Pulmonary Physician Consultancy in Emergency Services in Turkiye (PuPCEST) - a cross-sectional multicenter study

Özlem Erçen Diken¹, Şerife Kaya², Hayriye Bektaş Aksoy³, Aydanur Ekici⁴, Aylin Çapraz⁵, Ali Tabaru⁶, Özlem Şengören Dikiş⁷, Hüseyin Arpağ⁸, Hanifi Yildiz⁹, Talat Kiliç¹⁰, Tarkan Özdemir¹¹, Pinar Yildiz Gülhan¹², Sulhattin Arslan¹³, Nalan Ogan¹⁴, Canan Doğan¹⁵, Ümit Tutar¹⁶, Şeyma Başlilar¹⁷, Dorina Esendağli¹⁸, Gamze Kirkil¹⁹, Ömer Tamer Doğan¹³, Ümran Toru Erbay²⁰, Aysun Ayvaci²¹, Mustafa Tosun²², Efsun Gonca Uğur Chousein²³, Elif Yelda Niksarlioğlu²³, Sabri Serhan Olcay²⁴, Tuncer Özkisa²⁵, İclal Hocanli²⁶, Mehmet Karadağ²⁷, Neslihan Özçelik²⁸, Nuray Oktay²⁹, Elvan Şentürk³⁰, Sertaç Arslan³¹, Sibel Pekcan Özyurt², Ahu Cerit⁴, Yasemin Nennicioğlu⁷, Nurhan Atilla⁸, İbrahim Halil Üney⁹, Mehmet Fatih Elverişli¹², Serdar Berk¹³, Ayşe Baha¹⁴, Nur Erik¹⁷, Hasan Ölmez²², Berat Kaçmaz²⁵, Hüseyin Erzurumluoğlu²⁶, Ezgi Demirdöğen Çetinoğlu²⁷, Tevfik Özlü³⁰

Affiliations

¹ University of Health Sciences, Adana City Training and Research Hospital, Department of Chest Disease, Adana, Turkiye.
² University of Pamukkkale, Department of Chest Disease, Pamukkale, Turkiye.
³ Samsun Training and Research Hospital, Department of Chest Disease, Samsun, Turkiye.
⁴ University of Kirikkale, Department of Chest Disease, Kirikkale, Turkiye.
⁵ University of Amasya, Department of Chest Disease, Amasya, Turkiye.
⁶ University of Ömer Halisdemir, Department of Chest Disease, Niğde, Turkiye.
⁷ University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Department of Chest Disease, Bursa, Turkiye.
⁸ University of Kahramanmaraş, Department of Chest Disease, Kahramanmaraş, Turkiye.
⁹ Universitesi of Yüzüncü Yil, Department of Chest Disease, Van, Turkiye.
¹⁰ University of İnönü, Department of Chest Disease, Malatya, Turkiye.
¹¹ Abdurrahman Yurtaslan Ankara Onkoloji Training and Research Hospital, Department of Chest Disease, Ankara, Turkiye.
¹² University of Düzce, Department of Chest Disease, Düzce, Turkiye.
¹³ University of Cumhuriyet, Department of Chest Disease, Sivas, Turkiye.
¹⁴ University of Ufuk, Department of Chest Disease, Ankara, Turkiye.
¹⁵ Isparta City Training and Research Hospital, Department of Chest Disease, Isparta, Turkiye.
¹⁶ Samsun Chest Disease and Thoracic Surgery Hospital, Samsun, Turkiye.
¹⁷ University of Health Sciences, İstanbul Ümraniye Training and Research Hospital, Department of Chest Disease, İstanbul, Turkiye.
¹⁸ aşkent Hospital, Department of Chest Disease, Ankara, Turkiye.
¹⁹ University of Firat, Department of Chest Disease, Elaziğ, Turkiye.
²⁰ University of Dumlupinar, Department of Chest Disease, Kütahya, Turkiye.
²¹ Kanuni Sultan Süleyman Training and Research Hospital, Department of Chest Disease, İstanbul, Turkiye.
²² University of Erzincan, Department of Chest Disease, Erzincan, Turkiye.
²³ Yediküle Chest Disease and Thoracic Surgery Training and Research Hospital, Department of Chest Disease, İstanbul, Turkiye.
²⁴ Burdur State Hospital, Department of Chest Disease, Burdur, Turkiye.
²⁵ Gülhane Training and Research Hospital, Department of Chest Disease, Ankara, Turkiye.
²⁶ University of Harran, Department of Chest Disease, Burdur, Turkiye.
²⁷ University of Uludağ, Department of Chest Disease, Bursa, Turkiye.
²⁸ Kaçkar State Hospital, Department of Chest Disease, Rize, Turkiye.
²⁹ İzzet Baysal State Hospital, Department of Chest Disease, Bolu, Turkiye.
³⁰ University of Karadeniz Teknik, Farabi Hospital, Department of Chest Disease, Trabzon, Turkiye.
³¹ University of Hitit, Department of Chest Disease, Çorum, Turkiye.

PMID: 38335404
PMCID: PMC10860966
DOI: 10.1097/MD.0000000000037165

Multicenter Study

Pulmonary Physician Consultancy in Emergency Services in Turkiye (PuPCEST) - a cross-sectional multicenter study

Özlem Erçen Diken et al. Medicine (Baltimore). 2024.

. 2024 Feb 9;103(6):e37165.

doi: 10.1097/MD.0000000000037165.

Authors

Affiliations

¹ University of Health Sciences, Adana City Training and Research Hospital, Department of Chest Disease, Adana, Turkiye.
² University of Pamukkkale, Department of Chest Disease, Pamukkale, Turkiye.
³ Samsun Training and Research Hospital, Department of Chest Disease, Samsun, Turkiye.
⁴ University of Kirikkale, Department of Chest Disease, Kirikkale, Turkiye.
⁵ University of Amasya, Department of Chest Disease, Amasya, Turkiye.
⁶ University of Ömer Halisdemir, Department of Chest Disease, Niğde, Turkiye.
⁷ University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Department of Chest Disease, Bursa, Turkiye.
⁸ University of Kahramanmaraş, Department of Chest Disease, Kahramanmaraş, Turkiye.
⁹ Universitesi of Yüzüncü Yil, Department of Chest Disease, Van, Turkiye.
¹⁰ University of İnönü, Department of Chest Disease, Malatya, Turkiye.
¹¹ Abdurrahman Yurtaslan Ankara Onkoloji Training and Research Hospital, Department of Chest Disease, Ankara, Turkiye.
¹² University of Düzce, Department of Chest Disease, Düzce, Turkiye.
¹³ University of Cumhuriyet, Department of Chest Disease, Sivas, Turkiye.
¹⁴ University of Ufuk, Department of Chest Disease, Ankara, Turkiye.
¹⁵ Isparta City Training and Research Hospital, Department of Chest Disease, Isparta, Turkiye.
¹⁶ Samsun Chest Disease and Thoracic Surgery Hospital, Samsun, Turkiye.
¹⁷ University of Health Sciences, İstanbul Ümraniye Training and Research Hospital, Department of Chest Disease, İstanbul, Turkiye.
¹⁸ aşkent Hospital, Department of Chest Disease, Ankara, Turkiye.
¹⁹ University of Firat, Department of Chest Disease, Elaziğ, Turkiye.
²⁰ University of Dumlupinar, Department of Chest Disease, Kütahya, Turkiye.
²¹ Kanuni Sultan Süleyman Training and Research Hospital, Department of Chest Disease, İstanbul, Turkiye.
²² University of Erzincan, Department of Chest Disease, Erzincan, Turkiye.
²³ Yediküle Chest Disease and Thoracic Surgery Training and Research Hospital, Department of Chest Disease, İstanbul, Turkiye.
²⁴ Burdur State Hospital, Department of Chest Disease, Burdur, Turkiye.
²⁵ Gülhane Training and Research Hospital, Department of Chest Disease, Ankara, Turkiye.
²⁶ University of Harran, Department of Chest Disease, Burdur, Turkiye.
²⁷ University of Uludağ, Department of Chest Disease, Bursa, Turkiye.
²⁸ Kaçkar State Hospital, Department of Chest Disease, Rize, Turkiye.
²⁹ İzzet Baysal State Hospital, Department of Chest Disease, Bolu, Turkiye.
³⁰ University of Karadeniz Teknik, Farabi Hospital, Department of Chest Disease, Trabzon, Turkiye.
³¹ University of Hitit, Department of Chest Disease, Çorum, Turkiye.

PMID: 38335404
PMCID: PMC10860966
DOI: 10.1097/MD.0000000000037165

Abstract

Pulmonology is one of the branches that frequently receive consultation requests from the emergency department. Pulmonology consultation (PC) is requested from almost all clinical branches due to the diagnosis and treatment of any respiratory condition, preoperative evaluation, or postoperative pulmonary problems. The aim of our study was to describe the profile of the pulmonology consultations received from emergency departments in Turkiye. A total of 32 centers from Turkiye (the PuPCEST Study Group) were included to the study. The demographic, clinical, laboratory and radiological data of the consulted cases were examined. The final result of the consultation and the justification of the consultation by the consulting pulmonologist were recorded. We identified 1712 patients, 64% of which applied to the emergency department by themselves and 41.4% were women. Eighty-five percent of the patients had a previously diagnosed disease. Dyspnea was the reason for consultation in 34.7% of the cases. The leading radiological finding was consolidation (13%). Exacerbation of preexisting lung disease was present in 39% of patients. The most commonly established diagnoses by pulmonologists were chronic obstructive pulmonary disease (19%) and pneumonia (12%). While 35% of the patients were discharged, 35% were interned into the chest diseases ward. The majority of patients were hospitalized and treated conservatively. It may be suggested that most of the applications would be evaluated in the pulmonology outpatient clinic which may result in a decrease in emergency department visits/consultations. Thus, improvements in the reorganization of the pulmonology outpatient clinics and follow-up visits may positively contribute emergency admission rates.

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Conflict of interest statement

The authors have no funding and conflicts of interest to disclose.

References

1. Akpinar Y, Demirci H, Budak E, et al. Why do patients with minor complaints choose emergency departments and does satisfaction with primary care services influence their decisions? Prim Health Care Res Dev. 2018;19:398–406. - PMC - PubMed
1. Edirne T, Edirne Y, Atmaca B, et al. Yüzüncü Yil Üniversitesi Tip Fakültesi Acil Servis hastalarinin özellikleri. Van Tip Dergisi. 2008;15:107–11.
1. Oktay C, Cete Y, Eray O, et al. Appropriateness of emergency department visits in a Turkish University Hospital. Croat Med J. 2003;44:585–91. - PubMed
1. Wiener-Kronish JP, Albert RK. Preoperative evaluation. In: Murray JF, Nadel JA, W.B., eds. Textbook of Respiratory Medicine. Volume one. Philadelphia, PA: Saunders Company; 2000:883–94.
1. Uçar N, Alpar S, Mutlu AG. Atatürk Göğüs Hastaliklari ve Göğüs Cerrahisi Merkezinden istenen göğüs hastaliklari konsültasyonlarinin değerlendirilmesi. Solunum Hastaliklari. 2000;11:160–4.

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Pulmonary Physician Consultancy in Emergency Services in Turkiye (PuPCEST) - a cross-sectional multicenter study

Affiliations

Pulmonary Physician Consultancy in Emergency Services in Turkiye (PuPCEST) - a cross-sectional multicenter study

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical