Acil servise başvuran geriatrik kırıkların yıllara ve mevsimlere göre değerlendirilmesi

Year 2021, , 647 - 651, 17.09.2021

Necip Güven , Ramazan Sami Aktaş , Tülin Türközü , Gizem Gizli , Abbas Tokyay , Sevdegul Bilvanisi

https://doi.org/10.16899/jcm.939625

Abstract

Öz
Amaç: Günümüzde sanayileşmiş ülkelerin hızla artan ve çeşitlenen yaşlı nüfusa sahip olması ile beraber bu kırıkların görülme sıklığı giderek artmaktadır. Bu çalışmanın amacı geriatrik kırkların görülme sıklığı, yaş, cinsiyet, mevsim ve yıllara göre dağılımını değerlendirmektir.
Gereç ve yöntem: 2015-2020 yılları arasında acil servisimize başvuran 65 yaş ve üstü geriatrik kırıklı hastaların en sık görülen kırık lokalizasyonuna göre (kalça, distal önkol, proksimal humerus ve ayakbileği kırıkları) analizleri yapıldı. Bu kırıklar yaş, cinsiyet, mevsimsel özellik ve yıllara göre dağılımları değerlendirildi.
Bulgular: Çalışmaya alınan 370 hastanın 168 tanesi erkek 202 tanesi kadın olup yaş ortalaması 79.5 idi. En sık görülen kırık tiplerinin görülme sıklığına göre sırasıyla; kalça (%51.6), distal önkol(%25.1), proksimal humerus (%12.4) ve ayak bileği kırığı (%10.8) olduğu görüldü. Distal önkol kırıklarının kadınlarda erkeklere oranla istatistiksel olarak anlamlı bir şekilde yüksek olduğu (p=0.001), ancak diğer kırıklarda cinsiyetler arasında istatistiksel olarak fark görülmemiştir (p>0.05). Kalça kırıklarının 86 yaş ve üzeri gurubunda anlamlı olarak yüksek olduğu, diğer kırıkların ise 65-75 yaş aralığında daha yüksek olduğu görülmüştür. Tüm kırıklarda mevsimsel bir özellik görülmemiştir. Kalça kırıklarının 2020 yılında en yüksek oranda görülmüştür. Diğer kırıklarda ise yıllar arasında kırık dağılımı açısından fark görülmemiştir.
Sonuç: Geriatrik kırıkların sosyal izalosyonda rölatif olarak arttığı ve yöremizde mevsimsel özellik göstermediği sonucuna varılmıştır. Yaşın ilerlemesi ve yaşam beklentisinin daha fazla olması ile mortal olabilecek geriatrik kırıkların insidansının iyi bilinmesi ve pandemi gibi durumlarda bu hastaların hem izolasyonu hem de erken tedavi edilip taburcu edilmesi ile birlikte iyi bir yönetim stratejisi belirlenmesi gerektiği kanaatindeyiz.

Keywords

Geriatrik kırıklar, Kalça, Distal önkol, Hava durumu, Yaşlılar

Supporting Institution

Destekleyen kurum yoktur

Evaluation of Geriatric Fractures Admitted to the Emergency Department According to Years and Seasons

Abstract

Abstract
Objective: With the rapidly increasing and diversifying elderly population of industrialized countries, the incidence of geriatric fractures is gradually increasing. The aim of this study is to evaluate the distribution of geriatric fractures according to the prevalence, age, sex, season and years.
Material and Method: Analyzes of geriatric fractures in patients aged 65 and over who were admitted to our emergency department between 2015 and 2020 were performed according to the most common fracture locations (hip, distal forearm, proximal humerus and ankle). The distribution of these fractures by age, gender, seasonal characteristics and years was evaluated
Results: A total of 370 cases (168 male, and 202 female patients) with an average age of 79.5years were included in the study. The most common fracturestypes in order of decreasing frequency were fractures of the hip (51.6%), distal forearm (25.1%), proximal humerus (12.4%) and ankle (10.8%). The incidence of distal forearm fractures was significantly higher in females than males (p = 0.001), but any statistically significant difference was not found between genders regarding other fractures (p> 0.05). It was observed that the incidence of hip fractures was significantly higher in the people aged 86 years and over, while the other fractures were more frequently seen in the 65-75 age group. A seasonal feature was not observed in all fractures. The highest rate of hip fractures was seen in the year 2020. There was no difference in the distribution of other types of fractures over the years
Conclusion: It has been concluded that the incidence of geriatric fractures increases relatively in conditions of social isolation and does not show seasonal characteristics in our region. We are of the opinion that a good management strategy should be determined characterized with both the isolation of these patients and their early treatment and discharge in disasters as pandemics, and the incidence of geriatric fractures that can be mortal with advancing age and higher life expectancy should be very well known.

Keywords

Geriatric fractures, Hip, Distal foream, Weather, Elderly

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