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Falls from height： A retrospective analysis

World Journal of Emergency Medicine 2018年第1期9卷 46-50页

作者： kasim turgut Mehmet Ediz Sarihan Cemil Colak Taner Giiven Ali Gur Sukru Gurbuz Department of Emergency Medicine Education and Research Hospital Adiyaman University Adiyaman Turkey Department of Emergency Medicine School of Medicine Inonu Universitu Malatya Turkey Department of Biostatistics and Medical Informatics School of Medicine Inonu UniversityMalatya Turkey

BACKGROUND: Emergency services manage trauma patients frequently and falls from height comprise the main cause of emergency service admissions. In this study, we aimed to analyse the demographic characteristics of falls from height and their relationship to the ***: A total of 460 patients, who admitted to the Emergency Department of Inonu University between November 2011 and November 2014 with a history of fall from height, were examined retrospectively. Demographic parameters, fall characteristics and their effect to mortality were evaluated statistically. RESULTS: The study comprised of 292(63.5%) men and 168(36.5%) women patients. The mean age of all patients was 27±24.99 years. Twenty-six(5.6%) patients died and the majority of them were in ≥62 years old group. The highest percentage of falls was at 0–5 years age group(28.3%). People fell mainly from 1.1–4 metres(m) level(46.1%). The causes of falls were ordered as unintentional(92.2%), workplace(8.1%) and suicidal(1.7%). Skin and soft tissue injuries(37.4%) were the main traumatic lesions. CONCLUSION: Age, fall height, fall place, linear skull fracture, subarachnoidal hemorrhage, cervical fracture, thoracic vertebra fracture and trauma scores had statistically significant effect on mortality. The casualties died because of subarachnoid hemorrhage mostly.

关键词： Trauma Falls Mortality Emergency medicine

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Drug dependence and its risk factors in emergency department patients:A retrospective cross-sectional study

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Journal of Acute Disease 2021年第5期10卷 202-207页

作者： Erdal Yavuz kasim turgut Umut Gulacti Ugur Lok Erman Altunisik Department of Emergency Medicine Adiyaman University Medical FacultyAdiyamanTurkey Department of Neurology Adiyaman University Medical FacultyAdiyamanTurkey

Objective:To determine the characteristics and risk factors of drug dependence among patients who were administered drugs with addictive potential(DAP)in an emergency department(ED).Methods:This retrospective cross-sectional study included patients who were administered DAP 3 or more times in the emergency room between September 1,2019 and March 1,*** demographic and baseline information were *** the prescibed DAP,the reasons to use these drugs,secondary drug dependence,the department where DAP were first prescribed,types of doctors who preferred to prescribed DAP,and the risk factors for the development of drug dependence were ***:A total of 3000 patients were screened from medical records,and among them,80 patients developed drug *** dependence only developed for tramadol(n=57,71.3%),diazepam(n=11,13.8%),and biperiden(n=12,15.0%).Tramadol was the most frequently prescribed drug(n=57,71.3%).The most common reason for drug dependence was psychiatric disorders(n=29,36.3%).Drug dependence developed in renal colic patients due to the administration of tramadol(n=7,100%).On the contrary,dependence to biperiden were mainly developed in patients with psychiatric complaints(n=12,41.4%).The rate of secondary drug dependence was 15%(n=12).Of the Biperiden users,41.7%developed secondary drug dependence on *** DAP were first prescribed in the ED(n=52,65%),and the specialist preferred to prescribe DAP(n=43,53.8%).For the development of dependence,the presence of renal colic(OR:3.387,95%confidence interval(CI):1.473-7.788,P=0.004)and low back pain(OR:5.778,95%CI:2.779-12.014,P<0.001)were the risk ***:Most DAP were first prescribed in the ED compared to other departments,and specialist are preferred to use *** is the most commonly used drugs caused drug *** disorder patients are easier to develope drug ***,renal colic and low back pain patients needs more attention to

关键词： Drug with addictive portential Drug dependence Emergency room Risk

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