Yıl: 2016 Cilt: 19 Sayı: 4 Sayfa Aralığı: 217 - 222 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA

Öz:
Girifl:Yaşlılıkla birlikte vücut anatomisinde ve fizyolojisinde değişiklikler olur. Buna bağlı trav-maya karşı cevap yetenekleri değişmekte buda travmaya bağlı morbidite ve mortaliteyi arttırmak-tadır.Geriatrik yaş grubundaki kafa travmalı hastalarda prognoza ve mortaliteye etki eden faktör-leri tespit etmeyi amaçladık.Gereç ve Yöntem:Üç yıllık sürede kafa travması sebebiyle başvurmuş olan 65 yaş ve üstü1060 hasta incelendi. Hasta verileri cinsiyet, yaş, travmanın oluş şekli, Glasgow Koma Skalası, Re-vize Travma Skoru, kraniyal fizik muayene bulguları, kafa kemiklerindeki kırık lokalizasyonu, kra-niyal patoloji, ek organ yaralanması, yaşam ve ölüm durumu idi.Bulgular:Çalışmaya alınan 1060 geriatrik kafa travmalı hastanın 500'ü (%47) erkek, 560'>(%53) bayandı. Hastaların 1005'i (%94.8) yaşadı. Hastaların 55'i (%5.20) öldü. Ölen hastaların37'si (%67.3) erkek, 18'i (%32.7) kadındı. En çok başvuru toplamda 513 hasta ile 65-75 yaş ola-rak tanımlanan erken yaşlılık grubundaydı. Travma oluş sebeplerine göre en sık basit düşme var-dı.65 yaş ve üzeri tüm hasta gruplarında erkek cinsiyette olmanın mortalite için bir risk faktörü ol-duğu görüldü. Bilgisayarl> tomografi görüntülerine göre intrakraniyal kanama, kontüzyon, suba-raknoid hemoraji, epidural hematom, subdural hematom ve intrakraniyal ödem mortaliteyi arttı-ran bulgulardı.Sonuç:Geriatrik kafa travmarında erkek cinsiyet ve kraniyak patolojiler yüksek mortalite ileilişkilidir.
Anahtar Kelime:

Konular: Cerrahi

GERİATRİK KAFA TRAVMALI HASTALARDAMORTALİTEYİ ETKİLEYEN FAKTÖRLER

Öz:
Introduction: With aging, the anatomy and physiology of the body undergo changes. Thisleads to a change in the body's capabilities in response to trauma, resulting in increased traumainduced morbidity and mortality.We aimed to investigate the factors influencing the prognosis and mortality of geriatric patients with head trauma.Materials and Method: A total of 1060 patients aged 65 and above who presented withhead trauma within a three-year period were studied. The patients' collected data included gender, age, trauma presentation, Glasgow Coma Scale, Revised Trauma Score, cranial physical examination findings, localisation of the fracture in the cranial regions, cranial pathology, additionalorgan injury and survival/death status.Results: Of the 1060 geriatric patients enrolled in the study, 500 (47%) were male and 560(53%) were female. Of these patients, 1005 (94.8%) survived and 55 (5.20%) died. Among thedeceased patients, 37 (37.3%) were male and 18 (32.7%) were female. The most common presentation was observed in the young old group (aged 65-75) with 513 patients. According tothe causes of trauma, the most common cause was due to falling. The male gender was foundto be at risk of mortality in all patients aged 65 and above. According to the computed tomography findings; intracranial haemorrhage, contusion, subarachnoid haemorrhage, epidural hematoma, subdural hematoma and intracranial edema were factors associated with increased mortality.Conclusion: Males and cranial pathologies are associated with a higher mortality in geriatric patients with head trauma
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1.Thompson HJ, McCormick WC, Kagan SH. Traumatic braininjury in older adults: epidemiology, outcomes, and future imp-lications. J Am Geriatr Soc 2006;54 (10):1590-5.(PMID:17038079).
  • 2.Çilingiro¤lu N, Demirel S. Aging And Ageism. Turkish Jour-nal of Geriatrics 2004;7:225-30. (in Turkish).
  • 3.Gan BK, Lim JH, Ng IH. Outcome of moderate and severe tra-umatic brain injury amongst the elderly in Singapore. AnnAcad Med Singapore. 2004;33 (1):63-7. (PMID:15008565).
  • 4.Masson F, Thicoipe M, Mokni T, Aye P, Erny P, Dabadie P.Aquaitaine Group for Severe Brain Injury Study. Epidemiologyof traumatic comas: a prospective population-based study. Bra-in Inj. 2003;17 (4):279-93. (PMID:12637181).
  • 5.Susman M, DiRusso SM, Sullivan T, et al. Traumatic brain in-jury in the elderly: increased mortality and worse functionaloutcome at discharge despite lower injury severity. J Trauma2002;53 (2):219-23. (PMID:12169925).
  • 6.Cagetti B, Cossu M, Pau A, Rivano C, Viale G. The outcomefrom acute subdural and epidural intracranial haematomas invery elderly patients. Br J Neurosurg 1992;6 (3):227-31.(PMID:1632921).
  • 7.Rao V, Lyketsos C. Neuropsychiatric sequelae of traumatic braininjury. Psychosomatics 2000;41 (2):95-103. (PMID:10749946).
  • 8.Tieves KS, Yang H, Layde PM. The epidemiology of traumaticbrain injury in Wisconsin, 2001. WMJ 2005;104 (2):22-5.(PMID:15856737).
  • 9.Mirzai H, Ya¤li N, Tekin I. Epidemiologic and clinical featu-res of cases applying to Celal Bayar University emergency unitwith head trauma. Turkish Journal of Trauma and EmergencySurgery 2005;11 (2):146-52. (PMID:15877246).
  • 10. Wofford JL, Schwartz E, Timerding BL, Folmar S, Ellis SD,Messick CH. Emergency department utilization by the elderly:analysis of the National Hospital Ambulatory Medical CareSurvey. Acad Emerg Med 1996;3 (7):694-9. (PMID:8816186).
  • 11. Gülalp B, Aldinç H, Karagün Ö, Çetinel Y, Benli S. The comp-laint and outcome of geriatric patient in emergency depart-ment. Turk J Emerg Med 2009;9 (2):73-7.
  • 12. Knudson MM, Lieberman J, Morris JA Jr, Cushing BM, StubbsHA. Mortality factors in geriatric blunt trauma patients. ArchSurg 1994;129 (4):448-53. (PMID:8154972).
  • 13. Özdo¤an M, A¤alar F, Daphan ÇE, Topalo¤lu S. Factors effec-ting mortality and morbidity in the trauma in the elderly. Tur-kish Journal of Trauma and Emergency Surgery 1999;5(3):189-93.
  • 14. Nakamura N, Yamaura A, Shigemori M, et al. Final report ofthe Japan Neurotrauma Data Bank project 1998-2001: 1,002cases of traumatic brain injury. Neurol Med Chir (Tokyo)2006;46 (12):567-74. (PMID:17185881).
  • 15. Smith DP, Enderson BL, Maull KI. Trauma in the elderly: de-terminants of outcome. South Med J 1990;83 (2):171-7.(PMID:2305297).
  • 16. Bombac> E, Boztepe A, Çizen A, Çevik Z, Çolako¤lu S, YolluAtakan T. Correlation of the modified Glasgow coma scale andRamsay sedation scale scores with bispectral index monitoringin unconscious critically ill patients. Medical Journal of Bak>r-köy 2005;1 (3):90-94.
  • 17. Teasdale G, Jennett B.Assessment of coma and impaired cons-ciousness. A practical scale. Lancet 1974 13;2 (7872):81-4.(PMID:4136544).
  • 18. Sammy I, Lecky F, Sutton A, Leaviss J, O'Cathain A. Factors af-fecting mortality in older trauma patients-A systematic reviewand meta-analysis. Injury 2016;47 (6):1170-83.(PMID:27015751).
  • 19. Macpherson BC, MacPherson P, Jennett B. CT evidence of in-tracranial contusion and haematoma in relation to the presence,site and type of skull fracture. Clin Radiol 1990;42 (5):321-6.(PMID:2245568).
  • 20. Okie S. Traumatic brain injury in the war zone. N Engl J Med2005 19;352 (20):2043-7. (PMID:15901856).
  • 21. Choi SC, Narayan RK, Anderson RL, Ward JD. Enhanced spe-cificity of prognosis in severe head injury. J Neurosurg 1988;69(3):381-5. (PMID:3404236).
  • 22. Speechley M, Tinetti M. Falls and injuries in frail and vigorouscommunity elderly persons. J Am Geriatr Soc 1991;39 (1):46-52. (PMID:1987256).
  • 23. Owens PL, Russo CA, Spector W, Mutter R. Emergency De-partment Visits for Injurious Falls among the Elderly, 2006:Healthcare Cost and Utilization Project (HCUP) Statistical Bri-efs 2009, pp 1-11. (PMID:21452495).
  • 24. Ateflçelik M, Gürger M, Study of patients with blunt trauma inemergency department. Firat Med J 2013;18 (2):103-8.
  • 25. Tokutomi T, Miyagi T, Ogawa T, et al. Age-associated increa-se in poor outcomes after traumatic brain injury: a report fromthe Japan Neurotrauma Data Bank. J Neurotrauma2008;25:1407-14. (PMID:19086809).
APA İÇER M, ŞEN A, ZENGİN Y, Dursun R, DURGUN H, ÜSTÜNDA M, ORAK M, GÜLOĞLU C (2016). FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. , 217 - 222.
Chicago İÇER Mustafa,ŞEN Abdullah,ZENGİN Yılmaz,Dursun Recep,DURGUN HASAN MANSUR,ÜSTÜNDA Mehmet,ORAK MURAT,GÜLOĞLU Cahfer FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. (2016): 217 - 222.
MLA İÇER Mustafa,ŞEN Abdullah,ZENGİN Yılmaz,Dursun Recep,DURGUN HASAN MANSUR,ÜSTÜNDA Mehmet,ORAK MURAT,GÜLOĞLU Cahfer FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. , 2016, ss.217 - 222.
AMA İÇER M,ŞEN A,ZENGİN Y,Dursun R,DURGUN H,ÜSTÜNDA M,ORAK M,GÜLOĞLU C FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. . 2016; 217 - 222.
Vancouver İÇER M,ŞEN A,ZENGİN Y,Dursun R,DURGUN H,ÜSTÜNDA M,ORAK M,GÜLOĞLU C FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. . 2016; 217 - 222.
IEEE İÇER M,ŞEN A,ZENGİN Y,Dursun R,DURGUN H,ÜSTÜNDA M,ORAK M,GÜLOĞLU C "FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA." , ss.217 - 222, 2016.
ISNAD İÇER, Mustafa vd. "FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA". (2016), 217-222.
APA İÇER M, ŞEN A, ZENGİN Y, Dursun R, DURGUN H, ÜSTÜNDA M, ORAK M, GÜLOĞLU C (2016). FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. Türk Geriatri Dergisi, 19(4), 217 - 222.
Chicago İÇER Mustafa,ŞEN Abdullah,ZENGİN Yılmaz,Dursun Recep,DURGUN HASAN MANSUR,ÜSTÜNDA Mehmet,ORAK MURAT,GÜLOĞLU Cahfer FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. Türk Geriatri Dergisi 19, no.4 (2016): 217 - 222.
MLA İÇER Mustafa,ŞEN Abdullah,ZENGİN Yılmaz,Dursun Recep,DURGUN HASAN MANSUR,ÜSTÜNDA Mehmet,ORAK MURAT,GÜLOĞLU Cahfer FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. Türk Geriatri Dergisi, vol.19, no.4, 2016, ss.217 - 222.
AMA İÇER M,ŞEN A,ZENGİN Y,Dursun R,DURGUN H,ÜSTÜNDA M,ORAK M,GÜLOĞLU C FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. Türk Geriatri Dergisi. 2016; 19(4): 217 - 222.
Vancouver İÇER M,ŞEN A,ZENGİN Y,Dursun R,DURGUN H,ÜSTÜNDA M,ORAK M,GÜLOĞLU C FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA. Türk Geriatri Dergisi. 2016; 19(4): 217 - 222.
IEEE İÇER M,ŞEN A,ZENGİN Y,Dursun R,DURGUN H,ÜSTÜNDA M,ORAK M,GÜLOĞLU C "FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA." Türk Geriatri Dergisi, 19, ss.217 - 222, 2016.
ISNAD İÇER, Mustafa vd. "FACTORS AFFECTING MORTALITY IN GERIATRICPATIENTS WITH HEAD TRAUMA". Türk Geriatri Dergisi 19/4 (2016), 217-222.