Prospective Analysis of Application Reasons of Alzheimer's Patients Applying to the Emergency Department

Yıl 2022, Cilt: 4 Sayı: 3, 79 - 83, 30.12.2022

Murat Aslan Halil İbrahim Çıkrıklar Vahide Aslıhan Durak Serhat Atmaca Suna Eraybar Hakan Çelebi Erol Armagan

https://doi.org/10.55994/ejcc.1198903

Öz

Background: The aim of this study is to analyze the reasons for admission of Alzheimer's patients who applied to the emergency services.
Methods: The study was conducted prospectively on patients with Alzheimer's disease who applied to the emergency departments of Bursa Uludag University Health Application and Research Center, Health Sciences University Bursa Yüksek İhtisas Training and Research Hospital and Bursa City Hospital between 01.07.2021 and 01.07.2022.
Results: A total of 248 patients, 103 male (41.5%) and 145 female (58.5%), were included in the study. It was determined that the three most common diagnoses received by the patients in the emergency department were pneumonia (17.7%), ischemic cerebrovascular disease (10.3%), and urinary system infection (9.3%). It was determined that 42.7% of the patients were hospitalized in clinical and 18.1% in intensive care units.
Conclusion: As a result, it was determined that the most common diagnoses of Alzheimer's patients admitted to the emergency department were pneumonia, ischemic cerebrovascular disease and urinary tract infection, respectively and more than half of all admitted patients had indications for hospitalization.

Anahtar Kelimeler

Alzheimer Disease, Emergency Department, Geriatric Patient

Kaynakça

• 1. Lam LCW, Leung T, Lui VWC, Leung VPY, Chiu HFK. Association between cognitive function, behavioral syndromes and two-year clinical outcome in Chinese subjects with late onset Alzheimer’s disease. Int. Psychogeriatrics. 2006;18(3):517-26.
• 2. Li ZB, Lin ZJ, Li N, Yu H, Wu YL, Shen X. Evaluation of retinal and choroidal changes in patients with Alzheimer’s type dementia using optical coherence tomography angiography. Int J Ophthalmol. 2021; 14(6): 860–868.
• 3. Scassellati C, Ciani M, Maj C, et al. Behavioral and Psychological Symptoms of Dementia (BPSD): Clinical Characterization and Genetic Correlates in an Italian Alzheimer’s Disease Cohort. J Pers Med. 2020;10(3):90.
• 4. Silva MVF, Loures CMG, Alves LCV, et al.Alzheimer’s disease: risk factors and potentially protective measures. J Biomed Sci. 2019;26(1):33.
• 5. Herrmann N, Chau SA, Kircanski I, Lanctôt KL. Current and emerging drug treatment options for Alzheimer’s disease: a systematic review. Drugs. 2011;71(15):2031-65.
• 6. Grief CL. Patterns of ED use and perceptions of the elderly regarding their emergency care: a synthesis of recent research. J Emerg Nurs. 2003;29(2):122-6.
• 7. George N, Bowman J, Aaronson E, Ouchi K. Past, present, and future of palliative care in emergency medicine in the USA. Acute Med Surg. 2020;7(1):497.
• 8. Gök UH, Orak OS, Yaman AY, Enginyurt Ö. Patient Related Disease Symptoms Suffered by Individuals Providing Home Care for Patients Diagnosed with Alzheimer’s. Ankara Med J. 2018;18(4):601-11.
• 9. Çilingiroğlu N, Demirel S. Aging and Ageism. Turkish Journal of Geriatrics. 2004;7 (4): 225-30.
• 10. Grief CL. Patterns of ED use and perceptions of the elderly regarding their emergency care: a synthesis of recent research. J Emerg Nurs. 2003;29(2):122-6.
• 11. Román GC, Tatemichi TK, Erkinjuntti T, et al. Vascular dementia: diagnostic criteria for research studies. Report of the NINDS-AIREN International Workshop. Neurology. 1993;43(2):250-60.
• 12. Cankurtaran M. Evaluation of risk factors in alzheimer type and vascular type dementia. (Master Thesis). Ankara: Hacettepe University; 2004.
• 13. Bilgili N, Kubilay G. Problems experienced by families giving care for the elderly. Health and Society. 2003;13:35-43. 14. Haley WE. The family caregiver’s role in Alzheimer’s disease. Neurology. 1997;48(6):25-9.
• 15. Poblador-Plou B, Calderón-Larrañaga A, Marta-Moreno J, et al. Comorbidity of dementia: a cross-sectional study of primary care older patients. BMC Psychiatry. 2014;14:84.
• 16. Koç OS, Dokuzlar Ö, Soysal P, Işık AT. Relationship Between Dementia and Comorbid Disease The Journal of Geriatric Science. 2018;1(2):32-9.
• 17. Gülalp B, Aldinç H, Karagün Ö, Çetinel Y. The complaint and outcome of geriatric patient in emergency department. Turkish J Emergency Medicine. 2009;9(2):73-7.
• 18. Veral S. Determining the Reasons and Frequency of Emergency Department Applications of Patients with the Diagnosis Alzheimer Disease Over the Age of 65 and Comparison of the Applications of the Patients Over the Age of 65 Whom Doesn't have Alzheimer Disease (Master Thesis). Bursa: Uludağ University; 2016.
• 19. Köse A, Köse B, Öncü MR, Tuğrul F. Admission appropriateness and profile of the patients attended to a state hospital emergency department Gaziantep Medical Journal. 2011;17(2):57-62.
• 20. Loğoğlu A. Investigation of elderly patients admited to emergency department (Master Thesis). Mersin: Mersin University; 2013.
• 21. Bozkurt S. Characteristik of geriatric patients in emergancy depertment (Master Thesis). İzmir: Dokuz Eylül Universty; 2005.
• 22. Özşaker E, Korkmaz F, Dölek M. Analyzing individual characteristics and admission causes of elderly patients to emergency departments. Turkish Journal of Geritarics. 2011;14(2):128-34.
• 23. Bedel C, Tomruk Ö. Properties of over the age of 65 years patients presenting to Süleyman Demirel University Faculty of Medicine Imergency Department. SDU Medical Faculty Journal. 2018;25(4):393-9.
• 24. Wofford JL, Schwartz E, Timerding BL, et al. Emergency department utilization by the elderly: analysis of the National Hospital Ambulatory Medical Care Survey. Acad Emerg Med. 1996;3(7):694-9.