Review of Patients who are Hospitalized by Emergency Medicine Specialist

Aim: Although some of the patients admitted to the emergency room (ER) have a clinical indication for hospitalization, they may not 
have a confident diagnosis of which branch they will be admitted to. Therefore, this research intended to present the undiagnosed patients' features whom emergency medicine specialists (EMS) hospitalized.
Material and Methods: This research is a retrospective, crosssectional and descriptive study. Patients admitted to Sakarya Training and Research Hospital's ER and hospitalized by EMS on behalf of a branch were included in the study.Data obtained from the study were analysed using IBM SPSS Statistics 21.
Results: The mean age of 57 patients was 70 (min: 56 - max: 80), and 30 (52.6%) of the cases were men. In the departmentbased evaluation of the consultations, it was ascertained that an 
average of 2.49 (SD=1.17) branch consultations was requested for each patient, and the average number of consultations per case was 4.16 (SD=2.09). As the number of consultations raised, the time between the emergency service application and the hospitalization 
decision increased statistically significantly (p<0.016). It was observed that most hospitalizations were because the departments 
did not make the decision to be hospitalized (n: 40, 70.2%); furthermore, the most hospitalizations were made to the internal medicine department (n: 28, 49.1%), and the majority of the cases 
were admitted to the service. It was observed that only one patient needed intensive care after hospitalization (n: 1, 1.8%), and there was no interdepartmental patient turnover and mortality after the hospitalization.
Conclusion: The main reason for the EMS' hospitalization arrangement was the refusal of other branches to determine hospitalization. Therefore, it was perceived that the emergency 
specialists' hospitalization decisions were essentially accurate.