ANKMJ
Ankyra Medical Journal

Ankyra Medical Journal (AnkMJ), formerly known as the Journal of Translational and Practical Medicine, regularly publishes international quality issues in the field of Medicine in the light of current information.

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Original Article
Evaluation of non-preoperative chest diseases consultations
Abstract
Aims: This study was conducted to evaluate non-preoperative patients in the chest diseases department of the training and research hospital.
Methods: 990 patients were evaluated retrospectively between 01.10.2023 and 01.03.2024 in Ankara Training and Research Hospital, Department of Chest Diseases. The services that requested consultation and the reasons for the request, the patients’ comorbidities, chest radiography and, when deemed necessary, the requested lung computed tomography were examined. The data obtained was analyzed with IBM SPSS (Statistical Package for Social Sciences). As descriptive statistics, mean±standard deviation and median (minimum-maximum) were given for quantitative variables, and number (percentage) was given for qualitative variables.
Results: Within the hospital, 990 non-preoperative chest diseases consultations were requested within a 6-month period. Those younger than 18 years of age, those who were to be evaluated preoperatively, and those who were asked for consultation from the pulmonology department but did not attend the evaluation were excluded from the study. The average age of the patients for whom consultation was requested was 69.12±16.07 years. 52.1% of the patients were female and 47.9% were male. 470 (47.5%) of the patients were smokers. Among the services where consultation was requested, the first services were 163 (16.5%) emergency services, 129 (13.0%) emergency intensive care units and 112 (11.3%) infectious diseases. 398(40.2%) patients had shortness of breath. It was observed that 411 (41.5%) patients had DM, 285 (28.8%) patients had hypertension, and 108 (10.9%) patients had heart failure. While chest radiography was requested for all patients for whom consultation was requested, 570 (57.6%) thorax computed tomography scans were performed when deemed necessary.
Conclusion: Chest diseases consultations is performed mostly for diagnostic support and treatment recommendation. In our study, patients were included retrospectively. In retrospective studies, it is of great importance to keep proper records in consultations and to take a complete examination and anamnesis. However, unnecessary requested chest diseases consultations brings a serious workload.

Keywords : Pulmonary diseases, consultation, non-preoperative evaluation

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1. Özlü T. Günümüz Hekimliğinde Konsültasyon. Türkiye Klin J Med Ethics-Law Hist. 2011;19(1)50-56.
2. TBB Hekimlik Meslek Etiği Kuralları, Mayıs 2012.
3. Bülent Ecevit Üniversitesi Tıp Fakültesi konsültasyon hizmetleri yönergesi. Available from: https://kms.kaysis.gov.tr/Home/Goster/59997
4. Siegler M. Training doctors for professionalism: some lessons from teaching clinical medical ethics. Mt Sinai J Med. 2002;69(6):404-409.
5. Zamani A. Selçuk Üniversitesi Araştırma Hastanesi’nde göğüs hastalıkları konsültasyonu yapılan olguların değerlendirilmesi. Tüberk Toraks Derg. 1996;44(3):139-144.
6. Uçar N, Alpar S, Mutlu AG. Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Merkezi’nden istenen göğüs hastalıkları konsültasyonlarının değerlendirilmesi. Solunum Hastalıkları. 2000;11(2):160-164.
7. Karnak D, Köksal D, Moğulkoç G, Beder S, Pınar E. Göğüs hastalıkları konsültasyonu yapılan olguların değerlendirilmesi. Tüberk Toraks Derg. 2002;50(4):462-468.
8. Cakmak G, Saglam ZA. Evaluation of chest disease consultations. Glob J Med Res Dis. 2013;13(4):1-4.
9. Woerlee GM. Common perioperative problems and the anasesthetist. Dordrecht: Kluwer Academic Publishers: 1988.
10. Poe RH, Dale RC. The surgical patient. In: Poe RH, ed. Problems in pulmonary medicine for the primary physician. Philadelphia: Lea and Febriger: 1982:168-182.
11. Perioperatif Pulmoner Değerlendirme. Türk Toraks Derneği Kitapları. Erdoğan Çetinkaya. Preoperatif risk faktörleri. 2006:1-6
12. Annakkaya AN, Tozkoparan VE, Deniz Ö, et al. Yatağında göğüs hastalıkları konsültasyonu. Gülhane Tıp Derg. 2005;47(1):6-10.
13. Öztürk Ö, Ünlü A, Bircan H, Şahin Ü, Akkaya A. Göğüs hastalıkları konsültasyonu yapılan olguların değerlendirilmesi. SDÜ Tıp Fak Derg. 2005;12(1):27-31.
14. Arslan S, Berk S, Bulut G, Karşikaya H, Akkurt İ. Üniversite hastanesinde yatağında istenen göğüs hastalıkları konsültasyonlarının değerlendirilmesi. Cumhuriyet Tıp Derg. 2010;32(2):199-204.
15. Kronke K, Larence VA, Theroux JF, Tuley MR. Operative risk in patients with severe obstructive disease. Arch Intern Med. 1992:152(5):967-971.
16. DeLisser HM, Grippi MA. Perioperative respiratory consideration in the surgical patient. In: Fishman AP, Elias JA, Fishman JA, Grippi MA, Kaiser LR, Senior RM, eds. Fishman’s Pulmonary Diseases and Disorders 3rd ed. New York: McGraw Hill: 1998:619-641.
17. Kayhan S, Çınarka H, Köksal N. Kronik obstrüktif akciğer hastalarının perioperatif değerlendirilmesi. Güncel Göğ Hast Serisi. 2013;1(1):136-142.
18. Güleç Balbay E, Soğukpınar Ö, Tanrıverdi E, Özmen Süner K. Devlet hastanesinde yatağında istenen göğüs hastalıkları konsültasyonları. Konuralp Tıp Derg. 2013;5(1):34-37.
19. Demir T. KOAH’da preoperatif değerlendirme. Saryal SB, Acıcan T, eds. Güncel bilgiler ışığında kronik obstrüktif akciğer hastalığı. İstanbul: Bilimsel Tıp Yayınevi: 2003:321-331.
20. Emre JÇ, Baysak A, Özdemir Ö, Aksoy Ü, Dirican N, Öz AT. Bir devlet hastanesi’nde göğüs hastalıkları konsültasyonları. J Clin Anal Med. 2015;6(4):443-445.
21. Kalkantzi A, Filippidou EC, Liolios E, et al. 009. Evaluation of respiratory symptoms in the emergency department. J Thorac Dis. 2015; 7(Suppl 1): AB009. doi: 10.3978/j.issn.2072- 1439.2015.AB009
22. Ruiz M, Ewig S, Marcos MA, et al. Etiology of community-acquired pneumonia: impact of age, comorbidity, and severity. Am J Respir Crit Care Med. 1999;160(2):397-405. doi: 10.1164/ajrccm.160.2.9808045
Article available in :
Volume 3, Issue 3, 2024
Page : 58-62
https://doi.org/10.51271/ANKMJ-0013
Article Information
Received : 21 Nis 2024
Accepted : 19 May 2024
Published : 28 May 2024
Corresponding Author :

Gülden Bilgin: Department of Chest Diseases, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkiye

[email protected]
Citation : Bilgin G, Yavuzdağlı Z, Kayıkçı Kışoğlu M. Evaluation of non-preoperative chest diseases consultations. Ank Med J. 2024;3(3):58-62.

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