Araştırma Makalesi
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Analysis of Hospitalized Geriatric Patients from an Emergency Department

Yıl 2021, , 595 - 599, 17.09.2021
https://doi.org/10.16899/jcm.924038

Öz

Introduction: The increase in the geriatric population in industrialized countries also increases the rate at which this group utilizes emergency services. Evaluation of this patient group is not specific to a single discipline, but requires a multidisciplinary approach. Information obtained by examining emergency service use among geriatric patients can inform us of approaches to improve hospital efficiency and potentially reduce the morbidity and mortality rates.
Metarial and Method: This study investigated the retrospective records of geriatric patients who presented to emergency services during 2016 XXXTraining and Research Hospital, Turkey. Demographic characteristics, diagnoses, hospitalization rates, hospitalization according to clinics, seasonal characteristics, duration of hospital, and patient outcomes were evaluated. Study data were evaluated using the SPSS 20.00 statistical program.
Results: A total of 314.178 patients opted for emergency services during 2016, and 29.163 (9.2%) were 65 years old and older. Among these patients, 10.545 were hospitalized, of whom 4.246 (40.2%) were aged 65 years or older. The most frequently utilized hospital units were the cardiology (n = 723, 17.02%), the neurology (n = 717, 16.88%), and the chest diseases (n = 674, 15.87%).
Discussion and Conclusion : The geriatric population requires that necessary changes should be made in healthcare structures. Our study, which evaluates hospitalization rates and health status in geriatric population at a provincial which can also provide a regional level, can help in making patient admission, follow-up, and rehabilitation more comprehensive.

Kaynakça

  • 1. www.turkgeriatrivakfi.org.tr (Erişim tarihi 11.11.2020)
  • 2. Yaman H. The Effect of Sports to The Physiological Function In The Elderly, Turkish Journal of Geriatrics, 2003; 6 (4): 142-146.
  • 3. World Health Organization. Erişim: http://www.int/ country/tur/en
  • 4. www.tüik.gov.tr (Erişim tarihi 11.11.2020)
  • 5. Unsal A, Ayranci U, Cevik A, Metintas S, Arslantas D, Unluoglu I. Use of Emergency Departments by Elderly Patients in a City of Western Turkey. Eur J Emerg Med 2007; 14: 125-9.
  • 6. Strange GR. Use of Emergency Departments by elder patients: a five year follow up study. Acad. Emerg Med 1998; 5: 115.
  • 7. Aslan Ş, Atalay A, Kutsal Y. Drug Use In Elderly. Turk J Geriatr 2000; 3: 56-60.
  • 8. Kutsal Y. Polypharmacy In Elderly. Turkish Journal of Geriatrics 2006; 37-44.
  • 9. Berberoğlu U, Gül H, Eskiocak M, Ekuklu G, Saltık A. Some Socio-Demographic Specialities And Daily Activities Of The Elderly People According To The Katz Index Who Live In Edirne Rest House, Turkish Journal of Geriatrics 2002; 5: 144-9.
  • 10. Unsal A.,Çevik AA, Metintaşı S, Arslantaş C, Inan OC. Emergency Department visits by Elder Patients. Turkish Journal of Geriatrics 2003;6:83-88.
  • 11. Vanpee D, Swine C, Vandenbossche P, Gillet JB. Epidemiological profile of geriatric patients admitted to the emergency department of a university hospital localized in a rural area. Eur J Emerg Med 2001;8:301-304.
  • 12. Hu SC, Yen D, Yu YC, Kao WF, Wang LM. Elderly use of the ED in an Asian metropolis. Am J Emerg Med 1999;17:95-99.
  • 13. McLigeyo SO. The pattern of geriatric admissions in the medical wards at the Kenyatta National Hospital. East Afr Med J 1993;70:37-9
  • 14. Mert E. Use of emergency departments by elderly patients. Turk J Geriatr 2006; 9: 70-4.
  • 15. Kekeç Z, Koç F, Büyük S. Review of geriatric patients hospitalization in emergency department. The Journal of Academic Emergency Medicine 2009;8:21-4.
  • 16. Castella X, Mompart A, Perez G. [Hospital utilization for acute problems of the elderly. Catalonia, 1982-1990]. Gac Sanit 1997;! 1:259- 265.
  • 17. Lim KH, Yap KB .The presentation of elderly people at an emergency department in Singapore. Singapore Med J 1999;40:742-744.
  • 18. Hamdy RC, Forrest LJ, Moore SW, Cancellaro L. Use of emergency departments by the elderly in rural areas. South Med J 1997;90:616 620
  • 19. Singal BM, Hedges JR, Rousseau EW, Sanders AB, Berstein E, McNamara RM, et al. Geriatric patient emergency visits part I: comparison of visits by geriatric and younger patients. Ann Emerg Med 1992; 21: 802-7. 20. Hwang U, Morrison RS. The geriatric emergency department, model of geriatric care, quality improvement, and program dissemination. J Am Geriatr Soc 2007; 55: 1873-6.
  • 21. Graf CE, Zekry D, Giannelli S, Michel JP, Chevalley T. Comprenhensive geriatric assessment in the emergency department. JAGC 2010; 58: 2032-3.
  • 22. McCusker J, Dendukuri N, Tousignant P, Verdon J, Poulin de Courval L, Belzile E. Rapid two stage emergency department intervention for senior: impact on continuty of care. Acad Emerg Med 2003; 10: 233-43.
  • 23. Meldon SW, Mion LC, Palmer RM, Drew BL, Connor JT, Lewicki LJ. A Brief risk-stratification tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department. Acad Emerg Med 2003; 10: 224-32.
  • 24. McCusker J, Bellavance R, Cardin S, Trépanier S, Verdon J, Ardman O. Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool. J Am Geriatr Soc 1999; 47: 1229-37.

Acil Servis Başvurusu Sonrası Hastaneye Yatırılan Yaşlı Hasta Grubunun Analizi

Yıl 2021, , 595 - 599, 17.09.2021
https://doi.org/10.16899/jcm.924038

Öz

Amaç: Sanayileşmiş ülkelerde geriatrik yaş popülasyonunun artış göstermesi bu yaş grubu hastaların acil servislere başvuru oranını da arttırmaktadır. Ayrıca bu grubun değerlendirilmesi tek bir branşa özgü olmayıp multidisipliner bir yaklaşım gerektirmektedir. Dolayısıyla bu hasta grubunun acil servis başvurularının incelenmesiyle elde edilecek veriler müdahale zamanını kısaltabileceği gibi takiplerinde de hastane kaynaklarının verimli kullanılmasını ve bunun sonucunda morbidite ve mortalite oranlarını azaltılması için yol gösterici olabilir.

Gereç ve Yöntem: Bu çalışma XXX Eğitim Araştırma Hastanesi Acil Servisi’ne 01.01.2016 – 31.12.2016 tarihleri arasında başvuran geriatrik hastaların geriye dönük kayıtları incelenerek gerçekleştirilmiştir. İncelemede hastaların demografik özellikleri, tanıları, hastaneye yatış oranları, kliniklere göre dağılımı, mevsimsel özellikleri, hastanede yatış süreleri ve sonlanım durumları değerlendirilmeye alınmıştır. Çalışmada elde edilen veriler SPSS 20.00 programı kullanılarak değerlendirilmiştir.
Bulgular: Çalışmanın yapıldığı süre içerisinde acil servise yapılan başvuru sayısı 314.178 olup 29.163’ü (%9.2) atmış beş yaş ve üzeri olduğu tespit edildi. Bu dönem içerisinde acil servisten diğer servislere yatan hasta sayısı 10.545 olup, bunların 4246’sı (%40.2) 65 yaş ve üstü hasta grubunu oluşturdu. Yatış yapılan geriatrik hastaların klinik dağılımına bakıldığında en sık üç klinik kardiyoloji (n=723, %17.02), nöroloji (n= 717, %16.88) ve göğüs hastalıkları (n=674, %15.87) olarak tespit edildi.
Sonuç ve Tartışma: Geriatrik hasta popülasyonunun hastaneye başvuru ve yatış oranlarının bölgesel olarak belirlenip değerlendirilmesi, ihtiyaca göre gerekli sağlık yapılanmasına yol göstererek, bu hastaların yatışı, takibi ve rehabilitasyonlarının daha nitelikli yapılmasına yol gösterebilir.

Kaynakça

  • 1. www.turkgeriatrivakfi.org.tr (Erişim tarihi 11.11.2020)
  • 2. Yaman H. The Effect of Sports to The Physiological Function In The Elderly, Turkish Journal of Geriatrics, 2003; 6 (4): 142-146.
  • 3. World Health Organization. Erişim: http://www.int/ country/tur/en
  • 4. www.tüik.gov.tr (Erişim tarihi 11.11.2020)
  • 5. Unsal A, Ayranci U, Cevik A, Metintas S, Arslantas D, Unluoglu I. Use of Emergency Departments by Elderly Patients in a City of Western Turkey. Eur J Emerg Med 2007; 14: 125-9.
  • 6. Strange GR. Use of Emergency Departments by elder patients: a five year follow up study. Acad. Emerg Med 1998; 5: 115.
  • 7. Aslan Ş, Atalay A, Kutsal Y. Drug Use In Elderly. Turk J Geriatr 2000; 3: 56-60.
  • 8. Kutsal Y. Polypharmacy In Elderly. Turkish Journal of Geriatrics 2006; 37-44.
  • 9. Berberoğlu U, Gül H, Eskiocak M, Ekuklu G, Saltık A. Some Socio-Demographic Specialities And Daily Activities Of The Elderly People According To The Katz Index Who Live In Edirne Rest House, Turkish Journal of Geriatrics 2002; 5: 144-9.
  • 10. Unsal A.,Çevik AA, Metintaşı S, Arslantaş C, Inan OC. Emergency Department visits by Elder Patients. Turkish Journal of Geriatrics 2003;6:83-88.
  • 11. Vanpee D, Swine C, Vandenbossche P, Gillet JB. Epidemiological profile of geriatric patients admitted to the emergency department of a university hospital localized in a rural area. Eur J Emerg Med 2001;8:301-304.
  • 12. Hu SC, Yen D, Yu YC, Kao WF, Wang LM. Elderly use of the ED in an Asian metropolis. Am J Emerg Med 1999;17:95-99.
  • 13. McLigeyo SO. The pattern of geriatric admissions in the medical wards at the Kenyatta National Hospital. East Afr Med J 1993;70:37-9
  • 14. Mert E. Use of emergency departments by elderly patients. Turk J Geriatr 2006; 9: 70-4.
  • 15. Kekeç Z, Koç F, Büyük S. Review of geriatric patients hospitalization in emergency department. The Journal of Academic Emergency Medicine 2009;8:21-4.
  • 16. Castella X, Mompart A, Perez G. [Hospital utilization for acute problems of the elderly. Catalonia, 1982-1990]. Gac Sanit 1997;! 1:259- 265.
  • 17. Lim KH, Yap KB .The presentation of elderly people at an emergency department in Singapore. Singapore Med J 1999;40:742-744.
  • 18. Hamdy RC, Forrest LJ, Moore SW, Cancellaro L. Use of emergency departments by the elderly in rural areas. South Med J 1997;90:616 620
  • 19. Singal BM, Hedges JR, Rousseau EW, Sanders AB, Berstein E, McNamara RM, et al. Geriatric patient emergency visits part I: comparison of visits by geriatric and younger patients. Ann Emerg Med 1992; 21: 802-7. 20. Hwang U, Morrison RS. The geriatric emergency department, model of geriatric care, quality improvement, and program dissemination. J Am Geriatr Soc 2007; 55: 1873-6.
  • 21. Graf CE, Zekry D, Giannelli S, Michel JP, Chevalley T. Comprenhensive geriatric assessment in the emergency department. JAGC 2010; 58: 2032-3.
  • 22. McCusker J, Dendukuri N, Tousignant P, Verdon J, Poulin de Courval L, Belzile E. Rapid two stage emergency department intervention for senior: impact on continuty of care. Acad Emerg Med 2003; 10: 233-43.
  • 23. Meldon SW, Mion LC, Palmer RM, Drew BL, Connor JT, Lewicki LJ. A Brief risk-stratification tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department. Acad Emerg Med 2003; 10: 224-32.
  • 24. McCusker J, Bellavance R, Cardin S, Trépanier S, Verdon J, Ardman O. Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool. J Am Geriatr Soc 1999; 47: 1229-37.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Orjinal Araştırma
Yazarlar

Harun Yıldırım 0000-0002-9161-263X

Murtaza Kaya 0000-0003-4012-4131

Esref Genc 0000-0002-5340-0601

Emine Kadıoğlu 0000-0003-0950-0477

Yayımlanma Tarihi 17 Eylül 2021
Kabul Tarihi 14 Mayıs 2021
Yayımlandığı Sayı Yıl 2021

Kaynak Göster

AMA Yıldırım H, Kaya M, Genc E, Kadıoğlu E. Analysis of Hospitalized Geriatric Patients from an Emergency Department. J Contemp Med. Eylül 2021;11(5):595-599. doi:10.16899/jcm.924038