CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY
Yıl: 2018 Cilt: 21 Sayı: 2 Sayfa Aralığı: 166 - 172 Metin Dili: İngilizce DOI: 10.31086/tjgeri.2018240417 İndeks Tarihi: 04-07-2019
CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY
Öz: Introduction: This study aims to examine the clinical differences between the PulmonaryThromboembolism patients aged 65 and above and younger patients attending the clinic ofchest diseases.Materials and Method: The study sample included the patients diagnosed with PulmonaryThromboembolism at the Chest Diseases Clinic of Recep Tayyip Erdoğan University Faculty ofMedicine between June 2016 and December 2017. Patients’ files were scanned retrospectivelyand the participants were divided into two groups: elderly patients aged 65 and over (elder)and patients under 65 years of age (younger). These two groups were compared in terms ofclinical, laboratory and radiological characteristics of Pulmonary Thromboembolism.Results: A total of 149 patients consisting of 90 (60%) female and 59 (40%) male patientswith an average age of 73±13 years (22-94) were included in the study. The most commonsymptom was dyspnea and the most frequently observed risk factor was immobility. Theprevalence of chest pain was significantly higher in the patients younger group than eldergroup. Besides, no change in consciousness was observed in the patients in younger group,while altered state of consciousness was observed in 17 (15%) of 113 patients in elder group.Conclusion: Especially in patients elder, chest pain loses its significance, while unexpectedsymptoms such as altered state of consciousness can be observed. This should be taken intoaccount; otherwise it may result in a delay in diagnosis.
Anahtar Kelime: Konular:
YAŞLI HASTALARDA PULMONERTROMBOEMBOLİNİN DEĞİŞEN KLİNİK KARAKTERLERİ
Öz: Giriş: Çalışmamızın amacı, kliniğimizde takip edilen Pulmoner tromboemboli hastalarında 65 yaş ve üstü yaşlı hastaların daha genç hastalara göre klinik farklılıklarını araştırmaktır. Gereç ve Yöntem: Çalışmaya Recep Tayyip Erdoğan Üniversitesi Tıp Fakültesi Göğüs Hastalıkları kliniğinde Haziran 2016- Aralık 2017 tarihleri arasında Pulmoner tromboemboli tanısı ile takip edilen hastalar alındı. Hastaların dosyaları retrospektif olarak taranarak 65 yaş ve üstü yaşlı hastalar (yaşlı) ve 65 yaş altı hastalar (genç) olmak üzere olarak iki gruba ayrıldı. Bu iki grup; klinik, laboratuar, radyolojik özellikleri açısından karşılaştırıldı. Bulgular: Çalışmaya yaş ortalaması 73±13 (22-94) olan 90’ı (%60) kadın 59’u (%40) erkek olmak üzere toplam 149 hasta alındı. Hastalarda en sık saptanan semptom nefes darlığı, en sık tesbit edilen risk faktörü immobilite idi. Yaşlı grupta göğüs ağrısı genç gruba göre anlamlı olarak düşüktü (p=0.004). Ayrıca genç hastalarda bilinç değişikliği olmazken, yaşlı 113 hastanın 17’sinde (%15) bilinç değişikliği semptomu vardı (p=0.013). Sonuç: Özellikle yaşlı hastalarda göğüs ağrısı önemini yitirmekte ve bilinç değişikliği gibi pulmoner tromboembolide beklenmedik bulgular görülebilmektedir. Bu durum tanıda gecikmeye neden olabileceğinden akılda bulundurulmalıdır
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ÖZYURT S, GÜMÜŞ A, YILMAZ KARA B, Karadoğan D, ÖZÇELİK N, MEMOĞLU M, ŞAHİN Ü (2018). CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. , 166 - 172. 10.31086/tjgeri.2018240417 |
| Chicago | ÖZYURT SONGÜL,GÜMÜŞ Aziz,YILMAZ KARA BİLGE,Karadoğan Dilek,ÖZÇELİK NESLİHAN,MEMOĞLU MELEK,ŞAHİN Ünal CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. (2018): 166 - 172. 10.31086/tjgeri.2018240417 |
| MLA | ÖZYURT SONGÜL,GÜMÜŞ Aziz,YILMAZ KARA BİLGE,Karadoğan Dilek,ÖZÇELİK NESLİHAN,MEMOĞLU MELEK,ŞAHİN Ünal CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. , 2018, ss.166 - 172. 10.31086/tjgeri.2018240417 |
| AMA | ÖZYURT S,GÜMÜŞ A,YILMAZ KARA B,Karadoğan D,ÖZÇELİK N,MEMOĞLU M,ŞAHİN Ü CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. . 2018; 166 - 172. 10.31086/tjgeri.2018240417 |
| Vancouver | ÖZYURT S,GÜMÜŞ A,YILMAZ KARA B,Karadoğan D,ÖZÇELİK N,MEMOĞLU M,ŞAHİN Ü CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. . 2018; 166 - 172. 10.31086/tjgeri.2018240417 |
| IEEE | ÖZYURT S,GÜMÜŞ A,YILMAZ KARA B,Karadoğan D,ÖZÇELİK N,MEMOĞLU M,ŞAHİN Ü "CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY." , ss.166 - 172, 2018. 10.31086/tjgeri.2018240417 |
| ISNAD | ÖZYURT, SONGÜL vd. "CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY". (2018), 166-172. https://doi.org/10.31086/tjgeri.2018240417 |
| APA | ÖZYURT S, GÜMÜŞ A, YILMAZ KARA B, Karadoğan D, ÖZÇELİK N, MEMOĞLU M, ŞAHİN Ü (2018). CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. Türk Geriatri Dergisi, 21(2), 166 - 172. 10.31086/tjgeri.2018240417 |
| Chicago | ÖZYURT SONGÜL,GÜMÜŞ Aziz,YILMAZ KARA BİLGE,Karadoğan Dilek,ÖZÇELİK NESLİHAN,MEMOĞLU MELEK,ŞAHİN Ünal CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. Türk Geriatri Dergisi 21, no.2 (2018): 166 - 172. 10.31086/tjgeri.2018240417 |
| MLA | ÖZYURT SONGÜL,GÜMÜŞ Aziz,YILMAZ KARA BİLGE,Karadoğan Dilek,ÖZÇELİK NESLİHAN,MEMOĞLU MELEK,ŞAHİN Ünal CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. Türk Geriatri Dergisi, vol.21, no.2, 2018, ss.166 - 172. 10.31086/tjgeri.2018240417 |
| AMA | ÖZYURT S,GÜMÜŞ A,YILMAZ KARA B,Karadoğan D,ÖZÇELİK N,MEMOĞLU M,ŞAHİN Ü CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. Türk Geriatri Dergisi. 2018; 21(2): 166 - 172. 10.31086/tjgeri.2018240417 |
| Vancouver | ÖZYURT S,GÜMÜŞ A,YILMAZ KARA B,Karadoğan D,ÖZÇELİK N,MEMOĞLU M,ŞAHİN Ü CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY. Türk Geriatri Dergisi. 2018; 21(2): 166 - 172. 10.31086/tjgeri.2018240417 |
| IEEE | ÖZYURT S,GÜMÜŞ A,YILMAZ KARA B,Karadoğan D,ÖZÇELİK N,MEMOĞLU M,ŞAHİN Ü "CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY." Türk Geriatri Dergisi, 21, ss.166 - 172, 2018. 10.31086/tjgeri.2018240417 |
| ISNAD | ÖZYURT, SONGÜL vd. "CHANGING CLINICAL CHARACTERISTICS OF PULMONARY THROMBOEMBOLISM IN THE ELDERLY". Türk Geriatri Dergisi 21/2 (2018), 166-172. https://doi.org/10.31086/tjgeri.2018240417 |
