Kırşehir
2Uludağ Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Bursa
3Ok Meydanı Eğitim ve Araştırma Hastanesi, Acil Servis, İstanbul
Keywords: Emergency Department. Consultation. Patient characteristics

In this study, we aimed to evaluate the epidemiological characteristics of the patients who are admitted to Emergency Department (ED) and the process of consultations. 2013 patients were included in the study. The epidemiological characteristics of patients such as age and gender, prediagnosis/diagnosis, hospitalization or referring to other hospital and mortality rates and the consulted departments, stay length in ED and process of consultation were investigated. 521 (25.9%) of patients applied to hospital between 16:00-19:59 hours and these were the most common appeal hours. The most frequent reasons of consultation requests were,not-complicated traumas (33.5%), cardio-vascular diseases (9.5%) in ED.58.6% of patients were discharged from ED, 27.9% of the patients were hospitalized to different clinics, %9.1 of the patients were referred to another health center. 407 (20.21%) patients stayed in the ED longer than 8 hours. Additional therapies or diagnostic interventions (2.8%) which were performed by any department increased the lenght of consultation. There was a significant relationship between the number of consultation request and the patients age and time of the admission to the ED (p<0.05). Consultations in the emergency department is very important. The emergency physician and the consultant physician cooperation is necessary for a fast and effective consultation system, and all factors involved in process should work for the benefit of the patient.