How to cite / Atıf için: Demirel ME, Ali IH. Evaluation of trauma patients admitted to the emergency department of in Mogadishu Training and Research Hospital, Somalia: Cross-sectional study of 1106 patients.
Objective: Pediatric falls cause a significant burden for emergency departments and have negative patient outcomes such as prolonged length of stay and increased costs. The objective of this study was to evaluate results of the management of pediatric fall cases in an emergency department.Material and Methods: Pediatric patients who presented to our emergency department due to falling injury were evaluated and analyzed according to the demographic data, including age and gender, Glasgow Coma Scale, Injury Severity Score time of presentation, site of injury, diagnosis, department of consultation, department of hospitalization, length of stay and cost. After the initial management in the emergency department, patients were consulted and referred to other departments, if deemed necessary.Results: A total of 261 children were included in the study. Hospital admissions were most frequently made in summer, in August and on Saturdays. The children were most diagnosed by fractures followed by soft tissue trauma. The most injured body part was the head-neck region followed by extremities. The most frequently consulted departments included neurosurgery and orthopedics and traumatology. A total of 101 (38.7%) children were hospitalized. The median Injury Severity Score value of the patients was found as 3 and the median Glasgow Coma Scale value was found as 15 (8-15). The median treatment cost was found to be ₺278.8. The median length of stay was found as 31 (interquartile range, 21-63.5) (interquartile range için 2 sayısal değer verilmeli) hours. A strong positive correlation was found between length of stay and costs (r=0.629, p<0.001). Conclusion:Pediatric age group fall injuries are common events that increase the workload of the emergency department and create a significant burden and cost for the health system and society. Our results show that, as expected, there is a very strong relationship between length of stay and treatment costs.Amaç: Çocuklarda düşme, acil servisler üzerinde önemli bir yük oluşturmakta ve hastanede kalış süresinde uzama ile artan maliyetler gibi olumsuz sonuçlara neden olabilmektedir. Bu çalışmanın amacı, bir acil serviste çocuklarda düşme olgularının yönetim sonuçlarının değerlendirilmesidir. Gereç ve Yöntemler: Düşme kaynaklı yaralanma nedeniyle acil servisimize başvuran pediatrik hastalar; yaş ve cinsiyet gibi demografik veriler, Glasgow Koma Skalası, Injury Severity Score skorları, başvuru zamanları, yaralanma bölgesi, tanı, konsülte edilen bölüm, yatış verilen bölüm, hastanede kalış süresi ve maliyetler açısından değerlendirilmiş ve analiz edilmiştir. Acil servisteki ilk yönetim sonrasında gerekli görülen hastalar diğer bölümlerle konsülte edilerek sevk edilmiştir.Bulgular: Çalışmaya 261 çocuk dahil edildi. Başvurular en sık yaz mevsiminde, Ağustos ayında ve Cumartesi günleri yapılmıştır. Çocuklarda en sık konulan tanılar kırık ve yumuşak doku hasarıdır. En sık yaralanan vücut bölgeleri baş-boyun bölgesi ve ekstremitelerdir. En sık konsültasyon yapılan bölümler beyin ve sinir cerrahisi il...
Objective: In this study we aimed to investigate the relationship between CRP/albumin ratio, MII-1 and MII-2 indexes in hospitalization and mortality due to aortic dissection. Methods: Patients who presented to our emergency department with a sudden-onset, sharp and stabbing chest pain and diagnosed with acute aortic dissection were included in the study. Patients' demographics such as age and gender, hemogram parameters, ratios, indexes, hospitalization and mortality status were recorded. Demographic features, hemogram parameters, ratios and indexes were compared between the survivor and exitus patients. Results: A total of 71 patients who presented to the emergency department with sudden-onset stabbing chest pain and subsequently diagnosed with aortic dissection were included in this retrospective study. Median age was negatively correlated with hemoglobin (r=-0.28, p=0.019), albumin (r=-0.27, p=0.021) and prognostic nutritional index (PNI) (r=-0.31, p=0.008). Hemoglobin values were significantly higher in male than in female patients. The median length of stay in the hospital was found as 10 (7-14) days. In the correlation analysis of the hemogram parameters, indexes and length of stay in the hospital; CRP and CRP/ALB ratio were significantly correlated with length of stay in the hospital in positive direction (Table 3). Conclusion: The results of this study point out a significant correlation between CRP, CRP/albumin ratio and length of stay in hospital. This information might be helpful in rapid decision making process for early diagnosis and treatment of the disease
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.