Göknur Yıldız, Eskişehir City Hospital, Department of Emergency Medicine, Eskişehir, Turkey
Mustafa Emin Çanakçı, Osmangazi University Faculty of Medicine, Department of Emergency Medicine, Eskişehir, Turkey
Özge Turgay Yıldırım, Eskişehir Osmangazi University, Department of Cardiology, Eskişehir, Turkey
Fatih Alper Ayyıldız, Eskişehir City Hospital, Department of Emergency Medicine, Eskişehir, Turkey
Nurdan Acar, Osmangazi University Faculty of Medicine, Department of Emergency Medicine, Eskişehir, Turkey
Introduction: Emergency clinics are the most important part of the health centers serving throughout the day uninterrupted for 24 hours for all kind of patients and diseases. In this study, we evaluated the reasons of referral and consultation processes of the patients who applied to the emergency outpatient clinic and were consulted to the cardiology department.
Methods: Patients who were admitted to the emergency department at a secondary health center and consulted on cardiology were included in the study. The pediatric patient group was excluded from the study.
Results: Cardiology consultation was requested for 0.22% (n=382) of the patients who applied to the Emergency Department. 58.4% (n=223) of the patients were male and 41.6% (n=159) were female. The initial diagnosis by the emergency physician for cardiology consultation were as follows; 30.4% (n=116) of patients had chest pain, 11.5% (n=44) had chronic obstructive pulmonary disease, 9.2% (n=35) had acute myocardial infarction, 5.2% (n=20) had hypertension, 4.2% (n = 16) had palpitation symptoms and 39.5% for other reasons. 11.7% (n=45) of the patients died in the emergency department after cardiac arrest. 39.2% (n=150) of the patients were referred to another center directly from emergency clinic for advanced examination and treatment. The remaining 27.2% (n=104) of the patients did not have an emergency cardiac pathology after cardiology evaluation.
Conclusion: In this study, we determined the general characteristics of the patients who presented to the emergency clinic and who were considered suitable for cardiology consultation. Determining the patient profiles for consultation in emergency departments, evaluation of consultation functioning system and consultation related problems will be useful in shaping training programs, determining bed capacity and improving the quality of health services in health institutions.
Key Words: Emergency department, cardiology, consultation
Eskisehir Med J. Ahead of print.