The role of general surgery consultations on patient diagnosis and treatment in the Tertiary Medical Center

Archives of Current Medical Research Pub Date : 2024-01-30 DOI:10.47482/acmr.1346584

Saygın Altiner, İbrahim Kurtoğlu, Muhammed Durmuş, Kadir Can Sahin, Özge TONBULOĞLU ALTINER, Asiye Uğraş Dikmen, Çağrı Büyükkasap, Aydın Yavuz, M. R. Pekcici, A. M. Barlas

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Abstract

Background: The field of general surgery is an important one in medicine. It includes the systems and organs connected to practically every bodily part. Because of this, general surgery is frequently requested for consultation and has a significant role in emergency service applications. The study’s objective is to evaluate general surgery consultations based on their specific attributes. Methods: A retrospective analysis was performed on 814 patients who were consulted at our hospital’s general surgery clinic between January and June 2021. The departments requesting consultation, the reasons for the consultation, the examinations requested before and after the consultation, and the decisions made after the consultation were evaluated. Results: The department that required the most consultation from the general surgery branch was the emergency department with 91.5% the most common reason for consultation is nonspecific abdominal pain with 18.1% has been seen. General surgery consultation in patients presenting with abdominal specific complaints, previously ultrasonography and computed tomography were requested in 88.6% of patients. Conclusion: The fact that physicians request unnecessary consultations and resort to advanced imaging examinations with the reservation of malpractice leads to an increase in both cost and intensity for the health system. Requesting a consultation in conditions where it is more necessary will relieve the intensity of the health system.

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三级医疗中心普外科会诊对患者诊断和治疗的作用

背景：普通外科是医学中的一个重要领域。它包括与身体几乎每个部位相关的系统和器官。正因为如此，普外科经常被要求进行会诊，并在急救服务应用中发挥着重要作用。本研究的目的是根据普外科会诊的特殊属性对其进行评估：方法：对 2021 年 1 月至 6 月期间在我院普外科门诊就诊的 814 名患者进行了回顾性分析。方法：对 2021 年 1 月至 6 月期间在我院普外科门诊就诊的 814 名患者进行回顾性分析，评估了要求就诊的科室、就诊原因、就诊前后要求进行的检查以及就诊后做出的决定：需要普外科会诊最多的科室是急诊科，占 91.5%；最常见的会诊原因是非特异性腹痛，占 18.1%。有腹部特殊主诉的患者需要普外科会诊，此前88.6%的患者要求进行超声波检查和计算机断层扫描：结论：医生要求进行不必要的会诊和采用先进的影像学检查，并保留渎职行为，导致医疗系统的成本和强度增加。在更有必要的情况下请求会诊将减轻医疗系统的负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Archives of Current Medical Research

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