Bu çalışma erişkin acil servis
bölümüne başvuranlarda sigara içmenin klinik ve ekonomik önemini belirlemek
amacıyla yapıldı. Veriler prospektif olarak toplandı. Acil servise Nisan-Kasım 2011
tarihleri arasında başvuran Glaskow koma Skoru (GKS) >14 olan 4000, GKS≤ 14
156 hastaya sosyodemografik özellikleri, sigara içme alışkanlıkları, Fagerstrom
nikotin bağımlılık testi ve sigarayı bırakma ile ilgili istekleri soruldu. Hastalar takip
edilerek, acil servis hizmet bedelleri ve tanıları ICD-10 kodlamasına göre kaydedildi.
Çalışma 1974 (%47.5) erkek, 2182 (%52.5) kadın 4156 kişide yapıldı.Yaş
ortalaması 45.5 ± 20.1 idi. Hastaların %31.42 ü sigara kullanmaktaydı. Sigara
kullananların 430' unun (%32.9) kadın, 876' sının (%67.1) erkek; kullanmayanların
1752’ sinin (%61.5) kadın, 1098’ inin (%38.5) erkekti. Sigara içenlerin 847’ si
(%69.2) sigarayı bırakmak istemekteydi. Fagerstrom bağımlılık derecesine göre 304'
ü (%24.8) çok düşük , 371' i (%30.3) düşük, 215' i (%17.6) orta, 291' i (%23.8)
yüksek, 43' ü (%3.5) çok yüksek bağımlı olarak saptandı. Sigara kullanımı ile GKS
arasında anlamlı ilişki bulundu (X2=33.612; p=0.000<0.05). GKS≥ 14 olanların
1224’ ünün (%30.6) sigara kullanan, 2776’ sının (%69.4) sigara kullanmayan; GKS
≤ 14 olanların 82' sinin (%52.6) sigara kullanan, 74' ünün (%47.4) sigara
kullanmayan olduğu görüldü. Hastaların 3383’ ü (%82.0) taburcu oldu, 448' i
(%10.9) servise, 271' i (%6,6) yoğunbakıma yatırıldı. 3' ü (%0,1) acil servisi izinsiz
terk etti. 15' i (%0.4) tedaviyi reddetti. 1' i (%0.0) sevkedildi ve 7' si (%0.2) öldü.
Sigara kullanan hastaların acil servis hizmet bedeli ortalamaları (x=92.788), sigara
kullanmayanlarınkinden (x=73.920) yüksek bulundu. Alkol ile sigara kullanımı
arasında anlamlı ilişki bulundu (X2=537.022; p=0.000<0.05).
This reserach was carried out in order to identify clinical
and economical importance of cigarette smoking for patients in emergency medicine
department. Research data was collected prospectively from April to November
2011 from patients who were conculted in emergency medicine deparment . 4000 of
them were GKS>14 and 156 were GKS ≤14. They were asked about
sociademographic characteristics, cigarette smoking habits, fagerstrom nicotin
addiction test and smoking give up motivation. Patients were tracked and their
emergency department fees and diagnosis were recorded according to ICD-10
coding. Research was carried on 4156 people. 1974( 47.5 %) of them were male and
2182 (52.5 %) of them were female. Age average of the patients was 45.5+_20.1.
31.42 % of the patients were smoking cigarette. 430 (32.9 %) of smokers were
female and 876 (67.1 %) of them were male. 1752 (61.5 %) of non-smokers were
female and 1098 (38.5 %) of them were male. 847 (69.2 %) of smokers wanted to
quit smoking. According to Fagerstorm addiction scale 304 (24.8 %) of them were
very low, 371 ( 30.3 %) of them were low, 215 (17.6 %) of them were moderate, 291
( 23.8 %) of them were high and 43 (3.5 %) of them were very high addicts.
Cigarette smoking and GKS were found to be related. (X2=33.612; p=0.000<0.05).
1224 (30.6 %) of GKS>14 were smokers and 2776 (69.4 %) of them were nonsmokers.
82 ( 52.6 %) of GKS ≤ 14 were smokers and 74 ( 47.4 %) of them were
observed to be non-smokers. 3383 (82.0 %) of the patients were discharged.448
(10.9 %) of them were admitted to other services and 271 (6.6 %) to intensive care
unit. 3 (0.1 %) of the patients left emergency service without permission and 15 ( 0.4
%) of them disapproved medical care in hospital. 1 (0.0 %) of them was sent to other
medical center and 7 (0.2 %) were exitus. Average of the emergency service fees of
smoking patients (x=92.788) was found to be higher than that of non-smoking
patients.
