Analysis of patients consulted to the neurosurgery clinic from the emergency department and evaluation of mortality

Authors : Mustafa Alpaslan, Sultan Özselçuk

Pages : 40-47

Doi:10.58961/hmj.1501247

View : 32 | Download : 37

Publication Date : 2024-08-22

Article Type : Research Paper

Abstract :ABSTRACT Objective: To analyze neurosurgical consultations in emergency department admissions, to reveal the characteristics of patients in need of neurosurgery and to analyze mortality in patients. Materials and Methods: The study was conducted retrospectively in the emergency department of a secondary care hospital. All patients consulted to the neurosurgery clinic from the adult emergency department between 01.01.2023-31.12.2023 were evaluated in the study. Demographic data, admission and/or admission complaint, diagnosis, comorbid disease status, anticoagulant use, surgical procedure status, Glasgow Coma Score at the time of arrival to the emergency department, duration of hospitalization and in-hospital mortality status were analyzed. Results: 595 patients were evaluated in the study. 59.5% of the patients were male and the mean age was 45.17±25.77 years. The most common type of admission was general body trauma due to fall (48.9%). The most common diagnosis was isolated lumbar vertebral fracture (15%). Intensive care unit hospitalization, surgical procedures and mortality rates were significantly higher in patients with a lower Glasgow Coma Score at admission (p<0.05). Anticoagulant use was significantly higher in patients with intracranial hemorrhage (p=0.006). The length of hospitalization was significantly higher in patients with cranial hemorrhage compared to other cases (p=0.000). Surgical procedures were performed in 9.4% of the patients (n=56). In total, 45 patients died (7.6%), including three in the emergency department. Conclusion: Neurosurgical consultations are extremely important in the emergency department and the majority of patients with pathology were found to be at risk for morbidity and mortality due to intracranial hemorrhage and spinal cord injury.
Keywords : Acil Servis, Nöroşiruji, Kafa Travması, Spinal Kord Yaralanması, Mortalite