65 Yaş Üstü Hastalarda Major Bir Problem: Dizziness

Yıl 2021, Cilt: 4 Sayı: 3, 84 - 92, 31.12.2021

Derya Ozdogru Mehmet Balal Şebnem Bıçakcı

https://doi.org/10.47141/geriatrik.1010339

Öz

Amaç: Dizziness, uzayda oryantasyon bozukluğu hissini tanımlamak için kullanılan bir terimdir. Halk arasında çok yaygındır ve prevalansı %11-32,5 olarak bilinmektedir. Bu oran ileri yaşla birlikte %60-70'lere kadar çıkmaktadır. Farklı mekanizmalardan kaynaklanan vertigo, dengesizlik, presenkop ve nonspesifik baş dönmesi hissi bu başlığa girer. Bu çalışmanın amacı 65 yaş ve üzeri dizziness şikayeti ile başvuran hastaların klinik özelliklerini belirlemektir.

Gereç ve Yöntemler: Ocak 2014-Ağustos 2016 tarihleri arasında Çukurova Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı polikliniğine dizziness nedeniyle başvuran 65 yaş üstü (52 kadın, 48 erkek) 100 hasta çalışmaya dahil edildi. Hastaların öyküleri, nörolojik ve nörotolojik muayeneleri, laboratuvar değerleri ve ileri tetkik sonuçları kaydedildi.

Bulgular: Hastaların yaş ortalaması 72,6 yıl (minimum: 65, maksimum: 91) olarak belirlendi. Olgular dört gruba ayrıldı. Alt grup analizinde vertigo grubunda 53 (%51), 21 presenkop (%20,2), 27 dengesizlik (%26), 3 nonspesifik sersemlik hissi (%2,8) hasta bulunmaktadır. Dört hastada birden fazla neden tespit edildi.

Sonuç: Baş dönmesi, hastaneye başvurmanın en yaygın nedenlerinden biridir ve özellikle geriatrik popülasyonda yaşam kalitesi üzerinde çok olumsuz bir etkiye sahiptir. Doğru teşhis ve tedavi, hastaların yaşam kalitesini arttırır ve merkezi sinir sistemi hastalıklarının erken tanınmasını sağlar.

Anahtar Kelimeler

dizziness, vertigo, dengesizlik, yaşlı, presenkop

Destekleyen Kurum

yok

Proje Numarası

yok

A Major Problem for Patients Over 65 Years of Age: Dizziness

Öz

Aim: Dizziness is a term used to describe the sense of disorientation in space. It is prevalent in public, and its prevalence is known to be 11-32.5%. This rate extends to 60-70% with advanced age. Vertigo, imbalance, presyncope, and nonspecific sensation of dizziness which originate from different mechanisms, fall within this title. The aim of this study was to determine the clinical characteristics of patients applying with dizziness aged 65 years and over.

Material and Methods: 100 patients over 65 years of age (52 female, 48 male) were admitted to the outpatient clinic of the Neurology Department of Çukurova University Faculty of Medicine between January 2014 and August 2016 due to dizziness included in the study. Mobility difficulty was accepted as an exclusion criterion. Patients' history, neurological and neurotological examinations, laboratory values, and further examination results were recorded.

Results: The patients' mean age was 72.6 years (minimum: 65, maximum: 91). Cases were divided into four groups. In the subgroup analysis, there are 53 patients in the vertigo group (51%), 21 in presyncope (20.2%), 27 in imbalance (26%), and 3 in nonspecific sensation of dizziness (2.8%). Multiple causes were identified in four patients.

Conclusion: Dizziness is one of the most common reasons for hospital admission and negatively impacts the quality of life, especially in the geriatric population. Accurate diagnosis and treatment increase patients' quality of life and provide early recognition of central nervous system diseases.

Anahtar Kelimeler

dizziness, vertigo, imbalance, older adults, presyncope

Proje Numarası

yok

Kaynakça

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