The Most Common Chronic Diseases among The Emergency Room Admissions: Top 7

Abstract: Objectives Admissions due to chronic diseases (CD) constitute the significant number of emergency room (ER) visits. The current study aimed to evaluate Admissions Related to Chronic Diseases (ARCD) to ER Material and methods Older than 16 years of age and admitted to Hacettepe University Faculty of Medicine Emergency Department, in the nine consequent days starting on May 1,2010 were enrolled in this study. Results 161 (52.4%) of the patients were in ARCD group, remaining 146 (47.6%) patients were in Admissions Related to Newly Diagnosed Disease (ARNDD). In ARCD group, median age of visitors was 59 year, whereas the median age of the patients with ARNDD was 40.1year . ARCD causes were: Cerebrovascular Disease (CVD) in 3%, Chronic Kidney Disease (CKD) in 3%, Diabetes Mellitus (DM) in 8%, Chronic Obstructive Pulmonary Disease(COPD) and Asthma in 11%, Hypertension (HT) in 12%, Malignancy in 17%, Ischemic Heart Disease (IHD) in 18%, more than one chronic disease in 9% and other chronic diseases in 18% of the patients. Critical and emergent cases constituted the 39% and 19% of ARCD and ARNDD, respectively. Conclusions Admissions because of chronic diseases are increasing day by day. While planning health policy of the country and even medical education, chronic diseases should be considered as an important factor. ？ZET Ama？: Kronik hastal？klar nedeniyle yap？lan ba？vurulan acil servis ba？vurular？nda ？nemli oran？n？ olu？turmaktad？r. Bu ？al？？mada, Kronik Hastal？klar ile ？lgili Acil Servise Ba？vurular？n (KHAB) de？erlendirilmesi ama？land？. Materyal ve Metod: 16 ya？？ndan büyük ve Hacettepe üniversitesi T？p Fakültesi Acil Servisi'ne 1 May？s 2010 tarihinden ba？layan dokuz gün süresince ba？vuran hastalar ？al？？maya al？nd？. Bulgular: Hastalar？n 161'i (% 52.4) KHAB grubunda, 146's？ (% 47.6) yeni tan？ konulan hastal？？a (YTHB) ili？kin ba？vuruda idi. KHAB grubunda, ziyaret？ilerin ortanca ya？？ 59, YTHB'li hastalar？n ortanca ya？？ 40.1 idi. KHAB nedenleri:% 3'ünde Serebrovasküler Hastal？k (SVH),% 3'ünde Kronik B？brek Hastal？？？ (KBH),% 8'inde Diabetes Mellitus (DM),% 8'inde Kronik Obstrüktif Akci？er Hastal？？？ (KOAH) ve% 11'inde Ast？m, Hipertansiyon (HT) % 12,% 17'de Malignite,% 18'inde ？skemik Kalp Hastal？？？ (IKH),% 9'unda birden fazla kronik hastal？k ve% 18'inde di？er kronik hastal？klar mevucttu. Kritik ve acil durumlar s？ras？yla KHAB ve YTHB'nin % 39 ve % 19'unu olu？turmaktayd？. Sonu？: Kronik hastal？klar nedeniyle ba？vuru günden güne artmaktad？r. ülkenin sa？l？k politikas？n？ ve hatta t？p e？itimini planlarken, kronik hastal？klar ？nemli bir fakt？r olarak dü？ünülmelidir