{"id":1968,"date":"2025-05-27T18:32:50","date_gmt":"2025-05-27T15:32:50","guid":{"rendered":"https:\/\/tatd.org.tr\/arastirma\/?p=1968"},"modified":"2026-01-07T19:54:35","modified_gmt":"2026-01-07T16:54:35","slug":"cocuk-acil-tip-cok-merkezli-calisma","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/arastirma\/2025\/05\/27\/cocuk-acil-tip-cok-merkezli-calisma\/","title":{"rendered":"TATD-\u00c7ocuk Acil T\u0131p-AKOM \u00c7ok Merkezli Prospektif Kohort \u00c7al\u0131\u015fmas\u0131: Acil Serviste \u00c7ocuk Kafa Travmas\u0131 Y\u00f6netimi"},"content":{"rendered":"\t\t
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NOT: \u00c7al\u0131\u015fma ba\u015flam\u0131\u015f olup merkez kabul\u00fc sona ermi\u015ftir!<\/span><\/h3>

\u00c7ocukluk \u00e7a\u011f\u0131 kafa travmalar\u0131, acil servis ba\u015fvurular\u0131nda s\u0131k kar\u015f\u0131la\u015f\u0131lan ve potansiyel olarak ciddi sonu\u00e7lar do\u011furabilen bir klinik tablodur. Bu ba\u011flamda T\u00fcrkiye Acil t\u0131p Derne\u011fi \u00c7ocuk Acil T\u0131p \u00c7al\u0131\u015fma Grubu taraf\u0131ndan, \u00fclke genelinde travmatik beyin hasar\u0131 riskini \u00f6ng\u00f6rmek, g\u00f6r\u00fcnt\u00fcleme karar s\u00fcre\u00e7lerini analiz etmek ve standart yakla\u015f\u0131mlar geli\u015ftirmek amac\u0131yla \u00e7ok merkezli ve g\u00f6zlemsel bir ara\u015ft\u0131rma planlanm\u0131\u015ft\u0131r.<\/p>

Ara\u015ft\u0131rmam\u0131zda, 18 ya\u015f alt\u0131 min\u00f6r kafa travmas\u0131 ile acil servise ba\u015fvuran \u00e7ocuk hastalar\u0131n demografik, klinik ve radyolojik verileri de\u011ferlendirilerek travma sonras\u0131 y\u00f6netim stratejilerinin etkinli\u011fi ve klinik karar s\u00fcre\u00e7leri analiz edilecektir.<\/p>

Merkezinizin de bu de\u011ferli \u00e7al\u0131\u015fmaya katk\u0131 sunmas\u0131n\u0131 arzu ediyoruz. Katk\u0131lar\u0131n\u0131z hem \u00e7ocuk sa\u011fl\u0131\u011f\u0131 alan\u0131nda ulusal veri taban\u0131n\u0131n g\u00fc\u00e7lenmesini sa\u011flayacak hem de travma y\u00f6netiminde kan\u0131ta dayal\u0131 uygulamalara zemin haz\u0131rlayacakt\u0131r.<\/p>

  1. Bu \u00e7al\u0131\u015fman\u0131n kapsam\u0131 nedir?<\/strong><\/li><\/ol>
    • \u00c7al\u0131\u015fma, sadece min\u00f6r kafa travmas\u0131<\/em> nedeniyle acil servise ba\u015fvuran 18 ya\u015f alt\u0131 \u00e7ocuk hastalar\u0131 kapsamaktad\u0131r.<\/li>
    • GKS skoru 14-15 olan ve k\u00fcnt kafa travmas\u0131 ge\u00e7irmi\u015f \u00e7ocuklar bu ara\u015ft\u0131rman\u0131n hedef grubudur.<\/li><\/ul>
      1. Bu \u00e7al\u0131\u015fmaya neden kat\u0131lmal\u0131s\u0131n\u0131z?<\/strong><\/li><\/ol>
        • Ulusal d\u00fczeyde, min\u00f6r kafa travmas\u0131 ge\u00e7iren \u00e7ocuklarda travmatik beyin hasar\u0131 g\u00f6r\u00fclme oran\u0131, BT kullan\u0131m kriterleri ve klinik karar s\u00fcre\u00e7leri ilk kez bu kapsamda de\u011ferlendirilecektir.<\/li>
        • Merkezinizin katk\u0131s\u0131, yayg\u0131n klinik pratiklerin analizine ve gelecekteki ulusal rehberlerin olu\u015fturulmas\u0131na do\u011frudan katk\u0131 sa\u011flayacakt\u0131r.<\/li>
        • \u00c7al\u0131\u015fmaya kat\u0131lan her merkez, yay\u0131n s\u00fcrecinde aktif olarak katk\u0131 sa\u011flayacak ve merkeze \u00f6zel alt analizler yapabilecektir.<\/li><\/ul>
          1. \u00c7al\u0131\u015fma s\u00fcrecinde sizden ne bekleniyor?<\/strong><\/li><\/ol>
            • Kat\u0131l\u0131mc\u0131 merkezlerden, kendi rutin klinik uygulamalar\u0131 s\u0131ras\u0131nda de\u011ferlendirilen uygun hastalara ait verilerin, \u00e7al\u0131\u015fma formuna eksiksiz ve do\u011fru \u015fekilde kaydedilmesi beklenmektedir.<\/li>
            • Ek laboratuvar ya da g\u00f6r\u00fcnt\u00fcleme yap\u0131lmayacakt\u0131r.<\/li>
            • Her merkezin i\u00e7inden bir ya da birden fazla sorumlu ara\u015ft\u0131rmac\u0131 ile s\u00fcre\u00e7 y\u00fcr\u00fct\u00fclecektir.<\/li><\/ul>
              1. Etik kurul s\u00fcreci nas\u0131l i\u015fleyecek?<\/strong><\/li><\/ol>
                • Koordinat\u00f6r merkez taraf\u0131ndan etik kurul onay\u0131 al\u0131nacakt\u0131r.<\/li>
                • Kat\u0131l\u0131mc\u0131 merkezlerin, kendi ba\u015fhekimliklerinden \u201cveri payla\u015f\u0131m\u0131na onay\u201d almas\u0131 gerekmektedir.<\/li>
                • Gerekli t\u00fcm belgeler (protokol, onam formlar\u0131, bilgi formlar\u0131) taraf\u0131m\u0131zca sa\u011flanacakt\u0131r.<\/li><\/ul>
                  1. BT karar\u0131n\u0131 kim veriyor? G\u00f6r\u00fcnt\u00fcleme zorunlu mu?<\/strong><\/li><\/ol>
                    • BT karar\u0131 hastay\u0131 izleyen klinik hekim taraf\u0131ndan verilecektir; \u00e7al\u0131\u015fman\u0131n bu karara m\u00fcdahalesi yoktur.<\/li>
                    • \u00c7al\u0131\u015fma, ger\u00e7ek ya\u015fam verisi toplamak amac\u0131yla tasarlanm\u0131\u015ft\u0131r; bu nedenle g\u00f6r\u00fcnt\u00fcleme zorunlulu\u011fu bulunmamaktad\u0131r.<\/li><\/ul>
                      1. Takip s\u00fcreci nas\u0131l i\u015fleyecek?<\/strong><\/li><\/ol>
                        • Hastalar\u0131n acil servis s\u00fcreci kay\u0131t alt\u0131na al\u0131nacakt\u0131r.<\/li>
                        • Hastaneye yat\u0131r\u0131lan hastalar, \u00e7al\u0131\u015fma merkezi sorumlusu taraf\u0131ndan, hastane s\u00fcresi boyunca takip edilecek ve bu s\u00fcre i\u00e7erisinde uygulanan tan\u0131 ve tedavi y\u00f6ntemleri kay\u0131t alt\u0131na al\u0131nacakt\u0131r.<\/li>
                        • Acil servisten veya yatt\u0131\u011f\u0131 servisten taburculuk sonras\u0131 3\u20137 g\u00fcn i\u00e7inde \u00e7al\u0131\u015fam marekezi sorumlusu taraf\u0131ndan hastaya telefonla ula\u015f\u0131larak yeniden ba\u015fvuru olup olmad\u0131\u011f\u0131 sorgulanacakt\u0131r.<\/li>
                        • Ula\u015f\u0131lamayan hastalar i\u00e7in e-nab\u0131z ve \u00f6l\u00fcm bildirim sisteminden pasif izlem yap\u0131lacakt\u0131r.<\/li><\/ul>
                          1. Yay\u0131n s\u00fcrecinde nas\u0131l yer alaca\u011f\u0131z?<\/strong><\/li><\/ol>
                            • Veri payla\u015fan her merkez, uluslararas\u0131 hakemli bir dergiye g\u00f6nderilecek yay\u0131nda \u00e7ok merkezli ara\u015ft\u0131rma grubu merkez\u015f yer alacakt\u0131r.<\/li>
                            • Her merkezden \u00e7al\u0131\u015fmaya dahil edilen hasta say\u0131s\u0131na g\u00f6re, yay\u0131nlarda yazar olarak yer alacak ara\u015ft\u0131rmac\u0131 say\u0131s\u0131 belirlenecektir.<\/li>
                            • Yazar say\u0131s\u0131n\u0131n say\u0131n\u0131n \u00fczerinde katk\u0131 sa\u011flayan ara\u015ft\u0131rmac\u0131 olmas\u0131 durumunda, ilgili yay\u0131nda ara\u015ft\u0131rma grubu \u00fcyesi olarak ad-soyad\u0131yla belirtilecektir.<\/li>
                            • Merkezler aras\u0131 alt grup analizleri ve katk\u0131 d\u00fczeyine g\u00f6re s\u0131ralama, \u015feffafl\u0131k ilkesine uygun \u015fekilde yap\u0131lacakt\u0131r.<\/li><\/ul>

                              NOT: \u00c7al\u0131\u015fma ba\u015flam\u0131\u015f olup merkez kabul\u00fc sona ermi\u015ftir!<\/span><\/h3>

                              \"\"<\/p>

                              <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

                              NOT: \u00c7al\u0131\u015fma ba\u015flam\u0131\u015f olup merkez kabul\u00fc sona ermi\u015ftir! \u00c7ocukluk \u00e7a\u011f\u0131 kafa travmalar\u0131, acil servis ba\u015fvurular\u0131nda s\u0131k kar\u015f\u0131la\u015f\u0131lan ve potansiyel olarak ciddi sonu\u00e7lar…<\/p>\n","protected":false},"author":1385,"featured_media":1971,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[10011,10020],"tags":[],"class_list":["post-1968","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-haber-ve-duyuru","category-klinik-arastirmalar"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/posts\/1968","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/users\/1385"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/comments?post=1968"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/posts\/1968\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/media\/1971"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/media?parent=1968"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/categories?post=1968"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/arastirma\/wp-json\/wp\/v2\/tags?post=1968"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}