ACİL SERVİSTE KARIN AĞRISINI DEĞERLENDİRMENİN MALİYETİ

Amac: Bu calismanin amaci acil servislere travma disi karin agrisi (TDKA) ile basvuran hastalarda yapilan tanisal ve tedavisel islemlerin maliyetinin hesaplanmasi ve bu maliyeti etkileyen faktorlerin belirlenmesidir. Gerec ve Yontem : Bu calismaya acil servisimize TDKA ile basvuran, calisma kriterlerine uyan ve katilmayi kabul eden 345 hasta alinmistir. Hastalar acil servisten ayrildiktan sonra tani ve tedavi harcamalari hesaplanmistir. Bu harcama tutarlari ozellikle yas, cinsiyet ve altta yatan hastaliga gore olusturulan gruplarda karsilastirilmistir. Bulgular: Calisma grubunun %60’i kadindir. Hastalarin yas ortalamasi 36,5 yildir (17-92 yil). TDKA hastalarinin acil serviste ortalama kaldiklari sure 4,92 saattir (1-151 saat). TDKA hastalarinin acil servis harcamalari tutari ise ortalama 112,2 TL’dir (14-1394 TL). Bu calismada 60 yas uzerinde olmanin, karin agrisina eslik eden ek semptomlarin var olmasinin, cerrahi karin agrisi olmasinin, baska bir merkezden karin agrisi ile acil servise gonderiliyor olmanin ve tekrarlayan karin agrisi ile acil servise basvurmanin acildeki izlem suresini ve maliyeti artirdigi belirlenmistir. Sonuc: TDKA’na yaklasimda maliyeti belirleyen calismalarin, etkin maliyet stratejilerinin belirlenmesinde ve basvuru klavuzlarinin hazirlanmasinda dikkate alinmasi gerekmektedir Anahtar Kelimeler: Travma Disi Karin Agrisi, Acil Servis, Maliyet COST OF THE MANAGEMENT OF ABDOMINAL PAIN IN THE EMERGENCY ROOM ABSTRACT Purpose: To estimate the cost of the diagnosis and management of nontraumatic abdominal pain (NTAP) in the emergency room (ER) and to determine the factors that affect the cost of diagnosis and management of this type of pain. Materials and Methods: In total 345 patients with NTAP and complying with the study criteria were included. After they discharged from the ER, the expenses of diagnosis and treatment of the patients were calculated. The expense results were compared to each other especially in terms of age, sex, and underlying disease. Results: In the study group, 60% of patients were female. The mean age of the patients was 36.5 (range: 17-92). The overall mean time of the patients with NTAP spent in the ER was 4.92 h (range: 1-151 h). The mean expense amount of the patients with NTAP in ER was 112.2 TL (range: 14-1394 TL). Being above the age of 60, having accompanying symptoms, having surgical abdominal pain, having pathological findings in abdominal examinations, and being referred from other centers or being referred back to the ER with the same complaint were the most important factors that determined the follow-up period and expenses of NTAP patients in the ER. Conclusion: Such information describing the cost of diagnosis and management of NTAP should be taken into account to determine cost effective strategies and to establish reference guidelines. Keywords: Non-Traumatic Abdominal Pain, Emergency Department, Cost