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Fırat Tıp Dergisi
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Retrospective Analysis of the Patients Whose Referrals to Intensive Care Units of Tertiary Healthcare Institutes were Consulted by 112 Command and Control Centers
Hamit YOLDAŞ
Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Bolu, Türkiye

Objective: To retrospectively evaluate patients whose referrals from an external center to intensive care units (ICUs) through consultation with 112 Command and Control Center (CCC).

Material and Method: Hundred and fifty-seven patients whose referrals to our center between May 2014 and April 2015 were consulted with 112 CCC were retrospectively investigated. Age, gender, diagnosis, the distance covered up to the referral center, actual Glasgow Coma Score and indica-tions for referrals were investigated.

Results: A total of 157 patients (64 females, 93 males) with a median age of 61.4 years were consulted by 112 CCC. Among them, 45.2% of the cases were below, and 54.8% were above 65 years of age. The patients were consulted from medical centers in (n =12; 7.6%) and out of (n =145; 92.4%) the city. The most frequent indication for referrals was inadequate bed space in ICUs. The reasons for rejection included lack of bed space in ICU (n =49; 41.8%), inadequate information provided about the patient (n =5; 4.2%) and lack of any indication for ICU stay (n =21; 17.9%) according to our decision.

Conclusion: Most of the patients whose referrals are requested consisted of geriatric patients. Referral of the patients because of scarce number of beds in the wards arises the need for hospitalization in the ICU.


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