Acil Serviste Geriatrik Psikiyatri Hastalarının Değerlendirilmesi

Abstract

Amac: Bilinen komorbiditelerin yanı sıra toplumda yaşlı nüfusun artmasından kaynaklanan komplikasyonlar nedeniyle acil servis (AS) başvuruları artan bir eğilim göstermektedir. Ayrıca psikiyatrik belirtileri olan acil servis başvuruları da sürekli artış göstermektedir. Bu doğrultuda, mevcut çalışmada, psikiyatrik semptomları olan geriatrik hastaların (>64 yaş) acil servis başvurularıyla ilişkili temel nedenlere odaklanıyoruz. Gereç ve Yöntem: Acil servisimize Şubat 2019-Ağustos 2019 tarihleri arasında psikiyatrik belirtilerle başvuran ve psikiyatri konsültasyonu yapılan hastalar geriye dönük olarak değerlendirildi. Hastaların demografik verileri, ek hastalıkları, bilinen psikiyatrik hastalıkları, başvuru semptomları ve sonuç tanıları kaydedildi. Bulgular: 65 yaş üstü erkek hastaların % 43.2'si, kadın hastaların ise % 43.3'ü en sık anksiyete şikayeti ile acil servisimize başvurdu. Yaşlı hastalarda intihar girişimi ile psikiyatrik hastalık varlığı arasında anlamlı bir ilişki saptanmadı (p=0.93). Deliryum bilinen herhangi bir psikiyatrik hastalığı olmayan geriatrik popülasyonda en sık görülen tanıydı (n=10). Acil psikiyatrik değerlendirme sonrasında tüm hastalara sırasıyla depresyon, deliryum ve demans tanısı konuldu. Sonuç: Psikiyatrik semptomları olan yaşlı hastalarda psikiyatrik muayene ile depresyon, deliryum ve demans tanısı konulduğunda sağlık maliyetleri ve morbidite-mortalite oranları önemli ölçüde azaltılabilir..

Keywords

• Yaşlanma
• acil tıp
• geriatrik psikiyatri

Evaluation of Geriatric Psychiatric Patients in The Emergency Department

Abstract

Objective: Besides the known co-morbidities, emergency department (ED) applications reveal an increasing trend due to the complications originating from the increase in the elderly population in the society. In addition, ED applications with psychiatric symptoms also continuously rise in numbers. Along these lines, in the current study, we focus on the fundamental causes associated with the ED applications of geriatric patients (> 64 years old ) with psychiatric symptoms. Materials and Methods: The patients who applied to our ED with psychiatric symptoms between February 2019 and August 2019 and who had a psychiatry consultation were evaluated retrospectively. The demographic data, co-morbidities, known psychiatric diseases, admission symptoms, and outcome diagnoses of the patients were recorded. The results were evaluated statistically. Results: A total of 43.2 % of male patients who were over the age of 65, and 43.3 % of female patients were admitted to our ED with the most common complaint of anxiety. No significant relations were detected between suicide attempts and the presence of psychiatric disease in elderly patients (p = 0.93). Delirium was the most common diagnosis in the geriatric population without any known psychiatric disease (n = 10). All patients were diagnosed with depression, delirium, and dementia, respectively, after the emergency psychiatric evaluation. Conclusion: Healthcare costs and morbidity-mortality rates of the senior patients with psychiatric symptoms can be significantly diminished upon the diagnosis of depression, delirium, and dementia via psychiatric examinations.

Keywords

• Aging
• emergency medicine
• geriatric psychiatry

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