Investigation of the Diagnostic Distribution in General Internal Medicine Patients over 65 Years Admitted and Followed Up at Our Clinic

Abstract

Objective: Geriatric population has been increasing in our country just like in overall growth worldwide. We aimed to investigate the final clinical diagnosis of the patients older than 65 years who has been admitted to our general internal medicine clinic. Material and method: Patients who were admitted to Sakarya University Training And Research Hospital general internal medicine inpatient clinic from 01/01/2011 to 31/12/2011 has been retrospectively investigated. There were 316 patients who were older than 65 years. Final diagnosis in all of these patients were evaluated. Results: 181 of 316 patients were female (57%) and 135 were male (43%). The mean age was 76±7 years. The most common admission diagnosis was anemia (189 patients, 60%), followed by hypertension(130 patients, 41.3%). Diabetes mellitus was detected in 110 patients (35%) and the least common diagnosis was acute renal failure which was detected in 1 patient (0.1%). Conclusion: Anemia, hypertension and diabetes mellitus has been the predominant diagnosis in patients over 65 years in our inpatient clinic.

Keywords

• Anemia, geriatri, diagnosis, hospitalized patient

İç Hastalıkları Kliniğinde Yatarak İzlenen 65 Yaş ve Üzeri Genel Dahiliye Hastalarında Tanısal Dağılımın Araştırılması

Abstract

Amaç: Dünya genelinde olduğu gibi ülkemizde de yaşlı nüfus sayısı hızla artmaktadır. Bu yazının amacı, genel dahiliye kliniğimizde yatarak tedavi gören tüm 65 yaş üzeri hastaların klinik son tanılarının incelenmesi amaçlanmıştır. Yöntem: 01.01.2011 - 31.12.2011 tarihleri arasında, Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi genel dahiliye kliniğine yatan tüm hastalar geriye dönük olarak incelendi. 65 yaş ve üzeri 316 hasta saptandı. Tüm geriatrik hastaların tanısal dağılımları değerlendirildi.Bulgular: İncelenen 316 olgunun %57 (181)'si kadın ve % 43 (135)'ü erkekti. Tüm hastaların yaş ortalaması 76 ±7 yıl idi. En sık yatış tanısı, tüm olguların % 60'ında (189) anemi olarak tespit edildi. İkinci sıklıkla yatış nedeni hipertansiyon olup, tüm olguların %41,3 (130)'ünde mevcuttu. Diyabetes mellitus tüm olgunun %35 (110)'inde saptanırken en az sıklıkta akut böbrek yetmezliği olguların %0,1 (1)'inde saptandı. Sonuçlar: Kliniğimizde yatan 65 yaş üzeri olgularda, anemi, hipertansiyon ve diyabet tanıları ön plana çıkmıştır.

Keywords

• Anemi, geriatri, tanı, yatan hasta

References

1. 1. http//www.tuik.gov.tr2011.
2. 2. World Health Organization, ageing and life course. Facts about ageing (www.who.int/ageing/en).
3. 3. Centers for Disease Control and Prevention Public health and aging: trends in aging- United States and worldwide. MMWR 2003; 52: 101-6.
4. 4. Başbakanlık Devlet İstatistik Enstitüsü Başkanlığı, www.die.gov. tr
5. 5. Smith DL. Anemia in the elderly. Am Fam Physician 2000; 62: 1565-72.
6. 6. Patel KV, Guralnik JM. Prognostic implications of anemia in older adults. Haematologica 2009; 94: 1-2.
7. 7. Chavews PH. Functional outcomes of anemia in older adults. Semin Hematol 2008; 45: 255-60.
8. 8. Thein M, Ershler WB, Artz AS, Tecson J, Robinson BE, Rothstein G, et al. Diminished quality of life and physical function in community-dwelling elderly with anemia. Medicine (Baltimore) 2009; 88: 107-14.

9. 9. Beghé C, Wilson A, Ershler WB. Prevalence and outcome of anemia in geriatrics: a systematic review of the literature. Am J Med 2004; 116: 3-10.
10. 10. Gaskell H, Derry S, Moore RA, McQuay HJ. Prevalence of anemia in older persons: systematic review. BMC Geriatrcs 2008; 8: 1 doi:10. 1186/1471-2318-8-1.
11. 11. Çoban E. The frequency and morphological distribution of anemia in elderly patients. Türk Geriatri Dergisi 2004; 7: 131-2
12. 12. Patel KV. Epidemiology of anemia in older adults. Semin Hematol 2008; 45: 210-7.
13. 13. Ulger Z, Cankurtana M. Yaşlı Hastalarda Hipertansiyona Yaklaşım. Güncel İç Hast Der, 2008;1(1):49-62
14. 14. Özkara A. Population-based cardiovascular risk factors in elderly Turkey:a cross-sectional survey.Central Eur J Med 2008 ,3:173-8
15. 15. Satman I, Yilmaz T, Sengül A, Salman S, Salman F, Uygur S et. al. population-based study of diabetes and risk characteristics in Turkey: results of the turkish diabetes epidemiology study (TURDEP). Diabetes Care. 2002;25(9):1551-6.
16. 16. Zipes DP, Evans JB, Cardiovascular Disease in the Elderly.Bonow RO,Mann DL,Zipes DP,Braunwald’sHeart Disease.9.Edition .Philedelphia,Elsever Saunders.2012:1745-1748.
17. 17. Marengoni A. Patterns of chronic multimorbidity in the elderly population. J Am Geriatr Soc 2009; 57: 225-30
18. 18. Kutsal Y. Yaşlılarda çoklu ilaç kullanımı. Turk J Geriatr Supplement, 2006 Özel Sayı, 2006; 37-44.
19. 19. Visvanathan R. Under-nutrition in older people: a serious and growing global problem.J Postgrad Med. 2003; 49(4):352-60
20. 20. Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, et. al.Mini-Nutri-tional Assessment International Group. Frequency of malnutrition in older adults: amultinational perspective using the mini nutritional assessment. J Am Geriatr Soc2010; 58:1734- 1738