Agustos 2020
Dispeptik yakinmalarla acil servise müracat eden hastalarda etiyolojik degerlendirme
Etiological evaluation of patients who present to the emergency department with dyspeptic complaints
- Ana Sayfa
- Sayılar
- Agustos 2020
- Dispeptik yakinmalarla acil servise müracat eden hastalarda etiyolojik degerlendirme...
Kirsehir Ahi Evran Üniversitesi, Egitim ve Arastirma Hastanesi, 2Acil Servisi, Kirsehir
Özet
Giris ve Amaç: Dispepsi üst batinda hissedilen siskinlik, agri, yanma,erken doyma, bulanti ve gegirti yakinmalarindan olusan bir semptomlarbileskesidir. Acil servisler dispepsi yakinmasi olan hastalarin sik basvurduklari saglik hizmetlerinin sunuldugu merkezlerin basinda gelmektedir.Bu durum, acil servislerde hem is yükünü arttirmakta hem de yüksek sigorta maliyetlerine sebep olmaktadir. Bu çalismada amaç, dispeptik yakinmalarla acil servise müracaat eden hastalarin etiyolojik degerlendirilmesidir. Gereç ve Yöntem: Çalismamiz prospektif gözlemsel bir anketçalismasi olup, 2019 yili Mart-Haziran döneminde acil servise dispeptikyakinmalar ile basvuran hastalar üzerinde yapilmistir. Hastalara çalismahakkinda gerekli açiklamalar yapildiktan sonra, çalismaya katilmayagönüllü hastalardan yazili onam alinarak anketler yüz yüze görüsmeyöntemiyle uygulanmistir. Çalismaya 18 yas üzerinde 386 gönüllü dahil edilmistir. Bulgular: Hastalarin yas ortalamasi 41.08±18.33 yil olup,%65.8’i (254) kadin, %34.19’u (132) erkekti. Hastalarin %52.6’sinin(n=203) daha önce de dispeptik yakinmalarla acil servise basvurduklari,%47.4’ünün (n=183) ise ilk kez basvurdugu görüldü. Acil servise dispeptik yakinmalarla basvuran hastalarda kadin hastalarin (%61.8’i) erkeklere (%30.3’ü) oranla daha fazla stres faktörüne sahip olduklari görüldüve basvuran hastalarin cinsiyete göre yeni baslayan bir stres faktörünesahip olup olmamalari arasinda istatistiksel olarak anlamli bir fark tespit edildi (p=0.000). Acil servise dispeptik yakinmalarla basvuran erkekhastalarin kadinlara oranla daha fazla aci, eksi ve tuzlu gida tüketimiyaptiklari tespit edildi. Özellikle sigara içen erkeklerin dispeptik yakinmalarla daha fazla acil servise basvurdugu tespit edildi. 65 yas üzerindekihastalarin ilaç alimi esnasinda dispeptik yakinmalar nedeniyle acil servisediger yas gruplarina göre daha fazla basvurusu oldugu saptanmistir. Sonuç: Çalismamiz sonucunda kadinlarda stres faktörü, erkeklerde sigaraiçme ve beslenme aliskanliklari, geriatrik yas grubunda ilaç yan etkilerive gençlerde asitli içecek tüketiminin dispeptik yakinmalari arttirdigi tespit edilmistir. Acil servise dispeptik yakinmalarla basvuran hastalara bahse konu yasam tarzi degisikligini içeren konularda bilgilendirme yapilmasinin, her yas grubu ve cinsiyetteki bireylerin dispeptik yakinma ve acilmüdahale gerektirmeyen basvurulari azaltacagi kaçinilmaz bir sonuçtur.
Abstract
Background and Aims: Dyspepsia is a combination of symptoms thatconsists of bloating, pain, burning, early satiety, nausea, and burping.Patients with dyspeptic complaints frequently present to emergencydepartments. This situation increases the workload in emergency departments and causes high insurance costs. This study aims to investigate the causes of the increase in dyspeptic complaints of patientswho present to emergency departments. Materials and Methods:This study was conducted as a prospective observational study fromMarch to June 2019 with patients who presented to an emergency department with dyspeptic complaints. All data was acquired using faceto-face questionnaire after required explanations were provided to thepatients. This study included 386 volunteers who were over the age of18 years. Results: The mean age of the patients was 41.08 ± 18.33years, 65.8% (n = 254) were women and 34.19% (n = 132) were men.It was observed that 52.6% (n = 203) of the patients with dyspepticcomplaints had presented to the emergency department previously,while 47.4% (n = 183) presented for the first time. It was also observed that female patients (61.8%) who presented to the emergencydepartment with dyspeptic complaints had more stress factors thanmen (30.3%). There was a statistically significant correlation betweenwhether the presenting patients had a new stress factor or not (p =0.000). Studies revealed that male patients who presented to the emergency department with dyspeptic complaints consumed more bitter,sour, and salty foods than women. Men with a smoking history weremore often identified at the emergency department with dyspepticcomplaints. Findings also revealed that patients over the age of 65years present at the emergency department more often than otherage groups after drug intake. Conclusion: In this study, we found thatdyspeptic complaints increased with stress factors in females, smokingand dietary habits in males, side effects of medicine in the geriatric agegroup, and acidic beverage consumption in young people. Therefore,providing information on issues involving the required lifestyle changesin patients with dyspeptic complaints is necessary to reduce the numberof presentations at emergency departments and complaints among patients across both genders and all age groups due to dyspepsia.
