Otorinolaringolojide geriatrik hastaların tanı ve tedavilerinin değerlendirilmesi

Year 2020, , 496 - 500, 01.06.2020

Muhammet Fatih Topuz

https://doi.org/10.28982/josam.751030

Cited By: 1

Abstract

Amaç: Otorinolaringolojik problemler, yaşlıların sosyal etkileşimini daha da kötüleştirmekte, hastalarda bağımlılık ve depresyona neden olabilmektedir. Literatürde geriatrik populasyonun otorinolaringolojik rahatsızlıklarını inceleyen sınırlı sayıda çalışma bulunmaktadır. Bu çalışma ile KBB hastalıkları bölümüne başvuran yaşlı hastaların demografik özelliklerini, tanı dağılımlarını, KBB hastalıkları yataklı servisindeki süreçlerini analiz etmek suretiyle gelecekte kendilerine sunulacak hizmetin kalitesini artırmaya yönelik çabalarda yol gösterici olabilecek veriler elde etmeyi amaçlanmıştır.
Yöntemler: Bu kesitsel çalışmada; 01.01.2017 – 31.12.2019 (31.12.2019 dahil) tarihleri arasında ayaktan polikliniğe başvuran ve acil-tıp kliniği, yoğun bakım gibi farklı branşlardan KSBÜ Evliya Çelebi eğitim ve araştırma hastanesi KBB bölümüne konsülte edilen 65 yaş ve üstü hastaların dosyaları retrospektif olarak tarandı. Çalışmaya dahil edilen hastaların tanıları, laboratuvar, radyolojik ve odyo-vestibüler değerlendirmeleri ve tedavi süreçleri analiz edildi.
Bulgular: Çalışmaya dahil edilen 12509 hastanın 5792’si kadın (%46,3), 6717’si (%53,7) erkekti. KBB polikliniğine en sık başvurunun 8594 (%68.7) hasta ile otolojik şikayetler nedeniyle yapıldığı görüldü. Hastaların değerlendirilmesinde kullanılan başlıca tetkikler 5272 odyometrik test, 1585 laboratuvar testi (hemogram - biyokimya), 508 bilgisayarlı tomografidir. Hastalıklar sıklık sırasına göre incelendiğinde ilk ikisi sırasıyla; işitme kaybı %24,89 ve sıkışmış serümen %22,07’dir. Çalışmaya dahil edilen hastalardan 332’sine (%2,65) muhtelif cerrahi müdahaleler yapılmıştır. En sık cerrahi operasyonların baş/boyun cerrahisi (134 ameliyat), en sık yapılan cerrahi girişimin ise trakeotomi açılması (46 hasta) olduğu tespit edildi.
Sonuç: Geriatrik hastaların çoğunluğunun ayaktan tedavisinin yapıldığı ve sıklıkla otolojik şikayetlerle başvurdukları görülmüştür. Geriatrik hastalara çoğunlukla onkolojik rahatsızlıklar nedeniyle cerrahi operasyon yapılmıştır.

Keywords

Geriatri, Kulak burun boğaz hastalıkları, Epidemiyoloji

Assessment of diagnosis and treatment of geriatric patients in otorhinolaryngology

Abstract

Aim: Otorhinolaryngological problems worsen the social interaction of the elderly and cause addiction and depression in patients. There are a limited number of studies in the literature that examine the otorhinolaryngological disorders of the geriatric population. Through analysis of ENT patients' demographic features, diagnostic distributions, and service processes in ENT inpatient ward, this study aims to obtain data that can guide the efforts in improving future service offered for these patients.
Methods: In this cross-sectional study, the records of patients aged 65 years and over who were consulted from outpatient or emergency clinics and other departments, such as the intensive care unit to the ENT Department of KSBU Evliya Çelebi Training and Research Hospital between 01.01.2017 and 31.12.2019 (including 31.12.2019) were scanned retrospectively. Diagnoses, laboratory, radiological and audio-vestibular evaluations, and treatment processes of the patients included were analyzed.
Results: Among 12509 patients included in the study, 5792 were female (46.3%) and 6717 (53.7%) were male. The most frequent consultation to the ENT outpatient clinic was due to otological complaints with 8594 (68.7%) patients. The main tests used in the evaluation of patients were 5272 audiometric tests, 1585 laboratory tests (hemogram - biochemistry), and 508 computed tomography. The most common diagnoses were hearing loss (24.89%), followed by cerumen impaction (22.07%). Various surgical interventions were performed on 332 (2.65%) patients included in the study. Most common surgical operations were head/neck surgery (134 surgeries), and the most common surgical intervention was tracheotomy (46 patients).
Conclusion: Majority of geriatric patients are outpatients and frequently present with autological complaints. Surgical operation was performed to geriatric patients mostly due to oncological disorders.

Keywords

Geriatrics, Otorhinolaryngology, Epidemiology

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