Retrospective analysis of patients referred to the Emergency Department of Bilecik Training and Research Hospital by 112 Emergency Aid Ambulances from surrounding districts


Zeytin A. T., Arıkan E., Değirmenci S.

21th National Emergency Medicine Congress & 12th Intercontinental Emergency Medicine Congress, 12th International Critical Care and Emergency Medicine Congress, Antalya, Türkiye, 17 - 20 Nisan 2025, ss.161, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.161
  • Bilecik Şeyh Edebali Üniversitesi Adresli: Evet

Özet

Introduction and Purpose: To evaluate the typical clinical characteristics of patients referred to the Emergency Department of Bilecik

Training and Research Hospital by 112 Emergency Aid Ambulances from 7 districts of Bilecik Province.

Materials and Methods: Between July 31, 2024 and December 31, 2024, information on patients referred by 112 Emergency Aid

Ambulance was obtained from the patient registration system of the hospital after obtaining the necessary permissions. The age and

gender distribution of the patients, referral diagnoses, distribution according to the districts of origin, distribution of consultations

requested from different specialties for the patients, and the fate of the patients were analyzed. Statistical analyses were performed

using SPSS 22.0 Software for Windows.

Results and Conclusion: The mean age of 1368 patients admitted to the emergency department was 56.2±25.2 years (Min-Max: 0-99);

the age and gender distributions were 796 (58.2%) males (mean age: 53.3±24.6) and 572 (41.8%) females (mean age: 60.4±25.5),

respectively. The first 3 districts that referred emergency patients were Osmaneli (415 patients, 30.3%), Sögut (350 patients, 25.6%) and

Golpazari (261 patients, 19.1%).Regarding the prediagnoses of the referred emergency patients, the most common diagnosis was acute

myocardial infarction with 166 patients (ICD-10: I21.9, 12.1%), followed by cerebrovascular diseases with 147 patients (ICD-10: I67.9,

10.7%) and gastrointestinal bleeding with 96 patients (ICD-10: K92.2, 7%). The distribution of the patients according to the clinics where

they were hospitalized was found as Coronary Intensive Care Unit (123 patients, 9%) and General Intensive Care Unit (85 patients,

6.2%) in order of frequency. Regarding the outcomes of the patients in the Emergency Department, 648 (47.3%) patients were

discharged as outpatients, 444 (32.4%) patients were hospitalized, 269 (19.6%) patients were referred to tertiary hospitals. In

conclusion, when we look at the profile of emergency patients referred to Bilecik Training and Research Hospital from the surrounding

districts, it is noteworthy that the male gender predominates and the age group is over 50 years, and the referral diagnoses are

frequently cardiovascular, cerebrovascular, and upper gastrointestinal bleeding. This may be due to the high frequency of NSAID and/or

antiaggregant drug use due to chronic diseases. Further epidemiologic studies are needed in this regard.

Keywords: 112 Emergency Service, emergency department, referred patients