Browsing by Author "Öncü, M.R."

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Analysis of Patients With a Suicide Attempt Presenting To the Emergency Department of Two Hospitals in Van, Turkey
(Yuzuncu Yil Universitesi Tip Fakultesi, 2022) Aktaş, R.S.; Işik, M.; Gizli, G.; Bilvanisi, S.K.; Öncü, M.R.
Suicide is a serious problem affecting public health all over the world. Suicide-related mortality and morbidities requiring lifetime care have economic, social and psychological repercussions. Considering tha t reasons for suicide vary by geography, we aimed to investigate the demographic characteristics of patients presenting to the emergency department in a province in eastern Turkey following a suicide attempt. After obtaining ethical approval, the records of two hospitals where the study was conducted were screened and 4,096 patients who had attempted suicide were identified using the international diagnostic codes X44, F19, T14.9, X80, Y24, W16, Y17, Y26, Y20 and Y85. Of these patients, 2,456 with incomplet e records were excluded, and the data of the remaining 1,640 were analyzed with the Kolmogorov-Smirnov test using SPSS. Seventy percent of the patients included in the study were women, and 43.3% were married. The incidence of suicide showed a generally increasing trend over the years. The rate of suicide rate was higher in summer. Women most frequently attempted suicide due to family problems and men due to psychiatric reasons. The most commonly used method in both genders was the ingestion of drugs or t oxic substances. We consider that after a detailed examination by mental health professionals in the emergency department, the rate of future admissions due to attempted suicide will decrease, especially through the solution of family problems and treatmen t of psychiatric conditions. © 2022, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Analysis of the Factors Increasing the Mortality in Emergency Department Following Firearm Injuries
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Öncü, M.R.
In this study, we aimed to determine the factors that increase mortality in patients presenting to the emergency department after a gunshot injury. This is a retrospective study. Between January 2010 and January 2014, 246 cases were reported to the tertiary university emergency department after firearm injury; age, sex, injury site and concomitant organ injuries, consciousness and hemoglobin levels, patient distribution according to months and years, length of stay in emergency department and factors increasing mortality were analyzed. There were a total of 246 subjects included in the study: 211 (85.8%) males and 35 (14.2%) females. The average age was 29±13.5. The distribution of the firearm woundings indicated that they occurred most frequently in August 56 (22.7%). Injury localization was detected as head 53 (21.5%), thorax 35 (14.2%), abdomen 27 (10.9%) and extremity 106(43%). The accompanying injuries were as follows: 23 cases of hemopenumothorax (9.3%), 20 cases of intestine perforation in the abdomen (8.1%). The states of the patients' consciousness were evaluated using the Glasgow coma scale (GCS). The results were as follows: 31 subjects scored 3-8, 22 patients scored 9-13 and 193 patients scored 14-15. The length of stay in the emergency department was as follows; head and neck 119, thorax 150, abdomen 134, multiple trauma 161 and ex 55. As a result low GCS and Hb levels and long-term Emergency Department duration increase mortality. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Evaluation of Accuracy and Reliability of Electrocardiographs Interpreted by Emergency Medicine Assistants
(Yuzuncu Yil Universitesi Tip Fakultesi, 2019) Öncü, M.R.; Özdemir, F.; Aydın, Ş.A.
The purpose of this study is to evaluate accuracy and reliability of the electrocardiographs interpreted by the Emergency Medicine assistants and to determine compatibility between the interpretations of the electrocardiographs read by the emergency medicine assistants and cardiologist. This study was performed in the prospective and sectional manner on 252 patients who applied to Uludag University Health Application and Research Center Emergency Department between 12.06.2008 and 12.07.2008 and whose triage categories were 1 and 2. The ECGs were evaluated by the Emergency Medicine assistants and cardiologist independently of each other. The interpretations made by the cardiologist accepted as the gold standard. 252 patients were included in the study. 60% of them was male (n= 152) and 39.7% of them was female (n= 100), and the mean age was found as 59.4 (± 13.6). 23% (n=58) of 73 ECGs interpreted by the cardiologist was seen that they normally interpreted by the Emergency Medicine assistants. 179 electrocardiograms evaluated by the cardiologist were determined that they contained the pathologies as the major for 39, as the potential clinical importance for 78 and as the minor for 62. 187 electrocardiograms evaluated by the Emergency Medicine assistants were determined th at they contained the pathologies as the major for 25, as the potential clinical importance for 89 and as the minor for 73. In our study, we detected that there was significantly compatibility between the interpretation skills of electrocardiograms for the cardiologist and Emergency Medicine assistants. We also distinguished that there were important deficiencies. The electrocardiogram interpretation skills can be further improved by the trainings that will be given bedside. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Use of Abo Blood Groups and Co-Morbidities as Predictors of Mortality in Covid-19 Patients
(Verduci Editore s.r.l, 2022) Öncü, M.R.; Aktaş, R.S.; Gizli, G.; Bilvanisi, S.; Yildiz, H.; Baran, A.İ.
OBJECTIVE: This study aimed to investigate the mortality relationship between COVID-19 and ABO blood groups and comorbid diseases. The aim of this study was to determine whether ABO blood groups and comorbid diseases can be used as a prognostic factor for hospitalization. PATIENTS AND METHODS: This retrospective study included patients aged ≥ 18 years presenting to the adult emergency COVID-19 outpatient clinic. COVID-19 patients were divided into four stages according to their clinical status: mild, moderate, severe, and critical. Those with the comorbid disease were classified as Group I, and those without comorbid disease were classified as Group II. RESULTS: Of the 384 patients included in the study, 190 (49.5%) were male and 194 (50.5%) were female, with a mean age of 47.3 ± 18.4 years. The clinical data of the patients were scanned from the hospital automation system. Although the risk of transmission was higher, especially in people with A blood type, this rate was lower in the O blood group. The clinical course of the disease was more severe and the mortality rates were higher in the AB blood group (p < 0.001). In the hospital, 35 people who were treated for COVID-19 disease died. CONCLUSIONS: Certain ABO blood types and comorbid diseases were important risk factors for COVID-19 and were associated with mortality. We found that some ABO blood groups and comorbid diseases are associated with COVID-19 and may be important risk factors. While the risk of transmission of COVID-19 is high in blood group A, we think that the clinical course of COVID-19 may be more severe and the death rate higher in blood group AB. © 2022 Verduci Editore s.r.l. All rights reserved.