Analysis of Chest Disease Consultations Requested by an Emergency Unit in Summer and Winter Months

Gökhan ÇORAPLI, Ercan ÇİL
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Abstract

Aim: This study aims to show seasonal differences by analysing the chest disease consultations requested by an emergency unit in summer (June, July, and August) and winter (December, January, and February) months. Methods: Patients over the age of 18 years who were directed by an emergency unit to the Department of Chest Diseases between 1 December 2021 and 31 August 2022 and whose thoracic computerized tomography results were available were included in the study. Variables such as the patients’ demographic characteristics, complaints, results of the examinations done in the emergency unit, hospitalization rates, place of hospitalization (hospital ward or intensive care), and pre-diagnosis before hospitalization were evaluated. The statistical significance level was accepted as p < 0.05 in all calculations and statistical analysis of the data was conducted using IBM SPSS Statistics 26 (IBM Corp., Armonk, NY, USA). Results: For the 409 patients included in this study, more consultations were requested in the winter months (n = 239, 58.4%). We identified significant differences between the seasonal groups in terms of the complaints and the additional radiological imaging findings of patients consulted in summer and winter months (p < 0.05). The most common complaint in both seasons was shortness of breath. Pleural effusion was less common among the additional radiological findings of both seasons. Conclusion: This study has revealed significant differences between seasonal groups in terms of complaints and additional radiological imaging findings of patients with consultations in summer and winter months. However, there were no significant differences between the seasonal groups in terms of age, sex, pre-diagnosis, place of hospitalization, or main radiological findings.
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某急诊科夏季和冬季胸部疾病求诊情况分析
目的:本研究旨在通过分析夏季(6月、7月和8月)和冬季(12月、1月和2月)急诊室胸部疾病咨询的季节性差异。方法:研究纳入了2021年12月1日至2022年8月31日期间由急诊科引导至胸部疾病科的18岁以上患者,这些患者的胸部计算机断层扫描结果可用。对患者的人口统计学特征、主诉、急诊检查结果、住院率、住院地点(医院病房或重症监护室)以及住院前的预诊断等变量进行了评估。统计学显著性水平采用p <所有数据的计算和统计分析均使用IBM SPSS Statistics 26 (IBM Corp., Armonk, NY, USA)进行0.05。 结果:在本研究纳入的409例患者中,冬季月份要求更多的咨询(n = 239, 58.4%)。我们发现,在夏季和冬季就诊的患者的投诉和额外的放射影像学发现方面,季节组之间存在显著差异(p <0.05)。这两个季节最常见的抱怨是呼吸短促。胸膜积液在两个季节的其他影像学表现中较少见。& # x0D;结论:本研究揭示了在夏季和冬季就诊的患者的投诉和其他放射影像学发现方面,季节组之间存在显著差异。然而,季节组之间在年龄、性别、诊断前、住院地点或主要放射学表现方面没有显著差异。
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