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Diagnostic characteristics of geriatric patients admitted to an otorhinolaryngology clinic

Year 2017, Volume: 27 Issue: 4, 173 - 178, 10.09.2017

Abstract

Objectives: This study aims to investigate the otorhinolaryngologic diagnostic characteristics of geriatric patients in terms of age, gender and the season of the year they were admitted in. Patients and Methods: A total of 2,938 geriatric patients admitted to our Otorhinolaryngology Clinic between January 2012 and June 2014 were included in this study. The patients’ charts were examined retrospectively to collect information concerning diagnosis, age, sex, and season at admission. Relationships between diagnoses and other characteristics were analyzed. Results: Of 2,938 patients, 1,516 were females mean age, 73.1±7.0 years and 1,422 were males mean age, 72.4±6.6 years range for all patients, 65-102 years . While impacted cerumen was more frequent in men, dizziness was significantly more frequent in women. Comparison of the patients aged 75 years and below 67.2% and over 75 years 32.8% revealed that infection p<0.001 , dizziness p=0.011 , and pain p=0.017 , tinnitus p<0.001 were more frequent in patients 75 years and below. Hearing loss p<0.001 and impacted cerumen p=0.014 were more frequent in patients over 75 years. There were no significant differences in the frequency of other diseases between the groups. Patients of infectious diseases were admitted more frequently in winter 33% and spring 31% p<0.001 each when infectious diseases are more frequent. Impacted cerumen was more frequent in spring and summer p<0.001 , rhinitis and hearing loss were more frequent in winter p<0.001 and p<0.001, respectively , and tinnitus was more frequent in spring p<0.001 . Conclusion: Studies on geriatric age group are useful for planning healthcare services. The need for the otolaryngologists who deal with geriatric age group will increase along with the increasing number of geriatric patients.

References

  • Mion LC, Palmer RM, Anetzberger GJ, Meldon SW. Establishing a case-finding and referral system for at-risk older individuals in the emergency department setting: the SIGNET model. J Am Geriatr Soc 2001;49:1379-86.
  • Samaras N, Chevalley T, Samaras D, Gold G. Older patients in the emergency department: a review. Ann Emerg Med 2010;56:261-9.
  • TÜİK, Elderly with statistics, 2014. Turkey Statistical Institute Publications, Ankara March 2015 MTB: 2015-091. Available from: http://www.tuik.gov.tr/ IcerikGetir.do?istab_id=265 [Accessed: 02.05.2016].
  • Gunduz T, Karbeyaz K, Ayranci U. Evaluation of the adjudicated incest cases in Turkey: difficulties in notification of incestuous relationships. J Forensic Sci 2011;56:438-43.
  • Baş Y, Kalkan G, Seçkin HY, Takcı Z, Şahin Ş, Demir AK. Analysis of dermatologic problems in geriatric patients. Turk J Dermatol 2014;8:95-100.
  • Loğoğlu A, Ayrık C, Köse A, Bozkurt S, Demir F, Narcı H, et al. Investigation of Demographic Characteristics of the emergency department of Foreign Geriatric Trauma Patients. Tr J Emerge Med 2013;13:171-9.
  • National Center for Health Statistics. Available from: http://www.cdc.gov/nchs/
  • National Institute on Deafness and Other Communication Disorders. Available from: http:// www.nicdcd. nih .gov
  • Calhoun KH. Eibling DE. Geriatric Otolaryngology. New York: Taylor & Francis; 2006. p. 59-76.
  • Mahoney DF. One simple solution to hearing impairment. Geriatr Nurs 1987;8:242-5.
  • Lewis-Cullinan C, Janken JK. Effect of cerumen removal on the hearing ability of geriatric patients. J Adv Nurs 1990;15:594-600.
  • Shulman A. Specific Etiologies of Tinnitus, the Aging Process, In: Shulman A, editor. Diagnosis and Treatment. 2nd ed. Philadelphia: Lea & Febiger; 1991. p. 382-7.
  • Lockwood AH, Salvi RJ, Burkard RF. Tinnitus. N Engl J Med 2002;347:904-10.
  • Katsarkas A. Dizziness in aging: a retrospective study of 1194 cases. Otolaryngol Head Neck Surg 1994;110:296-301.
  • Mouton CP, Bazaldua OV, Pierce B, Espino DV. Common infections in older adults. Am Fam Physician 2001;63:257-68.
  • Morais-Almeida M, Pite H, Pereira AM, Todo- Bom A, Nunes C, Bousquet J, et al. Prevalence and classification of rhinitis in the elderly: a nationwide survey in Portugal. Allergy 2013;68:1150-7.

Kulak burun boğaz polikliniklerine başvuran geriatrik hastaların tanısal özellikleri

Year 2017, Volume: 27 Issue: 4, 173 - 178, 10.09.2017

Abstract

Amaç: Bu çalışmada geriatrik hastaların kulak burun boğaz tanıları yaş, cinsiyet ve başvurulan mevsim özelikleri açısından araştırıldı.Hastalar ve Yöntemler: Ocak 2012 ve Haziran 2014 tarihleri arasında Kulak Burun Boğaz kliniğimize başvuran toplam 2,938 geriatrik hasta çalışmaya alındı. Hasta dosyalarındaki tanıları retrospektif olarak incelendi ve yaş, cinsiyet ve başvurdukları mevsimlere göre dağılımları incelendi. Tanılar ile diğer özellikler arasındaki ilişkiler analiz edildi.Bulgular: 2.938 hastanın, 1.516’sı kadın ort. yaş 73.1±7.0 yıl ve 1.422’si erkek ort. yaş 72.4±6.61 yıl dağılım tüm hatalar için, 65-102 yıl idi. Tıkayıcı kulak kiri, erkeklerde daha sık iken, baş dönmesinin kadınlarda daha sık olduğu görüldü. Hastaları 75 yaş ve altı %67.2 ve 75 yaş üstü %32.8 olarak karşılaştırdığımızda; enfeksiyon p

References

  • Mion LC, Palmer RM, Anetzberger GJ, Meldon SW. Establishing a case-finding and referral system for at-risk older individuals in the emergency department setting: the SIGNET model. J Am Geriatr Soc 2001;49:1379-86.
  • Samaras N, Chevalley T, Samaras D, Gold G. Older patients in the emergency department: a review. Ann Emerg Med 2010;56:261-9.
  • TÜİK, Elderly with statistics, 2014. Turkey Statistical Institute Publications, Ankara March 2015 MTB: 2015-091. Available from: http://www.tuik.gov.tr/ IcerikGetir.do?istab_id=265 [Accessed: 02.05.2016].
  • Gunduz T, Karbeyaz K, Ayranci U. Evaluation of the adjudicated incest cases in Turkey: difficulties in notification of incestuous relationships. J Forensic Sci 2011;56:438-43.
  • Baş Y, Kalkan G, Seçkin HY, Takcı Z, Şahin Ş, Demir AK. Analysis of dermatologic problems in geriatric patients. Turk J Dermatol 2014;8:95-100.
  • Loğoğlu A, Ayrık C, Köse A, Bozkurt S, Demir F, Narcı H, et al. Investigation of Demographic Characteristics of the emergency department of Foreign Geriatric Trauma Patients. Tr J Emerge Med 2013;13:171-9.
  • National Center for Health Statistics. Available from: http://www.cdc.gov/nchs/
  • National Institute on Deafness and Other Communication Disorders. Available from: http:// www.nicdcd. nih .gov
  • Calhoun KH. Eibling DE. Geriatric Otolaryngology. New York: Taylor & Francis; 2006. p. 59-76.
  • Mahoney DF. One simple solution to hearing impairment. Geriatr Nurs 1987;8:242-5.
  • Lewis-Cullinan C, Janken JK. Effect of cerumen removal on the hearing ability of geriatric patients. J Adv Nurs 1990;15:594-600.
  • Shulman A. Specific Etiologies of Tinnitus, the Aging Process, In: Shulman A, editor. Diagnosis and Treatment. 2nd ed. Philadelphia: Lea & Febiger; 1991. p. 382-7.
  • Lockwood AH, Salvi RJ, Burkard RF. Tinnitus. N Engl J Med 2002;347:904-10.
  • Katsarkas A. Dizziness in aging: a retrospective study of 1194 cases. Otolaryngol Head Neck Surg 1994;110:296-301.
  • Mouton CP, Bazaldua OV, Pierce B, Espino DV. Common infections in older adults. Am Fam Physician 2001;63:257-68.
  • Morais-Almeida M, Pite H, Pereira AM, Todo- Bom A, Nunes C, Bousquet J, et al. Prevalence and classification of rhinitis in the elderly: a nationwide survey in Portugal. Allergy 2013;68:1150-7.
There are 16 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Talih Özdaş This is me

Selda Kargın Kaytez This is me

Gülin Gökçen Kesici This is me

Publication Date September 10, 2017
Published in Issue Year 2017 Volume: 27 Issue: 4

Cite

APA Özdaş, T., Kargın Kaytez, S., & Kesici, G. G. (2017). Diagnostic characteristics of geriatric patients admitted to an otorhinolaryngology clinic. The Turkish Journal of Ear Nose and Throat, 27(4), 173-178.
AMA Özdaş T, Kargın Kaytez S, Kesici GG. Diagnostic characteristics of geriatric patients admitted to an otorhinolaryngology clinic. Tr-ENT. September 2017;27(4):173-178.
Chicago Özdaş, Talih, Selda Kargın Kaytez, and Gülin Gökçen Kesici. “Diagnostic Characteristics of Geriatric Patients Admitted to an Otorhinolaryngology Clinic”. The Turkish Journal of Ear Nose and Throat 27, no. 4 (September 2017): 173-78.
EndNote Özdaş T, Kargın Kaytez S, Kesici GG (September 1, 2017) Diagnostic characteristics of geriatric patients admitted to an otorhinolaryngology clinic. The Turkish Journal of Ear Nose and Throat 27 4 173–178.
IEEE T. Özdaş, S. Kargın Kaytez, and G. G. Kesici, “Diagnostic characteristics of geriatric patients admitted to an otorhinolaryngology clinic”, Tr-ENT, vol. 27, no. 4, pp. 173–178, 2017.
ISNAD Özdaş, Talih et al. “Diagnostic Characteristics of Geriatric Patients Admitted to an Otorhinolaryngology Clinic”. The Turkish Journal of Ear Nose and Throat 27/4 (September 2017), 173-178.
JAMA Özdaş T, Kargın Kaytez S, Kesici GG. Diagnostic characteristics of geriatric patients admitted to an otorhinolaryngology clinic. Tr-ENT. 2017;27:173–178.
MLA Özdaş, Talih et al. “Diagnostic Characteristics of Geriatric Patients Admitted to an Otorhinolaryngology Clinic”. The Turkish Journal of Ear Nose and Throat, vol. 27, no. 4, 2017, pp. 173-8.
Vancouver Özdaş T, Kargın Kaytez S, Kesici GG. Diagnostic characteristics of geriatric patients admitted to an otorhinolaryngology clinic. Tr-ENT. 2017;27(4):173-8.