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The Preliminary Experience in the Emergency Department of a Newly Opened Penitentiary Institution Hospital in Turkey

机译:土耳其新开设的监狱机构医院急诊科的初步经验

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Background:Emergency cases become a widespread problem in prisons across Turkey. The opening of a new prison hospital in January 2012 within the catchment of Silivri Penitentiary Institution gave a unique opportunity to treat the inmates quickly.Aims:The study was to conduct an extensive review for documentation of prisoners’ healthcare problems leading to emergency admission following the first year after the opening of Penitentiary Institution Hospital and point to decrease redundant hospital transfers of this individual cohort.Materials and Methods:A cross-sectional study was carried out where 12,325 visits to the Silivri Penitentiary Institution Hospital for emergency visits from the period of 1st January 2012 to the 31st December 2012 were identified from electronic medical records. After obtaining consent from the local IRB, data including details of the type, cause and nature of the complaints of the illnesses were processed.Results:In the 12-month period, there were 12,325 visits to the emergency department, of which 4328 for surgical conditions (35.1%), 2684 for medical disorders (21.8%), 1867 for sports injuries (15.2%), 1327 for Ear Nose Throat (ENT) problems (10.8%), 827 for psychiatric disorders (6.70%), 396 for violence injury (3.2%), 169 for self harm (1.4%), and 727 for miscellaneous (5.8%). The most common cause of emergency visits was sports injuries, followed by non-specific abdominal pain and ENT problems. Eighteen prisoners re-attended 243 times, ranging from 8 visits to a maximum of 56 visits.Conclusion:Inmates in prison have a wide range of complaints, and sometimes these complaints do not suggest an illness. Prison population exhibited substantially higher prevalence rates of diseases than the civilian population. We conclude that this new healthcare system in prisons will prevent redundant hospital transfers and guarantee detainees have access to the same health care that is offered to non-detained population.
机译:背景:紧急情况成为整个土耳其监狱中普遍存在的问题。 2012年1月,在西利夫里教养所所在的地区开设了一家新的监狱医院,这为迅速治疗囚犯提供了独特的机会。目的:该研究旨在对导致囚犯在紧急情况下导致紧急入院的医疗保健问题进行文献审查。监狱机构医院开业后的第一年,并指出要减少该人群的多余医院转移。材料和方法:进行了一项横断面研究,从第1届起有12325人次前往西利夫里监狱机构医院进行急诊从电子病历中识别出2012年1月至2012年12月31日。在获得当地IRB的同意后,处理了包括疾病投诉类型,原因和性质的详细信息在内的数据。结果:在12个月的时间里,急诊室就诊了12325次,其中4328次用于外科手术疾病(35.1%),内科疾病(28%),2684,运动损伤(15.2%),1867,耳鼻喉科(ENT)问题的1327(10.8%),精神病(827)(6.70%),暴力(396)的1327伤害(3.2%),自残169(1.4%)和727杂(5.8%)。急诊的最常见原因是运动损伤,其次是非特异性腹痛和耳鼻喉问题。 18名囚犯参加了243次复诊,从8次探视到最多56次探视。结论:监狱中的囚犯有各种各样的投诉,有时这些投诉没有暗示生病。监狱人口的疾病患病率比平民人口高得多。我们得出的结论是,监狱中这种新的医疗保健系统将防止多余的医院转移,并确保被拘留者可以获得与非被拘留者相同的医疗保健。

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