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Öğe Epidemiological Characteristics of Geriatric Patients in Emergency Departments: Results of a Multicenter Study(2015) Ergin, Mehmet; Karamercan, Mehmet Akif; Ayrancı, Mehmet; Yavuz, Yücel; Yavaşi, Özcan; Serinken, Mustafa; Acar, Tarık; Avcil, Mücahit; Al, Behçet; Bayramoğlu, Atıf; Durgun, Hasan Mansur; Gölcük, Yalçın; Arzıman, İbrahim; Dündar, Zerrin DefneGirifl: Beklenen yaflam süresinin uzamasının sonucu olarak yafllı popülasyondaki artıfl, bu yaflgrubu için daha sık sağlık bakımı verilmesini zorunlu kılmaktadır. Bu çalıflmada acil servise baflvuran 65 yafl ve üzeri hastaların genel özelliklerini, baflvuru nedenlerini, acil servis ve hastane ziyaretlerinin sonuçlarının saptanması amaçlandı. Gereç ve Yöntem: Çok merkezli, prospektif, gözlemsel çalıflma Türkiye'de 13 hastaneninacil servislerinde bir hafta süre ile gerçekleflti. Çalıflma süresi içinde akut tıbbi veya cerrahi sorunlar ile acil servise baflvuran 65 yafl ve üstü hastalar çalıflmaya dahil edildi. Altmıfl befl yafl altı ve/veya travma nedenli baflvurular ise çalıflma kapsamına alınmadı.Bulgular: Ortalama yaflı 74.87.3 yıl olan toplam 1299 hasta çalıflmaya dahil edildi. Bu hastalardan %51.9'u (n674) 65-74 yafl grubundaydı, %67.5'u (n877) hastaneden taburcu edildive %5.8'i (n75) yatıfl süreci içinde öldü. Acil serviste en sık konulan tanılar kardiyovasküler, gastrointestinal ve solunum hastalıklarıydı. Hastaneden taburcu olan ve hastane yatıflı sırasında ölenhasta grupları kıyaslandığında yafl açısından istatistiksel olarak anlamlı fark varken (p0.001), cinsiyet dağılımı (p0.259), hastane yatıfl süresi (p0.259) ve yoğun bakım ünitesi yatıfl süresi(p0.055) açısından fark tespit edilmedi. Sonuç: Yafllı nüfusunun ve genel nüfusa oranının artıflı ile birlikte yafllı hastaların acil servisbaflvuru sayısı artıyor ve gelecekte daha da artacaktır. Bu çalıflma, çalıflma merkezlerine baflvuranyafllı hastaların demografik özelliklerini ve klinik seyirlerinin sonuçlarını ortaya koymaktadır.Öğe Meeting Report of 10th National Emergency Medicine Congress & 1st Intercontinental Emergency Medicine Congress(Aves, 2014) Dundar, Zerrin Defne; Ergin, Mehmet; Karamercan, Mehmet Akif; Satar, Salim; Girisgin, Abdullah Sadik; Yildiz, Mustafa; Cander, BasarThe 10th National Emergency Medicine Congress and the 1st Intercontinental Emergency Medicine Congress were held at Gloria Golf Resort Hotel Congress Center (Antalya, TURKEY) simultaneously between May 15 and 18, 2014. Due to the mining accident in the Soma Coal Mines prior to the congress, the social events were cancelled, and the congresses proceeded with the scientific program. Apart from the National Emergency Medicine Congresses, the EPAT had organized the International Symposium on Emergency Medicine and International Critical Care and Emergency Medicine Congress as part of its mission to get actively involved in the international emergency medicine arena. The Intercontinental Emergency Medicine Congress can be seen as the third link of this chain.Öğe Rapid Emergency Medicine Score and HOTEL Score in Geriatric Patients Admitted to the Emergency Department(Elsevier Taiwan, 2015) Dundar, Zerrin Defne; Karamercan, Mehmet Akif; Ergin, Mehmet; Colak, Tamer; Tuncar, Alpay; Ayranci, Kursat; Kocak, SedatBackground: Emergency risk scoring systems have been defined in order to identify the health status of the patients on admission to the emergency department. In this study, we aimed to investigate the prognostic values of Rapid Emergency Medicine Score (REMS), REMS without age and the HOTEL scores in geriatric patients. Methods: This prospective, single-centered, observational study was carried out between the January 15, 2014 February 28, 2014. Patients admitted to the emergency department during the study period and aged 65 years or older were included in the study. Results: In total, 939 patients were included in the study. In predicting the intensive care unit admission, the area under the curve values of the REMS, REMS without age, and HOTEL scores were 0.772, 0.760, and 0.827 (p < 0.001, for all), respectively. The median (interquartile range) REMS and REMS without age scores of the nonsurvivors were statistically significantly higher than those of the survivors [10 (6) vs. 6 (3), 5 (6) vs. 1(2), respectively; p < 0.001 for both]. Similarly, the HOTEL scores of the nonsurvivors were also statistically significantly higher than those of the survivors [2 (1) vs. 1(1), p < 0.001]. In predicting the in-hospital mortality, the area under the curve values of the REMS, REMS without age and HOTEL scores were 0.833, 0.819, and 0.858 (p < 0.001 for all), respectively. Conclusion: The REMS, REMS without age, and the HOTEL scores cannot be efficiently employed to discriminate geriatric patients requiring hospitalization. Nonetheless, all three scores are proper predictive systems regarding intensive care unit admission and in-hospital mortality in geriatric emergency department patients. Copyright (C) 2015, Taiwan Society of Geriatric Emergency & Critical Care Medicine. Published by Elsevier Taiwan LLC. All rights reserved.Öğe Seasonal variations of patients presenting dyspnea to emergency departments in Europe: Results from the EURODEM Study(Tubitak Scientific & Technological Research Council Turkey, 2020) Karamercan, Mehmet Akif; Dundar, Zerrin Defne; Ergin, Mehmet; Van Meer, Oene; Body, Richard; Harjola, Veli-Pekka; Verschuren, FranckBackground/aim: To describe seasonal variations in epidemiology, management, and short-term outcomes of patients in Europe presenting to an emergency department (ED) with a main complaint of dyspnea. Materials and methods: An observational prospective cohort study was performed in 66 European EDs which included consecutive patients presenting to EDs with dyspnea as the main complaint during 3 72-h study periods. Data were collected on demographics, comorbidities, chronic treatment, prehospital treatment, mode of arrival of patient to ED, clinical signs at admission, treatment in the ED, ED diagnosis, discharge from El), and in-hospital outcome. Results: The study included 2524 patients with a median age of 69 (53-80) years old. Of the patients presented, 991 (39.3%) were in autumn, 849 (33.6%) were in spring, and 48 (27.1%) were in winter. The winter population was significantly older (P < 0.001) and had a lower rate of ambulance arrival to ED (P < 0.001). In the winter period, there was a higher rate for lower respiratory tract infection (35.1%), and patients were more hypertensive, more hypoxic, and more hyper/hypothermic compared to other seasons. The ED mortality was about 1% and, in hospital, mortality for admitted patients was 7.4%. Conclusion: The analytic method and the outcome of this study may help to guide the allocation of ED resources more efficiently and to recommend seasonal ED management protocols based on the seasonal trend of dyspneic patients.
