Bedridden Patients at Emergency Department: Can We Treat Them at Home?

Authors : Erdinç Şengüldür, Kudret Selki

Pages : 69-75

Doi:10.26453/otjhs.1610351

View : 47 | Download : 65

Publication Date : 2025-03-17

Article Type : Research Paper

Abstract :Objective: To examine in detail the demographic and clinical characteristics of fully bedridden patients in emergency department (ED) and to evaluate the applicability of home care services to this patient group. Materials and Methods: This was a retrospective, single-center observational study, conducted in the ED of a tertiary university hospital in Düzce, Türkiye. Study was conducted with 1012 patients between 01.07.2021 - 01.07.2024. Inclusion criteria: being fully bedridden for any reason. Exclusion criteria: Being able to walk with or without support and being temporarily bedridden. Results: The rate of bedriddennes was 0.003%. The most common reason for admission was urinary catheter replacement (24.2%) in patients younger than 65 years and general condition disorder (25.6%) in elderly patients. The most common diagnoses in both groups were need of care, pneumonia and stroke, respectively. Calcium and albumin values within 48 hours and 30 days were found to be statistically significantly lower and BUN values were found to be higher in deceased patients compared to survivors. (p<0.05). Conclusion: Meeting the needs of bedridden patients at home, such as catheter replacement, will reduce ED admissions and ED crowding. Calcium, albumin and uric acid levels should be investigated as mortality markers in bedridden patients.
Keywords : Acil servis, demans, evde bakım hizmetleri, inme, yatağa bağımlı