Analysis of patients consulted to the neurosurgery clinic from the emergency department and evaluation of mortality

Hippocrates Medical Journal Pub Date : 2024-07-16 DOI:10.58961/hmj.1501247

Mustafa Alpaslan, Sultan Özselçuk

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Abstract

ABSTRACT Objective: To analyze neurosurgical consultations in emergency department admissions, to reveal the characteristics of patients in need of neurosurgery and to analyze mortality in patients. Materials and Methods: The study was conducted retrospectively in the emergency department of a secondary care hospital. All patients consulted to the neurosurgery clinic from the adult emergency department between 01.01.2023-31.12.2023 were evaluated in the study. Demographic data, admission and/or admission complaint, diagnosis, comorbid disease status, anticoagulant use, surgical procedure status, Glasgow Coma Score at the time of arrival to the emergency department, duration of hospitalization and in-hospital mortality status were analyzed. Results: 595 patients were evaluated in the study. 59.5% of the patients were male and the mean age was 45.17±25.77 years. The most common type of admission was general body trauma due to fall (48.9%). The most common diagnosis was isolated lumbar vertebral fracture (15%). Intensive care unit hospitalization, surgical procedures and mortality rates were significantly higher in patients with a lower Glasgow Coma Score at admission (p

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急诊科神经外科门诊就诊患者分析及死亡率评估

摘要目的分析急诊科入院患者中的神经外科就诊情况，揭示需要接受神经外科手术的患者的特征，并分析患者的死亡率。材料与方法：研究以回顾性方式在一家二级医院的急诊科进行。研究评估了 2023 年 1 月 1 日至 2023 年 12 月 31 日期间在成人急诊科神经外科门诊就诊的所有患者。研究分析了患者的人口统计学数据、入院和/或入院主诉、诊断、合并疾病情况、抗凝药物使用情况、外科手术情况、到达急诊科时的格拉斯哥昏迷评分、住院时间和院内死亡情况。结果研究共评估了 595 名患者。59.5%的患者为男性，平均年龄为（45.17±25.77）岁。最常见的入院类型是摔倒导致的全身创伤（48.9%）。最常见的诊断是孤立性腰椎骨折（15%）。入院时格拉斯哥昏迷评分（Glasgow Coma Score）较低的患者的重症监护室住院率、外科手术率和死亡率明显较高（p

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Hippocrates Medical Journal

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