Acil Servisten Hastaneye Yatırılan 65 Yaş Üstü Hastaların Bir Yıllık Retrospektif Analizi

Abstract

Amaç: Bu çalışmada, acil servisten hastaneye yatırılan 65 yaş üstü hastaların demografik ve klinik özelliklerinin değerlendirilmesi, yatış yerlerinin (servis veya yoğun bakım) ve yatış nedenlerinin (dahili veya travmatik) karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif tanımlayıcı çalışmada, 01.01.2024-31.12.2024 tarihleri arasında ikinci basamak olarak hizmet veren bir devlet hastanesi acil servisine başvurarak servise veya yoğun bakıma yatırılan 65 yaş ve üzeri hastalar incelendi. Hastaların yaş, cinsiyet, başvuru saati, başvuru tipi, teşhis sınıflaması ve yatış yerleri hastane elektronik verileri kullanılarak kaydedildi. Bulgular: Çalışmaya toplam 3.976 hasta dahil edildi. Hastaların %50,3’ü kadındı (n=2001). Ortalama yaş 77,43±7,90 yıl idi. Hastaların %74,7’si servise, %25,3’ü yoğun bakıma yatırıldı. Dahili hastalar (n=3517, %88,5), travmatik hastalardan (n=459, %11,5) belirgin olarak daha fazlaydı (x²=53,288, p<0,001). Kardiyovasküler (%17,8) ve solunumsal (%23,4) nedenler başlıca yatış sebepleriydi. Travmatik nedenlerle yatan hastaların %88,7’si serviste, %11,3’ü yoğun bakımda takip edildi. Dahili hastaların %72,9’u servise, %27,1’i yoğun bakıma yatırıldı. Sonuç: Yaşlı hastalarda hastaneye yatışların büyük kısmı dahili nedenlerle ve servis koşullarında gerçekleşmektedir. Ancak ileri yaş, çoklu komorbidite ve kardiyovasküler-sebep ilişkili başvurular yoğun bakım ihtiyacıyla anlamlı ilişkilidir.

Keywords

• acil servis
• yaşlı hasta
• hastaneye yatış
• yoğun bakım

Retrospective Analysis of Patients Aged 65 and Older Admitted to the Hospital from the Emergency Department

Abstract

Objective: This study aimed to evaluate the demographic and clinical characteristics of patients aged 65 years and older who were hospitalized from the emergency department and to compare hospitalization locations (ward or intensive care unit) and causes of admission (medical or traumatic). Material and Method: In this retrospective descriptive study, patients aged 65 years and older who were admitted to a hospital ward or intensive care unit after presenting to the emergency department of a secondary-level state hospital between January 1, 2024, and December 31, 2024, were analyzed. Patient age, sex, time of admission, type of presentation, diagnostic classification, and hospitalization location were recorded using hospital electronic records. Results: A total of 3,976 patients were included in the study. Of the patients, 50.3% were female (n=2001). The mean age was 77.43±7.90 years. Of all patients, 74.7% were admitted to hospital wards and 25.3% to intensive care units. Medical conditions (n=3517, 88.5%) were significantly more common than traumatic conditions (n=459, 11.5%) (χ²=53.288, p<0.001). Cardiovascular (17.8%) and respiratory (23.4%) diseases were the leading causes of hospitalization. Among patients hospitalized due to trauma, 88.7% were admitted to wards and 11.3% to intensive care units. Among patients with medical conditions, 72.9% were admitted to wards and 27.1% to intensive care units. Conclusion: Most hospitalizations among elderly patients occur due to medical conditions and are managed in hospital wards. However, advanced age, multiple comorbidities, and cardiovascular-related presentations are significantly associated with the need for intensive care.

Keywords

• Emergency department
• elderly patients
• hospital admission
• intensive care

References

1. Aksoy A, Göğebakan A, Kesaplı M, Kılıç D. Evaluation of demographic characteristics and quality indicators of patients aged 65 years and older presenting to the emergency department for non-traumatic reasons. Eurasian J Emerg Med. 2025;24(1):17–26. DOI:10.4274/eajem.galenos.2025.28909
2. Solakoğlu GA, Kanat BB. The effect of frailty scores and hospital score on 30-day hospital readmissions in geriatric patients admitted to the emergency department. Eur J Geriatr Gerontol. 2023;5(3):231–237. DOI: 10.4274/ejgg.galenos.2023.2023-4-1
3. Karan MA, Satman I, Atlı T, Öztürk GB, Cankurtaran M, Erdinçler DS, et al. Healthcare problems and possible solutions in older adults in Türkiye: geriatric syndromes and chronic diseases. Eur J Geriatr Gerontol. 2024;6(2):80–90. doi:10.4274/ejgg.galenos.2024.2023-11-1
4. Maryam C, Reza Fadaye V, Mahtab Alızadeh K, Farshad S, Reyhaneh A, Zahra V, et al. Role of frailty in prediction of hospitalized older adult patients’ outcomes: a prospective study. Turk J Med Sci. 2021;51(5):2324–2333. doi:10.3906/sag-2012-332
5. Karamercan MA, Dündar ZD, Ergin M, Meer OV, Body R, Harjola V, et al. Seasonal variations of patients presenting with dyspnea to emergency departments in Europe: results from the EURODEM study. Turk J Med Sci. 2020;50(8):1879–1886. doi:10.3906/sag-2002-221
6. Alpaslan M. Comparison of seasonal changes in patient hospitalizations in the emergency department. KSU Med Fac J. 2025;20(2):122–130.
7. Gómez-Galán R, López-Gil JF, Mendoza-Muñoz M, Carlos-Vivas J, Carvajal-Gil J, Muñoz-Bermejo L. Profile of users and adequacy of hospital emergency services in response to healthcare demand among population aged 65 years and over. Diseases. 2025;13(7):190. doi:10.3390/diseases13070190
8. Alpaslan M, Oktay M, Baykan N. Evaluation of patients aged 90 years and over who applied to the emergency department. MMJ. 2024;11(2):68–75. doi:10.47572/muskutd.1371126

9. Filomia S, Saponara G, Del Buono MG, d’Aiello A, Brecciaroli M, Pedicino D, et al. Admission reasons, procedures, and mortality of elderly patients in CICU: the SAGE-CICU study (Study on Acute Gaps in the Elderly – Cardiac Intensive Care Unit). Aging Clin Exp Res. 2025;37:224. doi:10.1007/s40520-025-03108-2
10. Jervis Somo L, Okobi OE, Asomugha-Okwara A, Osias K, Mordi PO, Enyeneokpon E, et al. Retrospective analysis of atypical chest pain presentations in older adults and their association with missed acute coronary syndrome diagnosis in the emergency department: NHAMCS-based study. Cureus. 2025;17(7):e88496. doi:10.7759/cureus.88496
11. Kara H, Bayir A, Ak A, Akinci M, Tufekci N, Degirmenci S, et al. Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study. Clin Interv Aging. 2014;9:17–21. doi:10.2147/CIA.S56542
12. Söz G, Karakaya Z. The evaluation of geriatric patients who presented with trauma to the emergency department. Arch Med Sci. 2019;15(5):1261–1268. doi:10.5114/aoms.2017.69636
13. Muscedere J, Waters B, Varambally A, Bagshaw SM, Boyd JG, Maslove D, et al. The impact of frailty on intensive care unit outcomes: a systematic review and meta-analysis. Intensive Care Med. 2017;43(8):1105–1122. doi:10.1007/s00134-017-4867-0
14. Bagshaw SM, Stelfox HT, McDermid RC, Rolfson DB, Tsuyuki RT, Baig N, et al. Association between frailty and short- and long-term outcomes among critically ill patients: a multicentre prospective cohort study. CMAJ. 2014;186(2):E95–E102. doi:10.1503/cmaj.130639
15. Erwander K, Ivarsson K, Olsson ML, Agvall B. Elderly patients with non-specific complaints at the emergency department have a high risk for admission and 30-day mortality. BMC Geriatr. 2024;24(1):5. doi:10.1186/s12877-023-04621-7