Original Research Article
Year: 2018 | Month: March | Volume: 8 | Issue: 3 | Pages: 30-38
Efficiency of the Critical Care Unit Usage in the Emergency Department
Gokhan EVREN1, Muge GULEN2, Akkan AVCI2, Ibrahim Ozgur SAHIN3, Muhammed Semih GEDIK4, Salim SATAR2
1Kocaeli Gebze Fatih State Hospital, Department of Emergency Medicine, Kocaeli, Turkey
2University of Health Sciences, Adana City Education and Research Hospital, Department of Emergency Medicine, Adana, Turkey
3Sanlıurfa Mehmet Akif İnan Education and Research Hospital, Department of Emergency Medicine, anlıurfa, Turkey
4Kahramanmaras Necip Fazıl City Hospital, Department of Emergency Medicine, Kahramanmaras, Turkey
Corresponding Author: Muge GULEN
ABSTRACT
Aim: The aim of this study is evaluating demographic characteristics of patients who applied emergency medicine clinic and followed in critical care unit and compare the tests intended the critical care unit and patient outcomes with literature data, finally evaluate the effectiveness of use of the critical care unit.
Methods and materials: Our study planned to analyze the patient who applied the emergency medicine clinic and followed in the critical care unit between August 1 2015-July 31 2016 from the archival records of patient data. Data like; age, gender, owned social security, disease in the back ground, the laboratory and radiologic tests intended from patient, consultations, patients outcome, the services they hospitalized, costs of emergency service were recorded. In the descriptive statistics of data; mean, standard deviation, median, minimum, maximum frequency and ratio values are used. The distribution of values was measured with Kolmogorov Smirnov test. In the analysis of quantitative data Mann Whitney U test was used, Qualitative data were analyzed by the Chi-square test. SPSS 22.0 programme was used in the analysis.
Results: There were 8254 patients; included in the study. The average age of the patients was 49,43 (±19,43). 3656 patients in the study (%44,29) were female and 4598 (%55,71) male. Hypertension was the most common comorbid disease. Cardiology was the department from which most of the consultations were wanted and by which most of the patients were hospitalized. Cranial CT was the most advanced radiologic examination. In the critical care unit 155 patients died and cardiac problems were the most frequent cause of death (%61,95). The average amount per patient files was $ 51, 6. The effect of age on the amount of files was statistically significant (p <0.01).
Conclusion: Our critical care unit; is understood to be a cost effective unit; considering the average cost per patient and the effect of the transaction on patient outcomes.
Key words: Critical care, cost effective, emergency department