LOR pulciņa dalībnieku Zanes Garseles, Edgara Girona un RSU studentes Elzas Apeinānes ZPD "MOST FREQUENT DIAGNOSIS FOR PATIENTS SEEKING OTORHINOLARYNGOLOGIC CARE DURING NIGHT TIME IN THE DEPARTMENT OF EMERGENCY AT PAULS STRADINS CLINICAL UNIVERSITY HOSPITAL FROM JULY 2015 UNTIL DECEMBER 2015". Prezentēts RSU ISC 2016. Darba vadītājs Dr.Gints Tomiņš.

1. TYPICAL PATIENT – MALE; AGE-31 DEPARTMENT OF EMERGENCY
Nasal bone
fracture
55%
Non-
purulent
otitis media
13%
Acute
tonsillitis
12%
External
otitis
11%
Epistaxis
9%
TOP 5 diagnosis
MOST FREQUENT DIAGNOSIS FOR PATIENTS SEEKING
OTORHINOLARYNGOLOGIC CARE DURING NIGHT TIME IN THE
DEPARTMENT OF EMERGENCY AT PAULS STRADINS CLINICAL
UNIVERSITY HOSPITAL FROM JULY 2015 UNTIL DECEMBER 2015
Introduction. At hospital, hours from 10 PM until 6 AM are considered night-time. This is a unconventional time for patients to show
up and the reasons for doing so vary dramatically compared to daytime. Patients arrive at the emergency department for various
reasons, which are not yet statistically described in Latvia.
Aim. To determine the most frequent diagnosis made to the patients seeking night-time (10 PM until 6 AM) otorhinolaryngologic care
at the Department of Emergency at Pauls Stradins Clinical University Hospital during six month period in year 2015 and to clarify if
the patients were hospitalized or treated as out-patients.
Materials and methods. Data for this study were obtained using Pauls Stradins Clinical University Hospitals information system
“Ārsta Birojs” (Doctor’s Office). Selection rules were implemented to determine the validity of data available, rules included: patients
seeking otorhinolaryngologic care at the Department of Emergency at Pauls Stradins Clinical University Hospitals overnight,
admission date from 01.07.2015 until 31.12.2015, admission time form 10 PM until 6 AM. Data was statistically analysed with
Microsoft Excel, IBM SPSS 20.0. Statistical significance is attained when p<0,005.
Results.
Conclusions. Most commonly patients seek emergency otorhinolaryngologic care after hours due to number of inflammatory
disorders or trauma, with the most frequent diagnosis being fractured nasal bone. The fact that most of the patient were treated as
out-patients suggests that the reason for them to seek medical care during night time is minor, most likely not life threatening and
might as well be addressed by family physician.
Wednesday
22:00 – 23:00
Ear
27%
Throat
33%
Nose
39%
Others
1%
Authors: Zane Garsele1, Edgars Girons2, Elza Apeināne2
Scientific research supervisor: Dr. med. Gints Tomiņš3
1Riga Stradins University, Faculty of Medicine, Latvia
2Pauls Stradins Clinical University Hospital, Department of Otorhinolaryngology, Latvia
3Riga Stradins University, Department of Surgery, Latvia
69 66
83
51
34
54
48
0
10
20
30
40
50
60
70
80
90
Number of patients per
day
16
31
88
0
5
10
15
20
25
30
35
10 20 30 40 50 60 70 80
Frequency
Age
Age distribution
2 hours
(time till result)
Hospitalized
13%
Outpatient
care
87%
Results
405 Patients
Females Males
N=160 N=245
Age M=40,61
(SD=1,479)
Age M=36,90
(SD=0,983)
Gender based diagnostic
characteristics
Females Males
Infections Trauma
p<0,001 p<0,001