Epidemiological Characteristics of Geriatric Patients in Emergency Departments: Results of a Multicenter Study
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Girifl: 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.
Introduction: The increasing proportion of elderly individuals in the population due to increased life expectancy has necessitated greater provision of health care. Here we aimed to determine patient characteristics, reasons for referral, and outcomes of emergency department visits and hospitalization in patients aged ?65 years with referrals to emergency departments.Materials and Method: This prospective, multicenter observational study was conductedover one week at the emergency departments of 13 Turkey hospitals. All patients aged ?65 years who were referred to emergency departments with acute medical or surgical issues duringthe study period were included. Patients aged >65 years or those referred for trauma were excluded. Results: In total, 1299 patients with a mean age of 74.8±7.3 years were included. Of these, 51.9% (n674) were aged 65-74 years, 67.5% (n877) were discharged from the hospital,and 5.8% (n75) died during admission. The most frequently diagnosed disorders in the emergency departments were cardiovascular, gastrointestinal, and pulmonary diseases. A significantdifference in age was observed between the survival and non-survival groups (p0.001), with nosignificant differences in gender distribution (p0.259), length of stay in intensive care units(p0.605), or length of stay in hospital (p0.055).Conclusion: With an increased proportion of elderly individuals in the general population,the number of elderly patients referred to emergency departments continues to increase. Thisstudy presents the demographic features and clinical course of elderly patients referred to study centers.
Introduction: The increasing proportion of elderly individuals in the population due to increased life expectancy has necessitated greater provision of health care. Here we aimed to determine patient characteristics, reasons for referral, and outcomes of emergency department visits and hospitalization in patients aged ?65 years with referrals to emergency departments.Materials and Method: This prospective, multicenter observational study was conductedover one week at the emergency departments of 13 Turkey hospitals. All patients aged ?65 years who were referred to emergency departments with acute medical or surgical issues duringthe study period were included. Patients aged >65 years or those referred for trauma were excluded. Results: In total, 1299 patients with a mean age of 74.8±7.3 years were included. Of these, 51.9% (n674) were aged 65-74 years, 67.5% (n877) were discharged from the hospital,and 5.8% (n75) died during admission. The most frequently diagnosed disorders in the emergency departments were cardiovascular, gastrointestinal, and pulmonary diseases. A significantdifference in age was observed between the survival and non-survival groups (p0.001), with nosignificant differences in gender distribution (p0.259), length of stay in intensive care units(p0.605), or length of stay in hospital (p0.055).Conclusion: With an increased proportion of elderly individuals in the general population,the number of elderly patients referred to emergency departments continues to increase. Thisstudy presents the demographic features and clinical course of elderly patients referred to study centers.
Açıklama
WOS:000372191400002
Anahtar Kelimeler
Elderly, Geriatric assessment, Demography, Emergency treatment, Yaşlı, Geriatrik değerlendirme, Demografi, Acil tedavi
Kaynak
Türk Geriatri Dergisi
WoS Q Değeri
Q4
Scopus Q Değeri
Q4
Cilt
18
Sayı
4
Künye
Ergin, M., Dündar, Z. D., Karamercan, M. A., Ayrancı, M., Yavuz, Y., Yavaşi, Ö., Serinken, M., Acar, T., Avcil, M., Al, B., Bayramoğlu, A., Durgun, H. M., Gölcük, Y., Arzıman, İ. (2015). Epidemiological characteristics of geriatric patients in emergency departments: Results of a multicenter study. Turk Geriatri Dergisi, 18, 4, 259-265.
