Acil Servise Başvuran 90 Yaş ve Üstündeki Hastaların Değerlendirmesi

Year 2024, Volume: 11 Issue: 2, 68 - 75, 31.08.2024

Mustafa Alpaslan , Mehmet Oktay , Necmi Baykan

https://doi.org/10.47572/muskutd.1371126

Abstract

Dünyada yaşlı nüfus oranının her geçen gün arttığı görülmektedir. Bununla birlikte acil servislerde de yaşlı hasta başvurusu oranı artmaktadır. Bu çalışmada acil servise başvuran 90 yaş ve üstündeki hasta grubunu analiz etmek amaçlanmıştır. Bu çalışmada 01.01.2022-31.12.2022 tarihleri arasında ikinci basamak olarak hizmet veren bir sağlık kuruluşunun acil servisine başvuran 90 yaş ve üzerindeki hastaların retrospektif değerlendirmesi yapıldı. Hastalarda yaş, cinsiyet, başvuru zamanı, başvuru şikâyeti, tanı, en sık hasta yatırılan klinikler ve sonlanım şekilleri değerlendirildi. Sonuçlar ortalama±standart sapma (SS) veya frekans (yüzde) şeklinde verilmiş ve p<0.05 istatistikî olarak anlamlı kabul edilmiştir. Çalışmada 754 hasta değerlendirildi. Yaş ortalaması 92.4±2.38’di. Kadın hasta oranı (%70.7) daha fazlaydı. En çok başvuru hafta içi mesai saatlerinde ve yaz aylarında yapıldı. En sık başvuru nedenleri nefes darlığı, düşme ve karın ağrısı oldu. En sık pnömoni, ekstremite kırığı ve akut böbrek yetmezliği teşhisi konuldu. Hastalarda en sık görülen ek hastalık hipertansiyondu. Hastaların %72.2’si acil servisten taburcu edildi. En sık hasta yatırılan klinikler göğüs hastalıkları, dahiliye ve ortopedi oldu. Hastanede ortalama yatış süresi 6 (1-91) gün olmuştur. Acil serviste veya yatırıldığı klinikte ölümle sonlanan hasta sayısı 63’tür (%8.3). En sık ölüm nedeni pnömoni ve akut miyokard infarktüsü oldu. Çalışmamızda ileri yaşlı hastalarda en sık pnömoni teşhisi konulduğu görüldü. Acil servise kişinin genel durumunda bozulma ile başvuran geriatrik hasta popülasyonunda pnömoni olabileceği mutlaka düşünülmelidir.

Keywords

Acil Servis, Geriatri, Hospitalizasyon

Evaluation of Patients Aged 90 and Over Who Apply to the Emergency Department

Abstract

It is seen that the rate of elderly population in the world is increasing day by day. However, the rate of elderly patient admissions in emergency departments is also increasing. In this study, a group of patients over the age of 90 who admitted to the emergency department was analyzed. In this study, a retrospective evaluation was made of patients aged over 90 who admitted to the emergency department of a secondary care health institution between 01.01.2022 and 31.12.2022. The information about patients’ age, gender, time of acceptance, acceptance complaint, diagnosis, clinics where patients were most frequently admitted, and their results were evaluated. Results are presented as mean±standard deviation (SD) or frequency (percentage), and p<0.05 was considered statistically significant. 754 patients were evaluated in the study. The mean age was 92.4±2.38. The proportion of female patients was higher (70.7%). Most acceptance were made during weekday working hours and summer months. The most common reasons for accept were shortness of breath, falling and abdominal pain. The most common diagnoses were pneumonia, extremity fracture and acute renal failure. The most common co-morbidity in the patients was hypertension. 72.2% of the patients were discharged from the emergency department. The clinics where patients were most frequently admitted were chest diseases, internal medicine and orthopedics. The average length of hospitalization was 6 (1-91) days. The number of patients who died in the emergency department or in the hospitalized clinic was 63 (8.3%). The most common causes of death were pneumonia and acute myocardial infarction. In our study, pneumonia was diagnosed most frequently in elderly patients. Pneumonia should be considered in the geriatric patient population presenting to the emergency department with deterioration in general condition.

Keywords

Emergency Service, Geriatrics, Hospitalization

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