EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO

ÖZTÜRK, Zeynel; ACAR, Aydın; OUZ, Oğuzhan; Cayonu, Melih; KARAKILIÇ, Evvah; KUM, Oğuzhan Rauf

EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO

Aydın ACAR, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Hastalıkları Kliniği, Ankara, Türkiye)

Oğuzhan OUZ, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Hastalıkları Kliniği, Ankara, Türkiye)

Melih ÇAYÖNÜ, (Amasya Üniversitesi, Sabuncuoğlu Şerafeddin Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, Amasya, Türkiye)

Evvah KARAKILIÇ, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Hastalıkları Kliniği, Ankara, Türkiye)

Zeynel ÖZTÜRK, (Nişantaşı Üniversite, Meslek Yüksek Okulu, Odyometri Bölümü, İstanbul, Türkiye)

Oğuzhan Rauf KUM (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Hastalıkları Kliniği, Ankara, Türkiye)

Türk Geriatri Dergisi

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Yıl: 2015 Cilt: 18 Sayı: 3 Sayfa Aralığı: 194 - 198 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO

Öz:

Giriş: Baş dönmesi şikayeti ile acil servise başvuran yaşlı hastalara yaklaşımı ve son tanılarınındeğerlendirilmesini amaçladık.Gereç ve Yöntem: Elektronik kayıt sistemi kullanarak, acil servise Ocak 2012 ile Mart 2014tarihleri arasında baş dönmesi şikayeti ile başvuran 60 yaş üzeri 5473 hastanın kayıtları tarandı vedeğerlendirildi. Bu hastaların 2963'ü (%54) kadın ve 2510'u (%46) erkek idi ve hastaların ortalama yaşı 71.4 olarak saptandı (60-96 yaşları arasında). Hastaneye yatırılan hastaların ek tanıları,radyolojik muayene ve aldıkları tedavilerini değerlendirdik. Bulgular: Üç önemli bulgu tespit edilmiştir. Baş dönmesi hastaların çoğu ayaktan tedavi iletaburcu edilmiştir. Yaşamı tehdit eden merkezi sinir sistemi ile ilgili patolojiler hastaların 4.1%'sinde saptanmıştır. Yaşlı populasyonda acil servise baş dönmesi nedeniyle yapılan başvuruların çoğunluğu periferik vestibüler bozukluklara bağlı olsa da, hipertansiyon ve serebro vasküler hastalıklarda eşit yaygınlıkta saptanmaktadır.Sonuç: Yaşlı populasyonda akut baş dönmesi ile başvuran hastaları hepsini periferik vestibüler bozukluk olarak değerlendirmek dehidratasyon ve hipotansiyon gibi çok kolay tedavi edilebilecek hastalıklara ve daha ileri incelenmeyi gerektiren santral sinir sistemi hastalıklarına yanlış tanı koymaya neden olabilir.

Anahtar Kelime:

Konular: Cerrahi

BAŞ DÖNMESİ ŞİKAYETİ İLE ACİL SERVİSE BAŞVURAN YAŞLI HASTALARIN SON TANILARININ DEĞERLENDİRİLMESİ

Öz:

Introduction: We aimed to evaluate the approach and final diagnosis of elderly patients admitted to the emergency department with a complaint of vertigo.Materials and Method: The data extracted from the hospital database were analyzed for5,473 patients, aged over 60 years, who presented at the emergency department between January 2012 and March 2014, with complaints of dizziness-vertigo. Of these, 2,963 (54%) werefemales and 2,510 (46%) were males, with a mean age of 71.4 years (range, 60-96 years). Weevaluated the additional diagnoses, radiological examinations and treatments received by hospitalized patients.Results: We identified three major findings. Majority of the patients with vertigo were discharged for outpatient treatment. Life-threatening central pathologies were detected in 4.1% ofpatients with vertigo and although majority of the emergency room visits for vertigo in the elderly population were caused by peripheral vestibular disorders, hypertension and cerebrovascular events were equally prevalent.Conclusion: Among the elderly population, assessing all cases of acute vertigo as presentations of peripheral vestibular deficiency can lead to missed diagnosis, including dehydration andhypotension, which are readily treated as well as serious central pathologies that require furtherinvestigation.

Anahtar Kelime:

Konular: Cerrahi

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

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APA	ACAR A, OUZ O, Cayonu M, KARAKILIÇ E, ÖZTÜRK Z, KUM O (2015). EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. , 194 - 198.
Chicago	ACAR Aydın,OUZ Oğuzhan,Cayonu Melih,KARAKILIÇ Evvah,ÖZTÜRK Zeynel,KUM Oğuzhan Rauf EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. (2015): 194 - 198.
MLA	ACAR Aydın,OUZ Oğuzhan,Cayonu Melih,KARAKILIÇ Evvah,ÖZTÜRK Zeynel,KUM Oğuzhan Rauf EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. , 2015, ss.194 - 198.
AMA	ACAR A,OUZ O,Cayonu M,KARAKILIÇ E,ÖZTÜRK Z,KUM O EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. . 2015; 194 - 198.
Vancouver	ACAR A,OUZ O,Cayonu M,KARAKILIÇ E,ÖZTÜRK Z,KUM O EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. . 2015; 194 - 198.
IEEE	ACAR A,OUZ O,Cayonu M,KARAKILIÇ E,ÖZTÜRK Z,KUM O "EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO." , ss.194 - 198, 2015.
ISNAD	ACAR, Aydın vd. "EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO". (2015), 194-198.

APA	ACAR A, OUZ O, Cayonu M, KARAKILIÇ E, ÖZTÜRK Z, KUM O (2015). EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. Türk Geriatri Dergisi, 18(3), 194 - 198.
Chicago	ACAR Aydın,OUZ Oğuzhan,Cayonu Melih,KARAKILIÇ Evvah,ÖZTÜRK Zeynel,KUM Oğuzhan Rauf EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. Türk Geriatri Dergisi 18, no.3 (2015): 194 - 198.
MLA	ACAR Aydın,OUZ Oğuzhan,Cayonu Melih,KARAKILIÇ Evvah,ÖZTÜRK Zeynel,KUM Oğuzhan Rauf EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. Türk Geriatri Dergisi, vol.18, no.3, 2015, ss.194 - 198.
AMA	ACAR A,OUZ O,Cayonu M,KARAKILIÇ E,ÖZTÜRK Z,KUM O EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. Türk Geriatri Dergisi. 2015; 18(3): 194 - 198.
Vancouver	ACAR A,OUZ O,Cayonu M,KARAKILIÇ E,ÖZTÜRK Z,KUM O EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO. Türk Geriatri Dergisi. 2015; 18(3): 194 - 198.
IEEE	ACAR A,OUZ O,Cayonu M,KARAKILIÇ E,ÖZTÜRK Z,KUM O "EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO." Türk Geriatri Dergisi, 18, ss.194 - 198, 2015.
ISNAD	ACAR, Aydın vd. "EVALUATION OF THE FINAL DIAGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT WITH A COMPLAINT OF VERTIGO". Türk Geriatri Dergisi 18/3 (2015), 194-198.