Evaluation of Pulmonary Embolism Patients Aged 65 and Over Hospitalized in the Intensive Care Unit

Year 2022, Volume: 11 Issue: 1, 118 - 121, 19.03.2022

Kerim Yeşildağ

https://doi.org/10.37989/gumussagbil.1002455

Abstract

Introduction: Concomitant cardiopulmonary comorbidities in the elderly may present with clinical symptoms similar to PTE. In this study, the clinical features and outcomes of patients aged 65 years and older with PTE were evaluated.
Material and Method: The study was carried out retrospectively between January-1, 2019-December-31, 2019. Patients aged 65 and over who were diagnosed with acute PTE in the emergency department and hospitalized in the intensive care unit were included in the study. The patients were divided into two groups according to their age as 65-74 years old and 75 years old and over. Demographic data of the patients, mortality rates and causes contributing to mortality were analyzed.
Results: Of the 43 patients included in the study, 74.4% were 65-74 years old and 25.5% were ≥75 years old. The mean age of the patients was 72±5 years, 55.8% were male The most common complaints of the patients for PTE were shortness of breath (73.9%), the most common comorbidities were congestive heart failure (33.5%) and hypertension (29.4%). There was no statistically significant difference between age groups in terms of gender and time of admission. Mortality rates by age groups were 59.3% in the 65-74 age group, and 63.6% in the ≥75 age group, respectively. There was no significant difference in mortality between age groups.
Conclusion: Diagnosis of PTE in the elderly is difficult and often overlooked, as they present with an atypical presentation. It is vital to keep PTE in mind in elderly patients and to use diagnostic algorithms in case of doubt.

Keywords

Geriatrics, Pulmonary Thromboembolism, Mortality

65 Yaş ve Üzeri Yoğun Bakım Ünitesine Yatırılan Pulmoner Emboli Hastalarının Değerlendirilmesi

Abstract

Giriş: Yaşlılarda eşlik eden kardiyopulmoner komorbiditeler PTE ile benzer klinik semptomlarla gelebilir. Bu çalışmada 65 yaş ve üzerindeki PTE olan hastaların klinik özellikleri ve sonuçları değerlendirildi.
Materyal ve Metot: Çalışma 1-Ocak 2019-31 Aralık 2019 tarihleri arasında geriye dönük olarak gerçekleştirildi. Çalışmaya acil serviste akut PTE tanısı konan ve yoğun bakım ünitesine yatırılan 65 yaş ve üzerindeki hastalar dahil edildi. Hastalar yaşlarına göre 65-74 yaş, 75 yaş ve üzeri olarak iki gruba ayrıldı. Hastaların demografik verileri, mortalite oranları ve mortaliteye katkısı olan nedenler incelendi.
Bulgular: Çalışmaya dahil edilen 43 hastanın %74,4'ini 65-74 yaş ve %25,5'ini ≥75 yaş hasta grubu oluşturmaktadır. Hastaların yaş ortalaması 72±5 yıl olup, %55,8’i erkekti. Hastaların PTE için en sık karşılaşılan yakınması nefes darlığı (%73,9), eşlik eden en sık hastalık konjestif kalp yetmezliği (%33,5) ve hipertansiyon (%29,4) idi. Yaş grubu arasında cinsiyet, başvuru zamanı açısından istatistiksel açıdan anlamlı bir fark bulunmadı. Yaş gruplarına göre mortalite oranları sırasıyla 65-74 yaş grubunda %59.3, ≥75 yaş grubunda %63.6 olarak tespit edildi. Yaş grupları arasında mortalite açısından anlamlı fark tespit edilemedi.
Sonuç: Atipik presantasyonla başvurmaları nedeniyle yaşlılarda PTE tanısı zordur ve sıklıkla gözden kaçmaktadır. Yaşlı hastalarda PTE’yi akılda tutmak ve şüphe halinde tanı algoritmalarını kullanmak hayati derecede önem taşımaktadır.

Keywords

Geriatri, Pulmoner Tromboemboli, Mortalite

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