Evaluation of The Chest Diseases Consultation That Are Requested From Surgical Branches

AIM: In this study, it was aimed to evaluate preoperative, postoperative, diagnostic and therapeutic consultations frequently experienced and did not have a standard evaluation method from chest diseases specialists MATERIALS-METHOD: 778 pulmonology consultations that were requested between the dates of 01.12.2017 - 31.12.2017 were analyzed in terms of the "medical units", and the files from the surgical services were checked additionally.. We analyzed the consultations that were requested from surgical branches retrospectively. The reason of the consultations, the evaluation of the consultations, were examined. Acquired data were analyzed stastically at SPSS. FINDINGS: 787 pulmonolgy consultations were requested in a month. 598 were from emergency service, 142 were from inpatient, 47 were from intensive care unit. 89 of 142 inmate consultations were requested from surgical branches and 53 of them were requested from internal branches. Average age of the matures that the consultations were requested for was 64,20±17,23. 64,5% of the matures were male and 35,5% were female. In 33,9% of the pulmonology consultation requisition papers the reason for request was not specified. 83,9 %of the consultations were preoperative and 14,5%were postoperative. Lung x-ray for all of the events was requested. Respiratipon function test was requested for 38,7% of the cases that the consultation was required. 35,5 %of the cases are smokers. 54,8 %of the cases have no symptoms. No risks were indicated for 46,15% of the cases in preoperative consultations. RESULTS: In this study it was deduced that 83,9 % of the consultations that are requested from surgical branches are preoperative, in 33,9 % of the cases that consultations were requested the reason of the requisition was not specified. There is no need for advanced pulmonory evaluation for the cases that are detailed story, physical inspection and the ones that pathology was not detected, pulmonory graphy was requested for all the 52 cases that consultation was requested preoperatively. A standard approach was not determined in neither requistion of consultations nor responding of the consultations