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Demographic and clinical characteristics among Turkish homeless patients presenting to the emergency department
OBJECTIVE: Since the homeless are at greater risk of encountering health problems than the general population, the reasons for and incidence of their presentations to emergency departments also vary. The purpose of this study was to determine the sociodemographic and clinical characteristics of Turk...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5812920/ https://www.ncbi.nlm.nih.gov/pubmed/29464216 http://dx.doi.org/10.1016/j.tjem.2017.09.002 |
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author | Yeniocak, Selman Kalkan, Asım Sogut, Ozgur Karadana, Gökce Akgül Toptas, Mehmet |
author_facet | Yeniocak, Selman Kalkan, Asım Sogut, Ozgur Karadana, Gökce Akgül Toptas, Mehmet |
author_sort | Yeniocak, Selman |
collection | PubMed |
description | OBJECTIVE: Since the homeless are at greater risk of encountering health problems than the general population, the reasons for and incidence of their presentations to emergency departments also vary. The purpose of this study was to determine the sociodemographic and clinical characteristics of Turkish homeless patients who brought to the emergency department by ambulance. MATERIALS AND METHODS: The records of homeless adult patients brought to the ED by 112 emergency service ambulance teams over a 1-year period from January to December, 2014, were examined retrospectively. RESULTS: Thirty-six (21.56%) of the homeless patients enrolled in the study presented due to trauma, and 131 (78.44%) due to non-traumatic causes. One hundred thirty-seven (82.04%) of the total patient group were male. The mean age of the non-trauma patients was 47.3 ± 15.2 years (range, 18–81 years), and the mean age of the trauma patients was 36.9 ± 14.4 years (range, 18–63 years). The most common reason for presentation among patients presenting to the emergency department for non-trauma reasons was clouded consciousness (n = 39, 23.35%), followed by general impaired condition (n = 26, 15.57%), respiratory difficulty (n = 25 14.97%) and abdominal pain (n = 21, 12.57%). The most common reason for presentation among trauma cases was traffic accidents (n = 13, 7.78%), followed by sharp implement injury (n = 9, 5.39%). Four (2.4%) homeless patients died in the emergency department, three (%1.8) homeless patients discharged from the emergency department, and the remaining 160 (95.8%) were admitted to the hospital. CONCLUSION: Homeless patients may present to the emergency department due to traumatic or non-traumatic causes. Admission levels are high among these patients, who may have many acute and chronic problems, and appropriate precautions must be taken in the management of these subjects in the emergency department. |
format | Online Article Text |
id | pubmed-5812920 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-58129202018-02-20 Demographic and clinical characteristics among Turkish homeless patients presenting to the emergency department Yeniocak, Selman Kalkan, Asım Sogut, Ozgur Karadana, Gökce Akgül Toptas, Mehmet Turk J Emerg Med Original Article OBJECTIVE: Since the homeless are at greater risk of encountering health problems than the general population, the reasons for and incidence of their presentations to emergency departments also vary. The purpose of this study was to determine the sociodemographic and clinical characteristics of Turkish homeless patients who brought to the emergency department by ambulance. MATERIALS AND METHODS: The records of homeless adult patients brought to the ED by 112 emergency service ambulance teams over a 1-year period from January to December, 2014, were examined retrospectively. RESULTS: Thirty-six (21.56%) of the homeless patients enrolled in the study presented due to trauma, and 131 (78.44%) due to non-traumatic causes. One hundred thirty-seven (82.04%) of the total patient group were male. The mean age of the non-trauma patients was 47.3 ± 15.2 years (range, 18–81 years), and the mean age of the trauma patients was 36.9 ± 14.4 years (range, 18–63 years). The most common reason for presentation among patients presenting to the emergency department for non-trauma reasons was clouded consciousness (n = 39, 23.35%), followed by general impaired condition (n = 26, 15.57%), respiratory difficulty (n = 25 14.97%) and abdominal pain (n = 21, 12.57%). The most common reason for presentation among trauma cases was traffic accidents (n = 13, 7.78%), followed by sharp implement injury (n = 9, 5.39%). Four (2.4%) homeless patients died in the emergency department, three (%1.8) homeless patients discharged from the emergency department, and the remaining 160 (95.8%) were admitted to the hospital. CONCLUSION: Homeless patients may present to the emergency department due to traumatic or non-traumatic causes. Admission levels are high among these patients, who may have many acute and chronic problems, and appropriate precautions must be taken in the management of these subjects in the emergency department. Elsevier 2017-09-19 /pmc/articles/PMC5812920/ /pubmed/29464216 http://dx.doi.org/10.1016/j.tjem.2017.09.002 Text en Copyright © 2017 The Emergency Medicine Association of Turkey. Production and hosting by Elsevier B.V. on behalf of the Owner. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Yeniocak, Selman Kalkan, Asım Sogut, Ozgur Karadana, Gökce Akgül Toptas, Mehmet Demographic and clinical characteristics among Turkish homeless patients presenting to the emergency department |
title | Demographic and clinical characteristics among Turkish homeless patients presenting to the emergency department |
title_full | Demographic and clinical characteristics among Turkish homeless patients presenting to the emergency department |
title_fullStr | Demographic and clinical characteristics among Turkish homeless patients presenting to the emergency department |
title_full_unstemmed | Demographic and clinical characteristics among Turkish homeless patients presenting to the emergency department |
title_short | Demographic and clinical characteristics among Turkish homeless patients presenting to the emergency department |
title_sort | demographic and clinical characteristics among turkish homeless patients presenting to the emergency department |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5812920/ https://www.ncbi.nlm.nih.gov/pubmed/29464216 http://dx.doi.org/10.1016/j.tjem.2017.09.002 |
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