ANALYSIS OF PATIENTS ADMITTED TO A UNIVERSITY HOSPITAL EMERGENCY ROOM WITH 112
Authors: DENİZ Ahmet Tunç , DUMAN Ali , ÖZDEMİR DENİZ Pınar , TÜRKDOĞAN Kenan Ahmet , AKÖZ Ayhan 
Published: July 2019

INTRODUCTION: In Turkey, emergency diseases,
natural disasters, accidents and injuries are frequently experienced and the
number of patients per 112 emergency service station is increasing over years.
Therefore, development and organization of the emergency healthcare services is
a crucial issue.  In this study, we aimed
to examine the patients brought to emergency department by 112 Emergency
Services, and to evaluate effect of demographic features of the presenting
patients on the emergency service intensity of 112 ambulances when future
planning of is made for emergency departments.MATERIAL &amp; METHODS : This study is a cross-sectional
study, and study population consisted of the persons brought to the emergency
department (ED) of the XX University Hospital by 112 ambulance. Patients’ data
were obtained from 112 emergency department ambulance form and hospital system.
Sample of the study consisted of 1066 persons with complete data and who
accepted to participate to the study. Data of the study were collected with a
data collection form. Data were evaluated using SPSS statistical software.
Descriptive statistics are expressed as median (min. – max.), mean ± standard
deviation, frequency, and percentage. Analytic statistical analysis was
performed using Kolmogorov Smirnov test, Chi-square test, Student’s t test, and
Spearman correlation analysis. p&lt; 0.05 values were considered statistically
significant.RESULTS: 1066 persons included in the study,
52.3% were male and 47.7% were female. Median age was 52.0 (1.0–112.0). 44.3%
of all patients were brought within working hours (09:01–16:00) The patients were most commonly
brought on Saturday (15.4%). Of all patients, 0.4% were intubated and
intravenous access was opened in 87.5% patients by 112 teams. Vital findings
were examined in all patients. According to the preliminary diagnosis
of 112 emergency ambulances, the most frequent patient group which brought by
112 ambulance was trauma patients (n=335,%31.44),
second frequent group was cardiovascular system emergencies (n=169,% 15.9). There was a statistically
significant, strong positive correlation between presumed diagnoses by 112, and
definitive diagnoses decided after evaluation in the ED (r=0.621, p&lt;0.001).
67.9% (n = 724) of the patients who were brought to the
emergency department by 112 emergency ambulance were discharged after the first
evaluation. 

CONCLUSION: The
majority of the patients who brought by the 112 emergency ambulance were discharged.
This suggests that 112 emergency ambulances are unnecessarily used. This
problem can be solved by making the society aware of this issue. If it is
considered that the most common diagnosis is trauma in patients who brought by
112 emergency ambulances, planning to increase the knowledge and experience of
112 emergency ambulance crew on prehospital trauma can be a good idea. While staffing
the emergency services, appropriate planning can be made by considering the hours
when 112 emergency ambulances are most frequently applied. The bed capacities
of the departments where the most frequent service and intensive care hospitalizations
are made should be observed.