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Journals / Anatolian Journal of Emergency Medicine / 2026 / Cilt: 8 Sayı: 3

An Analysis of External Referrals from an Emergency Room

Bir Acil Servisten Yapılan Dış Sevklerin Analizi

Nurcan Bicakci(Tekirdağ Namık Kemal University Faculty of Health Sciences)0000-0003-1358-9224
Rıdvan Atilla0000-0002-2260-6981
Nese Colak(UNIVERSITY OF HEALTH SCIENCES, İZMİR TEPECİK HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF ACADEMIC EMERGENCY MEDICINE)0000-0001-6821-9031
Aslı Acerer Tipici0000-0002-0216-2789
Pages
128–133
Publication Date
2025-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Most of the deaths of patients in the facilities to which they were referred occurred more than 24 hours after their transfers.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This study aimed to determine the characteristics and outcomes of patients who were referred from a university hospital emergency room (ER) to other facilities.
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Key Findings & Data:Material and Methods: This study investigates the characteristics and outcomes of adult patients who were admitted to Hospital Emergency Room (HER) from January 1, 2011 to December 31, 2012 and were referred to another facility for a variety of reasons.
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Conclusion & Impact:Most of the deaths of patients in the facilities to which they were referred occurred more than 24 hours after their transfers.
🔬Design:Araştırma Makalesi
📍Scope:2011 Verileri
⚙️Variables:Acil servis · dış sevk · hastaneler arası transfer

Abstract

Aim: This study aimed to determine the characteristics and outcomes of patients who were referred from a university hospital emergency room (ER) to other facilities. Material and Methods: This study investigates the characteristics and outcomes of adult patients who were admitted to Hospital Emergency Room (HER) from January 1, 2011 to December 31, 2012 and were referred to another facility for a variety of reasons. Results: Of the 164,810 patients who visited HER in these two years, 429 (0.26%) who met the inclusion criteria were included in the study. The most common reason for referrals was the lack of available intensive care unit beds (51%). The most common medical problem was respiratory system disease (49%). The patients’ mean length of stay in HER before referral was 39 hours (1-360 hours). Most of the referrals were done by ambulance (n=368, 86%). No cardiopulmonary arrests occurred during the transfers, and no cardiopulmonary resuscitation (CPR) was performed. Of the patients, 26% died in the facilities to which they were referred. Only 2.6% of these deaths occurred in the first 24 hours after the transfer. Conclusion: This study found that the rate of referrals from the level-3 emergency room was low, that the most common medical reason for referrals was respiratory diseases, and that the most common reason for referrals was the lack of available intensive care beds. Most of the deaths of patients in the facilities to which they were referred occurred more than 24 hours after their transfers.

Özet

Amaç: Bu çalışmanın amacı, bir üniversite hastanesi acil servisinden (AS) diğer sağlık kurumlarına sevk edilen hastaların özelliklerini ve sonuçlarını belirlemektir. Gereç ve Yöntemler: Bu çalışma, 1 Ocak 2011 – 31 Aralık 2012 tarihleri arasında Acil Servise (AS) başvuran ve çeşitli nedenlerle başka bir kuruma sevk edilen erişkin hastaların özelliklerini ve sonuçlarını incelemiştir. Bulgular: İki yıllık dönemde AS’ye başvuran 164.810 hastadan, dahil edilme kriterlerini karşılayan 429 (%0,26) hasta çalışmaya alındı. Sevklerin en sık nedeni yoğun bakım yatağı bulunmaması (%51) idi. En yaygın tıbbi sorun solunum sistemi hastalıklarıydı (%49). Hastaların sevk edilmeden önce acil serviste kalış süresi ortalama 39 saat (1–360 saat) olarak bulundu. Sevklerin çoğu ambulans ile yapıldı (n=368, %86). Nakiller sırasında kardiyopulmoner arrest gelişmedi ve kardiyopulmoner resüsitasyon (KPR) uygulanmadı. Hastaların %26’sı sevk edildikleri kurumlarda hayatını kaybetti. Bu ölümlerin yalnızca %2,6’sı transferden sonraki ilk 24 saatte gerçekleşti. Sonuç: Bu çalışma, üçüncü basamak bir acil servisten yapılan sevk oranının düşük olduğunu, sevklerin en yaygın tıbbi nedeninin solunum sistemi hastalıkları, en yaygın idari nedeninin ise yoğun bakım yatağı yetersizliği olduğunu göstermiştir. Sevk edilen hastaların ölümlerinin büyük çoğunluğu, transferden 24 saatten daha uzun bir süre sonra meydana gelmiştir.

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Cite This Article

Bicakci, N., Atilla, R., Colak, N., Tipici, A. A. (2025). An Analysis of External Referrals from an Emergency Room. Anatolian Journal of Emergency Medicine, Cilt: 8 Sayı: 3, 128–133. https://doi.org/10.54996/anatolianjem.1496484

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