عنوان به زبان ديگر :
Prevalence of disease and complaints in homeless patients on admission to the Emergency Department at Imam Hossein Hospital, Tehran, Iran from 2012 to 2018
پديد آورندگان :
حاتم آبادي، حميدرضا دانشگاه علوم پزشكي شهيد بهشتي - دانشكده پزشكي -مركز تحقيقات ارتقا ايمني و پيشگيري از مصدوميت - گروه طب اورژانس , صفري، سعيد دانشگاه علوم پزشكي شهيد بهشتي - دانشكده پزشكي - بخش اورژانس - بيمارستان شهداي تجريش , خانزاده طهراني، طاهره دانشگاه علوم پزشكي شهيد بهشتي - دانشكده پزشكي - بيمارستان امام حسين
چكيده فارسي :
زمينه و هدف
بي خانماني پديده اي اجتماعي است كه عوامل مختلفي در شكل گيري آن موثر هستند. اين پديده نامطلوب، بخش هاي مختلف مدني و انتظامي جامعه را درگير مي كند. اين مطالعه با هدف بررسي شيوع بيماري ها و علل مراجعه بيماران بي خانمان به اورژانس بيمارستان امام حسين از سال 1391 لغايت 1396 انجام گرفت.
روش ها
مطالعه حاضر از نوع توصيفي گذشته نگر مي باشد كه در بيمارستان امام حسين (ع) تهران انجام شد. همه بيماران بي خانمان مراجعه كننده به بخش اورژانس بيمارستان امام حسين (ع) از سال 1391 تا سال 1396 بصورت سرشماري مورد بررسي قرار گرفتند. ابزار جمع آوري اطلاعات چك ليست محقق ساخته كه شامل اطلاعاتي از قبيل سن، جنس، فاكتورهاي خوني، وضعيت ابتلا به هپاتيت B و C، ابتلا به HIV، كشت خون، كشت ادرار، كشت مايع شكم، علت مراجعه، تشخيص و پيامد نهايي بيماران بود كه توسط پژوهشگر از پرونده بيماران كه در بخش اورژانس بود، جمع آوري شد.
نتيجه گيري
شيوع بيماري هاي هپاتيت B و C و ابتلا به HIV در افراد بي خانمان قابل توجه است. باتوجه به امكان انتقال اين بيماري ها، بايد برنامه ريزي هاي لازم با همكاري وزارت بهداشت و نيروي انتظامي و ديگر ارگان هاي مربوطه براي كنترل اين بيماري ها در افراد بي خانمان صورت پذيرد.
چكيده لاتين :
Background and Aim: Homelessness is a social problem with various contributory factors. This undesirable
phenomenon involves various sections of civil and law enforcement in the community. The aim of this study was
to determine the prevalence of disease and other complaints in homeless patients on admission to the Emergency
Department of Imam Hossein Hospital, Tehran, Iran from 2012 to 2018.
Methods: This retrospective descriptive study was carried out in Imam Hossein Hospital affiliated to Shahid
Beheshti University of Medical Sciences. All homeless patients referring to emergency department of Imam
Hossein Hospital from 2012 to 2018 were included in study. The data collection tool was a researcher-made
checklist that included demographic features such as age and sex, and clinical conditions such as blood factors,
hepatitis B and C status, HIV infection, blood culture, urine culture, abdominal fluid culture, complaints on
admission, diagnosis and clinical outcome (discharge, operation, escape from hospital or death) of the patients.
All data were collected from patients' records in emergency department.
Results: The study included 1302 homeless patients who were admitted to the emergency department. The
majority of patients were male (98.9 %). The mean age of all homeless patients was 45 years. The prevalence of
hepatitis B, hepatitis C and HIV was 3%, 17.3% and 8.6%, respectively. The most prevalent complaints on
admission were decreased level of consciousness (307 patients, 23.6%), weakness and lethargy (162 patients,
12.4%), dyspnea (154 patients, 11.8%), abdominal pain (134 patients, 10.3%) and car accident (128 people, 8.9%).
MI was the most common diagnosis. The clinical outcome was 68.1% discharge and 23.7% death. There was a
significant relationship between the final outcome and age, hemoglobin and hematocrit level (P<0.001).
Conclusion: The prevalence of hepatitis B and C and HIV in homeless people is higher than in the general
population. Due to the possibility of transmitting such diseases, the necessary planning must be made in
cooperation with the Ministry of Health and Police and other relevant organisations in order to control these
diseases in homeless people.
