ANKMJ

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
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.


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Volume 3, Issue 3, 2024
Page : 58-62
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