3 research outputs found
How does mother's working status and number of siblings affect school age child trauma presenting to the emergency department
Background: The aim of this study was to investigate the effects of mother working status and siblings on school-age child trauma admitted to the emergency department and to investigate school-age traumas.Methods: This prospective study was conducted with the approval of the ethics committee in the emergency department of a training and research hospital. All demographic data of the school-aged children (66 months-18 years) who applied to the emergency department, the location of the trauma, the mechanism of occurrence, the mother's working status, the presence and number of siblings, the duration of stay in the emergency department, clinical outcome and hospital service cost were recorded.Results: A total of 794 children were included in the study. 263(33.1%) were girls and 531(66.9%) were boys. Soft tissue trauma was the most common (94.3%). The place of the trauma was 62.7% out of school and 37.3% in school. When mother working conditions were analyzed, it was seen that 34.2% did not work. 97.1% of the children had one or more siblings. The most common trauma mechanism (65.6%) was collision and the second (60.6%) was falls. 99.1% of the patients were discharged. The length of stay in the emergency department of the Grade-schooler age group was higher than the Teen age group (p: 0,000). The length of stay in emergency department was higher in patients without siblings (p: 0.017). It was observed that those whose mothers did not work remained in the emergency room longer (p: 0,000). It was found that the ones whose mothers did not work mostly came with trauma mechanism as a result of falling (65.4%) (p: 0.044).Conclusions: Providing education for protection from accidents in schools and out of school to all people, especially children, parents and teachers, and making safe playgrounds with solid floors will minimize accident and injury rates and severity levels
Relationship Between Laboratory Parameters and Balthazar Severity Score in Acute Pancreatitis
INTRODUCTION: Several criteria have been established to assess the severity and prognosis of the disease in patients diagnosed with acute Pancreatitis(AP)in addition to the scoring and classifications developed for this purpose.Our study aims to assess the correlation between the clinical picture and laboratory parameters of patients diagnosed with AP in the emergency department, with a focus on using the Balthazar Severity Scoring to identify the severe cases at an earlier stage. METHODS: 250patients over the age of 18 who were admitted to the emergency room due to abdominal pain and were later diagnosed with acute pancreatitis were included in this retrospective study. RESULTS: According to the Balthazar Severity Score calculated,194 patients were classified as mild,while56 as moderate. While there was no significant difference in terms of immature granulocytes percentage between the two groups, LDH and Lipase/Amilase ratio yielded a statistically significant result(P=0.001 and 0.001, respectively).The findings with regard to CRP can be considered borderline significant(P=0.051).Sensitivity was46.4%,specificity was 85%, PPV was47.2%and NPV was 84.6%when the NLR cutoff was14.90.At a lipase/amylase ratio threshold of 2.27,the corresponding NPV was 86.7%, PPV was26.3%,specificity was 57.2%and sensitivity 69.6%. DISCUSSION AND CONCLUSION: Unlike previous studies towards diagnosing severe cases of AP at an early stage, our study found that the percentage of immature granulocyte(IG%)parameter did not show any statistically significant results.The lipase/amylase ratio stands out as a potential distinctive parameter for distinguishing severe cases.Furthermore, while diagnosing severe cases, there were statistically significant differences observed across the groups in relation to WBC,neutrophil,lymphocyte,NLR,PLR,andLDH rati
Retrospective investigation of the effectiveness of fecal occult blood test (FOB), PT-APTT in patients admitted to emergency department with gastrointestinal bleeding
The purpose of our study is to investigate the fact that gastrointestinal system bleeding, which is a major cause of mortality, is not diagnosed faster by any additional laboratory tests except physical examination and endoscopy, but it is negative in terms of time, workload and cost. Our study was retrospective and the hospital information system was scanned and the patients who were referred to Emergency Medicine Clinic between 01.08.2012-08.08.2013 with Gastrointestinal System (GIS) bleeding symptoms and then underwent endoscopic examination were investigated. Demographic characteristics, physical examination findings, vital signs, required examinations, digital rectal examination findings, endoscopy and colonoscopy results were recorded in the study form. For statistical analysis, SPSS (Statistical Package for Social Sciences) 17.0 program was used. A total of 274 patients aged 18 years and over were admitted to the study and 61.7% were male and 38.3% were female. Most of the patients in our diagnostic group were in the 70-79 age group. Sensitivity of Digital Rectal Examination (DRE) value was 79.6% Specificity 92.30%, negative predictive value (NPV) 60%, Sensitivity of Fecal Occult Blood Test (FOB) value was 31.46% NPV 30.49%, sensitivity of international normalized ratio (INR) was 26.25% NPV 32,95%, sensitivity of prothrombin time (PT) was 19.37%, NPV 34.84%, sensitivity of activated partial thromboplastin time (aPTT) was 14.19% NPV 34.43%. Endoscopies were performed in 169 patients with GIS bleeding and no active bleeding detected in 56 (33.1%) patients and in 113 (66.9%) patients active bleeding was detected. In patients with positive digital rectal examination findings, endoscopy results were also highly positive for gastrointestinal system bleeding. Our study suggests that; Running FOB, PT, APTT, INR tests in patients admitted to emergency department with GIS bleeding, is far from giving important and necessary information about the emergency management of the patients to emergency medicine specialists. The results of the digital rectal examination correlate with endoscopy results. It is also an easy and time-consuming examination method. From this point of view, we would like to emphasize that making the DRE of all patients with suspected GIS bleeding is a correct and immediate approach to the emergency physician. [Med-Science 2018; 7(1.000): 30-34