Call-outs for Pre-hospital Emergency Health Services and Determination of Factors Associated with case Outcomes in Türkiye: Analysis of the Pre-Pandemic Five-Year Period

The aim of the research is to determine the frequency of use of pre-hospital emergency health services by region in Turkey, to compare them according to some variables, and to determine the factors associated with case outcomes. Since the use of emergency healthcare services showed extraordinary differences during the pandemic period, the five-year period before the pandemic was examined. For this purpose, secondary data received from the General Directorate of Emergency Health Services of the Ministry of Health were grouped according to the statistical region classification of TÜİK; The frequency of use of emergency health services by region and year was examined, the case frequency was compared according to some variables (age, gender, reason for call, crime scene, preliminary diagnosis, case outcome) and the case results (death, transfer, on-site intervention) were compared according to some variables (number of personnel), number of ambulances, number of station, case age group, call reason, crime scene) were determined. Independent sample t test, independent sample one-way analysis of variance and correlation analysis were used in the research. As a result of the research; It has been determined that the frequency of pre-hospital emergency cases is increasing, and cases that are over 60 years old, due to illness, occurring at home and resulting in transplantation are encountered more frequently. Additionally, a negative relationship was found between the number of emergency medical stations, the number of ambulances and the number of paramedics/ATTs and the fatality of cases. It has been determined that the location of the emergency incident and the reasons for the call are also related to the outcome of the incident. In this context, it is recommended to increase pre-hospital emergency health services resources (emergency aid station, ambulance, health manpower) in terms of quality and quantity.