EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY

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 74.8±7.3 yıl olan toplam 1299 hasta çalıflmaya dahil edildi. Bu hastalardan %51.9'u (n=674) 65-74 yafl grubundaydı, %67.5'u (n=877) hastaneden taburcu edildive %5.8'i (n=75) 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 (p=0.001), cinsiyet dağılımı (p=0.259), hastane yatıfl süresi (p=0.259) ve yoğun bakım ünitesi yatıfl süresi(p=0.055) 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.

Anahtar Kelime:

Konular: Cerrahi

ACİL SERVİSLERDEKİ GERİATRİK HASTALARIN EPİDEMİYOLOJİK ÖZELLİKLERİ: ÇOK MERKEZLİ ÇALIŞMA KOŞULLARI

Öz:

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% (n=674) were aged 65-74 years, 67.5% (n=877) were discharged from the hospital,and 5.8% (n=75) 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 (p=0.001), with nosignificant differences in gender distribution (p=0.259), length of stay in intensive care units(p=0.605), or length of stay in hospital (p=0.055).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.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ergin m, Karamercan M, AYRANCI M, YAVUZ Y, YAVAFİİ Ö, SERİNKEN M, Acar T, avcil m, AL B, BAYRAMOLU A, DURGUN H, GÖLCÜK Y, ARZİMAN İ, DÜNDAR Z (2015). EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. , 259 - 265.
Chicago	ergin mehmet,Karamercan Mehmet,AYRANCI Mehmet,YAVUZ Yücel,YAVAFİİ Özcan,SERİNKEN Mustafa,Acar Tarık,avcil mücahit,AL Behçet,BAYRAMOLU Atıf,DURGUN HASAN MANSUR,GÖLCÜK Yalçın,ARZİMAN İbrahim,DÜNDAR ZERRİN DEFNE EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. (2015): 259 - 265.
MLA	ergin mehmet,Karamercan Mehmet,AYRANCI Mehmet,YAVUZ Yücel,YAVAFİİ Özcan,SERİNKEN Mustafa,Acar Tarık,avcil mücahit,AL Behçet,BAYRAMOLU Atıf,DURGUN HASAN MANSUR,GÖLCÜK Yalçın,ARZİMAN İbrahim,DÜNDAR ZERRİN DEFNE EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. , 2015, ss.259 - 265.
AMA	ergin m,Karamercan M,AYRANCI M,YAVUZ Y,YAVAFİİ Ö,SERİNKEN M,Acar T,avcil m,AL B,BAYRAMOLU A,DURGUN H,GÖLCÜK Y,ARZİMAN İ,DÜNDAR Z EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. . 2015; 259 - 265.
Vancouver	ergin m,Karamercan M,AYRANCI M,YAVUZ Y,YAVAFİİ Ö,SERİNKEN M,Acar T,avcil m,AL B,BAYRAMOLU A,DURGUN H,GÖLCÜK Y,ARZİMAN İ,DÜNDAR Z EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. . 2015; 259 - 265.
IEEE	ergin m,Karamercan M,AYRANCI M,YAVUZ Y,YAVAFİİ Ö,SERİNKEN M,Acar T,avcil m,AL B,BAYRAMOLU A,DURGUN H,GÖLCÜK Y,ARZİMAN İ,DÜNDAR Z "EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY." , ss.259 - 265, 2015.
ISNAD	ergin, mehmet vd. "EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY". (2015), 259-265.

APA	ergin m, Karamercan M, AYRANCI M, YAVUZ Y, YAVAFİİ Ö, SERİNKEN M, Acar T, avcil m, AL B, BAYRAMOLU A, DURGUN H, GÖLCÜK Y, ARZİMAN İ, DÜNDAR Z (2015). EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. Türk Geriatri Dergisi, 18(4), 259 - 265.
Chicago	ergin mehmet,Karamercan Mehmet,AYRANCI Mehmet,YAVUZ Yücel,YAVAFİİ Özcan,SERİNKEN Mustafa,Acar Tarık,avcil mücahit,AL Behçet,BAYRAMOLU Atıf,DURGUN HASAN MANSUR,GÖLCÜK Yalçın,ARZİMAN İbrahim,DÜNDAR ZERRİN DEFNE EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. Türk Geriatri Dergisi 18, no.4 (2015): 259 - 265.
MLA	ergin mehmet,Karamercan Mehmet,AYRANCI Mehmet,YAVUZ Yücel,YAVAFİİ Özcan,SERİNKEN Mustafa,Acar Tarık,avcil mücahit,AL Behçet,BAYRAMOLU Atıf,DURGUN HASAN MANSUR,GÖLCÜK Yalçın,ARZİMAN İbrahim,DÜNDAR ZERRİN DEFNE EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. Türk Geriatri Dergisi, vol.18, no.4, 2015, ss.259 - 265.
AMA	ergin m,Karamercan M,AYRANCI M,YAVUZ Y,YAVAFİİ Ö,SERİNKEN M,Acar T,avcil m,AL B,BAYRAMOLU A,DURGUN H,GÖLCÜK Y,ARZİMAN İ,DÜNDAR Z EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. Türk Geriatri Dergisi. 2015; 18(4): 259 - 265.
Vancouver	ergin m,Karamercan M,AYRANCI M,YAVUZ Y,YAVAFİİ Ö,SERİNKEN M,Acar T,avcil m,AL B,BAYRAMOLU A,DURGUN H,GÖLCÜK Y,ARZİMAN İ,DÜNDAR Z EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY. Türk Geriatri Dergisi. 2015; 18(4): 259 - 265.
IEEE	ergin m,Karamercan M,AYRANCI M,YAVUZ Y,YAVAFİİ Ö,SERİNKEN M,Acar T,avcil m,AL B,BAYRAMOLU A,DURGUN H,GÖLCÜK Y,ARZİMAN İ,DÜNDAR Z "EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY." Türk Geriatri Dergisi, 18, ss.259 - 265, 2015.
ISNAD	ergin, mehmet vd. "EPIDEMIOLOGICAL CHARACTERISTICS OF GERIATRIC PATIENTS IN EMERGENCY DEPARTMENTS: RESULTS OF A MULTICENTER STUDY". Türk Geriatri Dergisi 18/4 (2015), 259-265.