Browsing by Author "Bekgoz, Burak"

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Analyses of Demographical and Injury Characteristics of Adult and Pediatric Patients Injured in Syrian Civil War
(2017) Er, Erhan; Corbacioglu, Seref Kerem; Guler, Sertac; Aslan, Sahin; Seviner, Meltem; Aksel, Gokhan; Bekgoz, Burak; https://orcid.org/0000-0002-1670-7188; 27771222; AAJ-5930-2021
Purpose: Aimed to analyze demographical data and injury characteristics of patients who were injured in the Syrian Civil War (SCW) and to define differences in injury characteristics between adult and pediatric patients. Methodology: Patients who were injured in the SCW and transferred to our emergency department were retrospectively analyzed in this study during the 15-month period between July 2013 and October 2014. Results: During the study period, 1591 patients who were the victims of the SCW and admitted to our emergency department due to war injury enrolled in the study. Of these patients, 285 were children (18%). The median of the injury severity score was 16 (interquartile range [IQR]: 9-25) in all patients. The most frequent mechanism of injury was blunt trauma (899 cases, 55%), and the most frequently-injured region of the body was the head (676 cases, 42.5%). Head injury rates among the children's group were higher than those of the adult group (P <.001). In contrast, injury rates for the abdomen and extremities in the children's group were lower than those in the adult group (P <.001, P <.001). Conclusion: The majority of patients were adults, and the most frequent mechanism of injury was blunt trauma. Similarly, the children were substantially affected by war. Although the injury severity score values and mortality rates of the child and adult groups were similar, it was determined that the number of head injuries was higher, but the number of abdomen and extremity injuries was lower in the children's group than in the adult group. (C) 2016 Elsevier Inc. All rights reserved.
Effects of Fast-Track in A University Emergency Department Through The National Emergency Department Overcrowding Study
(2014) Aksel, Gokhan; Bildik, Fikret; Demircan, Ahmet; Keles, Ayfer; Kilicaslan, Isa; Guler, Sertac; Corbacioglu, Seref Kerem; Turkay, Asli; Bekgoz, Burak; Dogan, Nurettin Ozgur; https://orcid.org/0000-0002-5580-3201; 25255588; GPX-5137-2022
Objective: To determine the impact of a fast track area on emergency department crowding and its efficacy for non-urgent patients. Methods: The prospective cross-sectional study was conducted in an adult emergency department of a university-affiliated hospital in Turkey from September 17 to 30, 2010. Non-urgent patients were defined as those with Canadian Triage Acuity Scale category 4/5. The fast track area was open in the emergency department for one whole week, followed by another week in which fast track area was closed. Demographic information of patients, their complaints on admission, waiting times, length of stay and revisits were recorded. Overcrowding evaluation was performed via the National Emergency Department Overcrowding Study scale. In both weeks, the results of the patients were compared and the effects of fast track on the results were analysed. Continuous variables were compared via student's t test or Mann Whitney U test. Demographic features of the groups were evaluated by chi-square test. Results: A total of 249 patients were seen during the fast track week, and 239 during the non-fast track week at the emergency department. Satisfaction level was higher in the fast track group than the non-fast track group (p<0.001). The waiting times shortened from 20 minutes to 10 minutes and length of stay shortened from 80 minutes to 42 minutes during the fast track week. Morbidity and mortality rates remained unchanged. Conclusion: Owing to fast track, overcrowding in the emergency department was lessened. It also improved effectiveness and quality measures.