Evaluation of management of patients who apply to emergency service with dyspeptic complaints

Abstract

Aim: Dyspepsia means difficulty in the digestive process and consists of symptoms of bloating, pain, burning, early satiety, nausea and burping. Dyspepsia is one of the leading causes for applying to emergency services. Medical workups are overdone since there is still no consensus about the management of dyspeptic patients in emergency service. The aim of this article is to evaluate what is done for the management of patients with dyspeptic complaints in the emergency service. Materials and Methods:This study was conducted by retrospective file scanning method and consisted 2798 cases who applied to the emergency service between 1 January – 31 December 2019 with dyspeptic complaints. Results: Most of the patients who were included in the study were female (%58,1) and the average age was 39.73∓17,34. %77,8 (n=2176) of the included patients were treated by admission to the yellow area while %54,8 (n= 1534) was diagnosed with K29 (gastritis) according to the diagnostic codes. While 98.5% of the patients were discharged with outpatient treatment in the emergency observation room, only 1.5% were hospitalized. One case admitted with dyspepsia diagnostic code and presented with epigastric pain died. Conclusion: In this study, it was determined that patients with dyspeptic complaints present to the emergency department at a significant rate, but patients benefit from outpatient treatment at a rate of %98,5. A careful history taken from and detailed physical examination of patients with dyspeptic complaints for preventing unnecessary examinations and cost-effective behavior in the treatment are considered to be important for the preservation of national wealth.

Keywords

• emergency service,
• dyspepsia,
• patient management
• cost effectiveness
• gastritis
• acil servis
• dispepsi
• hasta yönetimi
• maliyet etkinliği
• gastrit