Evaluation of the Patients Having Visited Pediatric Emergency Service in the Faculty of Medicine of Cukurova University and Recorded as Medicolegal Cases in 2004
DOI:
https://doi.org/10.17986/blm.2005103593Keywords:
child emergency, medicolegal caseAbstract
This study aims to analyze the demographic features of the patients that visited pediatric emergency service and treated as a medicolegal case. This study, which was designed as a cross-sectional study, was performed with a retrospective scanning on the medicolegal case files of 2004. In 2004, 7922 patients visited pediatric emergency department in 2004 and 589 (7.4%) of them were treated as a medicolegal case. 355 (60.3%) of the cases were male and 227 (38.5%) were female and the difference between them was significant (p < 0.001). The mean age was 69.0 + 45.6 month (1-196 m). The most frequently encountered reason for the visits are falling down, intoxication or suspicion of intoxication, traffic accident, burns or penetration of an object to the body. The period of the year with highest prevalence was summer and the period of lowest prevalence was autumn and the cases applied to the emergency service between 16.00 and 24.00 pm. 177 (30.1%) of the cases were discharged following treatment; 242 (41.1%) were hospitalized; 25 (4.2%) were referred to another hospital as there was no available room in the hospital; 15% (2.5%) left the service with their own will and 3% left the hospital without the information of the hospital staff; 4 (0.7%) were dead when they were brought to the service and 2 (0.3%) died in the emergency service. Most of the medicolegal cases are caused by preventable accidents. Families and the society should be trained as it is possible to prevent the accidents. In addition, it is compulsory that each institution providing the service should keep its own records. The importance of recording cases is even more important when the subject is a medicolegal case.
Key words: Child emergency, medicolegal case.
Downloads
References
Fincancı ŞK, Biçer İ. Dosya 1 TTB-ATUD insan hakları ihlallerinin önlenmesine yönelik adli tıp eğitimi projesi. Adli Tıp Bülteni 1997; 2(2):71-78.
Koç S, Çetin G, Kolusayın O. Acil olgularda hekimin yasal sorumluluğu ve adli tıp sorunları. Sen- drom 1994; 6:54-9.
Salaçin S, Tuncer I, Erkoçak ELİ. Türkiye’de mezuniyet öncesi ve sonrası adli tıp eğitiminin sorunları. Adli Tıp Dergisi 1993; 9(l-9):17-22
Erdemir DA, Oğuz Y, Elçıoğlu Ö, Doğan H. Klinik Etik. Klinik Uygulamalarda Etik Sorunlar. Nobel Tıp Kitapları İstanbul, 2001:570-576.
Polat O, İnanıcı MA, Aksoy ME., Adli Tıp Ders Kitabı. Nobel Tıp Kitabevleri Ltd. Şti, 1997:175-192, 240-244.
Hancı İH. Hekimin Yasal Sorumlulukları ve Hakları. Toprak Ofset Matbaacılık Ltd. Şti., İzmir. 2. Baskı, 121-131.
Türkmen N, Akgöz S, Çoltu A, Ergin N. Uludağ Üniversitesi Tıp Fakültesi acil servisine başvuran olguların değerlendirilmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2005; 31(l):25-29.
Bostancı İ, Sarıoğlu M, Cinbiş M, Bedir E, Herek Ö, Akşit M A. Çocuk acil servise kabul edilen travma olgularının epidemiyolojik değerlendirilmesi. Ulusal Travma Dergisi 1998; 4(4):261-264.
Spady DW, Saunders DL, Schopflocher DP, Sven- son LW. Patterns of injury in children: a population-based approach. Pediatrics 2004; 113(l):522-9. DOI: https://doi.org/10.1542/peds.113.3.522
Petridou E, Anastasiou A, Katsiardanis K, Dessy- pris N, Spyridopoulos T, Trichopoulos D. A prospective population based study of childhood injuries: The Velestino Town Study. Eur J Public Health 2005; 15(1):9-14 DOI: https://doi.org/10.1093/eurpub/cki103
Kurugöl Z, Mutlubaş F, Koturoğlu G, Vardar F, Ozkinay F, Ozkinay C, Sözbilen M. Çocukluk çağında kazalar ve zehirlenmeler. Ege Pediatri Bülteni 2001; 8(2):79-82.
Bulut M, Korkmaz A, Akköse Ş, Balcı V, Özgüç H, Tokyay R. Çocukluk çağındaki düşmelerin epidemiyolojik ve klinik özellikleri. Ulusal Travma Dergisi 2002; 8(4): 220-223.
Agran PF, Anderson C, Winn D, Trent R, Walton- Haynes L, Thayer S. Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age. Pediatrics 2003; 111(6 Pt l):683-92 DOI: https://doi.org/10.1542/peds.111.6.e683
Hemmo-Lotem M, Danon Y. Childhood injuries in
Israel: status and prevention strategies. Harefuah 2003; 142(8-9):609-ll, 646, 645
Morrison A, Stone DH, Doraiswamy N, Ramsay L. Injury surveillance in an accident and emergency department: a year in the life of CHIRPP. Arch Dis Child 1999; 80(6):533-6. DOI: https://doi.org/10.1136/adc.80.6.533
www.cocukguvenhk.com.tr/evde_cocuk.html erişim tarihi: 10.02.2006
Bertan M, Güler Ç. Halk Sağlığı Temel Bilgiler.Gü- neş Kitabevi, Ankara. 1997:462-472.
Gürsoy ŞT, Çiçeklioğlu M, Türk M, Sözbilen M. E.Ü.T.F acil servisine bir yıl içinde başvuran hastaların sosyodemografik özelliklerinin ve başvuru zamanlarının değerlendirilmesi. Ege Tıp Dergisi 1999; 38(2):109-112.
Yamamoto LG, Wiebe RA, Matthews WJ Jr. A one-year prospective ED cohort of pediatric trauma. Pediatr Emerg Care 1991; 7(5):267-74. DOI: https://doi.org/10.1097/00006565-199110000-00002
Oztek Z. Sağlık Hizmetlerinin Sosyalleştirilmesi ve Sağlık Ocağı Yönetimi. Palme Yayıncılık, Ankara. 2004:329-345.
Downloads
Published
Issue
Section
License
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.