Evaluation of Patients Applied to the Children’s Hospital Emergency Polyclin-ic with Complaint of Bleeding: A Single Center Experience

Rojan İpek; Meki Bilici; Ayfer Gözü Pirinççioğlu; Yusuf Kenan Haspolat

Makale detayları

Evaluation of Patients Applied to the Children’s Hospital Emergency Polyclin-ic with Complaint of Bleeding: A Single Center Experience

Yazarlar:

Rojan İpek | Meki Bilici | Ayfer Gözü Pirinççioğlu | Yusuf Kenan Haspolat

Yayıncı:

Harran University

Ana Başlıklar:

Çocuk Acil

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 1, pp.26-30

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001313095

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Background: In this study, it was aimed to evaluate the demographic characteristics and etiologic causes of patients admitted to our Pediatric Emergency Clinic with a history of bleeding. Materials and methods: The files of 331 patients admitted to the emergency outpatient clinic of XXX University Childrens Hospital between January 2010 and December 2012 with a history of bleeding were retrospectively analyzed. Age, presenting complaints, examination findings, gender, time of presentation, season of presentation and etiology of bleeding were recorded. Results: The patient group in the study consisted of a total of 331 patients, of whom 133 were female and 198 were male. The age range of the patients in the study was between 1-92 months. Patients applied to the pediatric emergency outpatient clinic were most frequently applied due to nasal and oral bleeding, and least frequently because of infectious thrombocytopenia. Other etiologic causes were immune thrombocytopenic purpura, gastrointestinal bleeding, factor deficiency, Henoch Schonlein Purpura and Glanzmann thrombasthenia. There was a statistical significance between the etiology of bleeding and gender p0,05, and it was observed that it was more common in boys than girls. Considering the examination findings, bleeding mouth, nose was found in 40.8 of the patients, and ecchymosis was found in 20.8 of the patients. In addition, the most common etiologic cause was immune thrombocytopenic purpura in patients presenting with petechiae and ecchymosis, Henoch Schonlein purpura in patients presenting with purpura, factor deficiency in patients presenting with hemarthrosis and hematoma, and gastrointestinal system bleeding in patients presenting with pallor. A statistical significance was found between the examination findings and the bleeding etiology. It was determined that the month andor season had a significant effect on the diseases, especially in patients diagnosed with infectious tombocytopenia, Glanzmanns thrombasthenia, and Henoch Schonlein purpura. Conclusions: It is important to determine the demographic characteristics and etiologies of patients presenting to the Pediatric Emergency Outpatient Clinic with a history of bleeding in order to determine the clinical conditions requiring urgent examination and treatment, and to reach the correct diagnosis quickly. As a result, early recognition of risky patients and treatment planning may be guiding in reducing both morbidity and mortality.

 Background: In this study, it was aimed to evaluate the demographic characteristics and etiologic causes of patients admitted to our Pediatric Emergency Clinic with a history of bleeding. Materials and methods: The files of 331 patients admitted to the emergency outpatient clinic of XXX University Childrens Hospital between January 2010 and December 2012 with a history of bleeding were retrospectively analyzed. Age, presenting complaints, examination findings, gender, time of presentation, season of presentation and etiology of bleeding were recorded. Results: The patient group in the study consisted of a total of 331 patients, of whom 133 were female and 198 were male. The age range of the patients in the study was between 1-92 months. Patients applied to the pediatric emergency outpatient clinic were most frequently applied due to nasal and oral bleeding, and least frequently because of infectious thrombocytopenia. Other etiologic causes were immune thrombocytopenic purpura, gastrointestinal bleeding, factor deficiency, Henoch Schonlein Purpura and Glanzmann thrombasthenia. There was a statistical significance between the etiology of bleeding and gender p0,05, and it was observed that it was more common in boys than girls. Considering the examination findings, bleeding mouth, nose was found in 40.8 of the patients, and ecchymosis was found in 20.8 of the patients. In addition, the most common etiologic cause was immune thrombocytopenic purpura in patients presenting with petechiae and ecchymosis, Henoch Schonlein purpura in patients presenting with purpura, factor deficiency in patients presenting with hemarthrosis and hematoma, and gastrointestinal system bleeding in patients presenting with pallor. A statistical significance was found between the examination findings and the bleeding etiology. It was determined that the month andor season had a significant effect on the diseases, especially in patients diagnosed with infectious tombocytopenia, Glanzmanns thrombasthenia, and Henoch Schonlein purpura. Conclusions: It is important to determine the demographic characteristics and etiologies of patients presenting to the Pediatric Emergency Outpatient Clinic with a history of bleeding in order to determine the clinical conditions requiring urgent examination and treatment, and to reach the correct diagnosis quickly. As a result, early recognition of risky patients and treatment planning may be guiding in reducing both morbidity and mortality.

 Background: In this study, it was aimed to evaluate the demographic characteristics and etiologic causes of patients admitted to our Pediatric Emergency Clinic with a history of bleeding. Materials and methods: The files of 331 patients admitted to the emergency outpatient clinic of XXX University Childrens Hospital between January 2010 and December 2012 with a history of bleeding were retrospectively analyzed. Age, presenting complaints, examination findings, gender, time of presentation, season of presentation and etiology of bleeding were recorded. Results: The patient group in the study consisted of a total of 331 patients, of whom 133 were female and 198 were male. The age range of the patients in the study was between 1-92 months. Patients applied to the pediatric emergency outpatient clinic were most frequently applied due to nasal and oral bleeding, and least frequently because of infectious thrombocytopenia. Other etiologic causes were immune thrombocytopenic purpura, gastrointestinal bleeding, factor deficiency, Henoch Schonlein Purpura and Glanzmann thrombasthenia. There was a statistical significance between the etiology of bleeding and gender p0,05, and it was observed that it was more common in boys than girls. Considering the examination findings, bleeding mouth, nose was found in 40.8 of the patients, and ecchymosis was found in 20.8 of the patients. In addition, the most common etiologic cause was immune thrombocytopenic purpura in patients presenting with petechiae and ecchymosis, Henoch Schonlein purpura in patients presenting with purpura, factor deficiency in patients presenting with hemarthrosis and hematoma, and gastrointestinal system bleeding in patients presenting with pallor. A statistical significance was found between the examination findings and the bleeding etiology. It was determined that the month andor season had a significant effect on the diseases, especially in patients diagnosed with infectious tombocytopenia, Glanzmanns thrombasthenia, and Henoch Schonlein purpura. Conclusions: It is important to determine the demographic characteristics and etiologies of patients presenting to the Pediatric Emergency Outpatient Clinic with a history of bleeding in order to determine the clinical conditions requiring urgent examination and treatment, and to reach the correct diagnosis quickly. As a result, early recognition of risky patients and treatment planning may be guiding in reducing both morbidity and mortality.

 Amaç: Bu çalışmada, Çocuk Acil polikliniğimize kanama öyküsü ile başvuran hastaların demografik özelliklerinin ve etiyolojik nedenlerinin değerlendirilmesi amaçlandı. Gereç ve yöntem: XXX Üniversitesi Çocuk Hastanesi Acil Polikliniğine Ocak 2010-Aralık 2012 tarihleri arasında kanama öyküsü ile başvuran 331 hastanın dosyası retrospektif incelendi. Çalışmaya alınan hastaların yaş, başvuru şikâyetleri, muayene bulguları, cinsiyet, başvuru zamanı, başvuru mevsimi ve kanama etiyolojisi kaydedildi. Bulgular: Hasta grubu 133ü kız, 198i erkek olmak üzere toplam 331 hastadan oluşmaktaydı. Yaş aralığı 1-192 ay arasında idi. Çocuk acil polikliniğine başvuran hastalarda en sık burun ve ağız içi kanama tespit edilirken, en az sıklıkta enfeksiyöz trombositopeni saptandı. Diğer etiyolojik nedenler; immün trombositopenik purpura, gastrointestinal sistem kanamaları, faktör eksikliği, Henoch Schonlein Purpurası, Glanzmann trombastenisiydi. Kanama etiyolojisi ile cinsiyet arasında istatistiksel bir anlamlılık olup p0,05, erkeklerde kızlara göre daha sık olduğu gözlendi. Hastaların 40,8lik bir kısmında kanama ağız, burun, 20,8lik bir kısmında ise ekimoz muayene bulgusuna rastlandı. Ayrıca purpura ile gelen olgularda en sık etiyolojik neden Henoch Schonlein purpurası, peteşi ve ekimoz ile gelenlerde immün trombositopenik purpura, hemartroz ve hematom ile gelenlerde faktör eksikliği ve solukluk ile gelenlerde ise gastrointestinal sistem kanamaları görüldü. Kanama etiyolojisi ile muayene bulguları arasında istatistiksel bir anlamlılık saptandı. Özellikle Glanzmann trombastenisi, Henoch Schonlein purpurası ve enfeksiyoz trombositopeni tanısı konulan hastalarda ay veveya mevsimin hastalıklar üzerine etkisi gözlendi. Sonuç: Çocuk Acil polikliniğine kanama öyküsü ile başvuranlarda acil tetkik ve tedavi gerektiren klinik durumların tespiti açısından, doğru tanıya hızlı bir şekilde ulaşmada demografik özelliklerinin ve etiyolojilerinin tespit edilmesi önemlidir. Bunun sonucunda riskli hastaların erken fark edilmesi ve tedavi planlanması hem morbiditeyi hem de mortaliteyi azaltmada yol gösterici olabilir.

Makale detayları

Evaluation of Patients Applied to the Children’s Hospital Emergency Polyclin-ic with Complaint of Bleeding: A Single Center Experience

Yazarlar:

Rojan İpek | Meki Bilici | Ayfer Gözü Pirinççioğlu | Yusuf Kenan Haspolat

Yayıncı:

Harran University

Ana Başlıklar:

Çocuk Acil

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 1, pp.26-30

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001313095

pISSN:

1304-9623

Emergency polyclinic

Child patient

Bleeding compliantAcil poliklinik

Çocuk hasta

Kanama şikayeti

Sayı

Makale detayları

Evaluation of Patients Applied to the Children’s Hospital Emergency Polyclin-ic with Complaint of Bleeding: A Single Center Experience

Yazarlar: Rojan İpek | Meki Bilici | Ayfer Gözü Pirinççioğlu | Yusuf Kenan Haspolat

Yayıncı: Harran University

Ana Başlıklar: Çocuk Acil

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 1, pp.26-30

Belge Tipi: Makale

Yayın Tarihi: 4/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001313095

pISSN: 1304-9623

Emergency polyclinic

Child patient

Bleeding compliantAcil poliklinik

Çocuk hasta

Kanama şikayeti

Sayı

Yazarlar:

Rojan İpek | Meki Bilici | Ayfer Gözü Pirinççioğlu | Yusuf Kenan Haspolat

Yayıncı:

Harran University

Ana Başlıklar:

Çocuk Acil

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.21 Issue 1, pp.26-30

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001313095

pISSN:

1304-9623