Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study

CAKIR, Murat; TEKIN, AHMET; BALASAR, MEHMET; KÜÇÜKKARTALLAR, Tevfik; Kartal, Adil; TÜRK, Emin; ERENGÜL, Bülent; Köksal, Hande

Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study

Tevfik KÜÇÜKKARTALLAR, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Konya, Türkiye)

Murat ÇAKIR, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Konya, Türkiye)

Ahmet TEKİN, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Konya, Türkiye)

Mehmet BALASAR, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Üroloji Anabilim Dalı, Konya, Türkiye)

Adil KARTAL, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Konya, Türkiye)

Hande KÖKSAL, (Konya Numune Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Konya, Türkiye)

Bülent ERENGÜL, (Konya Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Konya, Türkiye)

Emin TÜRK (Başkent Üniversitesi, Konya Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Konya, Türkiye)

Ulusal Cerrahi Dergisi

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Yıl: 2016 Cilt: 32 Sayı: 4 Sayfa Aralığı: 252 - 255 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study

Öz:

Amaç: Cerrahi acillerin sayısının sürekli artmasına rağmen acil cerrahi yatışları hakkında kısıtlı veri bulunmaktadır. Bu çok merkezli çalışmanın amacı, Konya şehrinde acil genel cerrahi sonuçlarını değerlendirmektir.Gereç ve Yöntemler: Konya'da tüm genel cerrahi acil başvurularının dokuz yıllık sonuçları incelendi (Ocak 2003Ocak 2012). Tüm demografik veriler istatistiksel olarak değerlendirildi.Bulgular: Konya'da yer alan 4 hastaneden 21954 hasta çalışmaya alınmıştır. Konya Numune Hastanesi (7154), Konya Eğitim ve Araştırma Hastanesi (6654), Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi (6400) ve Başkent Üniversitesi Konya Eğitim ve Araştırma Hastanesi (1390) verileri toplandı. Hastaların yaş ortalaması 59,6 ve ortalama hastanede kalış süresi 3,3 gündü. Hastaneye kabul edilen hastaların tanıları; akut apandisit (%59,57), bağırsak tıkanıklığı (%11,12), travma (%7,97), boğulmuş kasık fıtığı (%5,46), akut kolesistit (%4,87), peptik ülser perforasyonu (%4,09), mezenterik iskemi (%2,73), nekrotizan fasiit (%2,73), gastrointestinal sistem kanaması (%1,79) ve diğerleriydi (%1,1).Sonuç: Bu çalışma ile cerrahi kabullerin sürekli arttığı görülmüştür. Non-travmatik akut karın, genel cerrahi acillerinin en sık nedeniydi. Yaşlı hastaların sayısında artış olmasına rağmen, hastanede kalış süresi ve mortalite oranları azalmıştır.

Anahtar Kelime:

Konular: Cerrahi

Konya'da acil cerrahi kapasitesinin tahmini: Dokuz yıllık çok merkezli çalışma

Öz:

Objective: Although the number of surgical emergencies continues to increase, comprehensive data on emergency surgical admissions are scarce. The aim of this multicenter study was to evaluate the causes, management, and outcomes of the general surgical emergencies in the city of Konya, Turkey.Material and Methods: The relevant details of the cases admitted and considered to be general surgical emergencies in Konya over a nine-year period (January 2003-January 2012) were analyzed. All demographic data were analyzed statistically.Results: The study group comprised 21954 cases from 4 hospitals in Konya: 7154 from Konya Numune Hospital, 6,654 from Konya Education and Research Hospital, 6,400 from Necmettin Erbakan University Meram Medical Faculty, and 1,390 from Başkent University Konya Education and Research Hospital. Their mean age was 59.6 years, and the average hospitalization time was 3.3 days. The diagnoses of the admitted patients were as follows: acute appendicitis (59.57%), bowel obstruction (11.12%), trauma (7.97%), strangulated inguinal hernia (5.46%), acute cholecystitis (4.87%), peptic ulcer perforation (4.09%), mesenteric ischemia (2.73%), necrotizing fasciitis (2.73%), gastrointestinal system bleeding (1.79%), and others (1.1%).Conclusion: The findings of the study indicate a steady increase in surgical admissions to emergency units. Nontraumatic acute abdomen was the most common reason for general surgical emergencies. Although the number of elderly patients increased, the hospital stay and mortality rates decreased over the study period.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KÜÇÜKKARTALLAR T, CAKIR M, TEKIN A, BALASAR M, Kartal A, Köksal H, ERENGÜL B, TÜRK E (2016). Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. , 252 - 255.
Chicago	KÜÇÜKKARTALLAR Tevfik,CAKIR Murat,TEKIN AHMET,BALASAR MEHMET,Kartal Adil,Köksal Hande,ERENGÜL Bülent,TÜRK Emin Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. (2016): 252 - 255.
MLA	KÜÇÜKKARTALLAR Tevfik,CAKIR Murat,TEKIN AHMET,BALASAR MEHMET,Kartal Adil,Köksal Hande,ERENGÜL Bülent,TÜRK Emin Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. , 2016, ss.252 - 255.
AMA	KÜÇÜKKARTALLAR T,CAKIR M,TEKIN A,BALASAR M,Kartal A,Köksal H,ERENGÜL B,TÜRK E Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. . 2016; 252 - 255.
Vancouver	KÜÇÜKKARTALLAR T,CAKIR M,TEKIN A,BALASAR M,Kartal A,Köksal H,ERENGÜL B,TÜRK E Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. . 2016; 252 - 255.
IEEE	KÜÇÜKKARTALLAR T,CAKIR M,TEKIN A,BALASAR M,Kartal A,Köksal H,ERENGÜL B,TÜRK E "Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study." , ss.252 - 255, 2016.
ISNAD	KÜÇÜKKARTALLAR, Tevfik vd. "Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study". (2016), 252-255.

APA	KÜÇÜKKARTALLAR T, CAKIR M, TEKIN A, BALASAR M, Kartal A, Köksal H, ERENGÜL B, TÜRK E (2016). Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. Ulusal Cerrahi Dergisi, 32(4), 252 - 255.
Chicago	KÜÇÜKKARTALLAR Tevfik,CAKIR Murat,TEKIN AHMET,BALASAR MEHMET,Kartal Adil,Köksal Hande,ERENGÜL Bülent,TÜRK Emin Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. Ulusal Cerrahi Dergisi 32, no.4 (2016): 252 - 255.
MLA	KÜÇÜKKARTALLAR Tevfik,CAKIR Murat,TEKIN AHMET,BALASAR MEHMET,Kartal Adil,Köksal Hande,ERENGÜL Bülent,TÜRK Emin Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. Ulusal Cerrahi Dergisi, vol.32, no.4, 2016, ss.252 - 255.
AMA	KÜÇÜKKARTALLAR T,CAKIR M,TEKIN A,BALASAR M,Kartal A,Köksal H,ERENGÜL B,TÜRK E Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. Ulusal Cerrahi Dergisi. 2016; 32(4): 252 - 255.
Vancouver	KÜÇÜKKARTALLAR T,CAKIR M,TEKIN A,BALASAR M,Kartal A,Köksal H,ERENGÜL B,TÜRK E Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. Ulusal Cerrahi Dergisi. 2016; 32(4): 252 - 255.
IEEE	KÜÇÜKKARTALLAR T,CAKIR M,TEKIN A,BALASAR M,Kartal A,Köksal H,ERENGÜL B,TÜRK E "Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study." Ulusal Cerrahi Dergisi, 32, ss.252 - 255, 2016.
ISNAD	KÜÇÜKKARTALLAR, Tevfik vd. "Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study". Ulusal Cerrahi Dergisi 32/4 (2016), 252-255.