Öz
Amaç: Artan yaşlı nüfusla birlikte
yaşlı hastaların ağrı tedavisi ihtiyaçları artmaktadır. Bu yazıda, 65 yaşın
üzerindeki kanser olmayan nedenlerden dolayı ağrı şikayeti ile başvuran
hastaların klinik özelliklerini sunmayı amaçladık.
Materyal ve Metot: Selçuk Üniversitesi Tıp
Fakültesi Algoloji Kliniğine 01.01.2010 ve 31.05.2018 tarihleri arasında
başvuran 65 yaş üstü 642 hastanın verileri analiz edildi.
Bulgular: Hastaların medyan yaşı 72
(IQR: 67-78) idi ve % 62,8'i (n = 403) kadındı. Algoloji kliniğine ağrı ile
başvuran 65 yaş üstü hastalarda en sık görülen ağrı türü mekanik ağrı idi (%
54,9). Girişimsel tedavi hastaların % 39.9'una uygulandı. Tedaviye cevap
cinsiyet ve yaş grupları açısından karşılaştırıldığında fark bulunmadı.
Sonuç: Algoloji kliniğine başvuran
yaşlı hastalarda klinik özelliklerini belirleyerek daha hızlı ve etkili bir
ağrı tedavisi sağlanabilir.
Kaynakça
- Andersson HI, Ejlertsson G, Leden I, et al. Chronic pain in a geographically defined general population: Studies of differences in age, gender, social class, and pain localizaiton.Clin J Pain. 1993;9:174-182
- Hanks-Bell M, Halvey K, Paice JA. Pain assessment and management in aging. Online Journal of Issues in Nursing. 2004;9: 3
- Gökçe Kutsal Y. Ağrı In: Gökçe- Kutsal Y(ed). Temel Geriatri, Ankara, Güneş Kitabevi 2007 s:279-288
- Brattgerg G, Parker MG, Thorlund M. A longitudinal study of pain:reported pain from middle age to old age. Clin J Pain. 1997; 13:144-9
- Gallegher RM, Verma S, Mossey J. Chronic pain, Sources of late-life pain and risk factors for disability. Geriatrics. 2000;55:40-4,47
- Ersek M, Turner JA, Cain KC, et al. Chronic pain self-management for older adults: a randomized controlled trial [ISRCTN11899548]. Pain. 2008;138:29-40
- Fine PG. Chronic pain management in older adults: special considerations. J Pain Symptom Manage. 2009;38:4-14
- Wang SJ, Fuh JL, Lu SR, et al. Chronic daily headache in Chinese elderly:prevalence, risk factors, and biannual follow up. Neurology. 2000;54:314-319
- Prencipe M, Casini AR, Ferretti C, et al. Prevalence of headache in an elderly population: attack frequency, disability, and use of medication. J Neurol Neurosurg Psychiatry 2001;70:377-381
- Gloth MF 3rd. Pharmacological management of persistent pain in older persons: Focus on opioids and nonopioids. J Pain. 2011;12:14-20.
- Nikolaus T, Zeyfang A. Pharmalogical treatments for persistent non-malignant pain in older persons. Drug Aging. 2004;21:19-41
- Prager JP. Invasive modalities for the diagnosis and treatment of pain in the elderly. Clinics of Geriatric Medicine. 1996;12:549-61
- Özyalçın NS. Yaşlı hastalarda ağrı kontrolünde invaziv girişimler. Ağrı 2004;16(2):26-36
- Raj PP. Epidural steroid injections. In: Raj PP, ed. Practical Management of Pain, 3rd ed. St Louis : Mosby Inc 2000;732-43.
Öz
Aim: With the increasing elderly
population, the pain treatment needs of elderly patients increase. In this
article, we aimed to present the clinical features of the patients presenting
with pain due to non-cancerous causes over the age of 65 years.
Material and Methods: The data of 642
patients older than 65 years who were admitted to Selçuk University Algology clinic
between 01.01.2010 and 31.05.2018 were analyzed.
Results: The median age of the patients
was 72 (IQR: 67-78) years, and 62.8% (n=403) of the patients were female. The
most common type of pain we observed in patients over 65 years of age who
presented to algology clinic with pain was mechanical pain (54.9%). Interventional medication was applied in
39.9% of the patients. When the response to treatment was compared in terms of
gender and age groups, no difference was found.
Conclusion: By determining the clinical
features in elderly patients who applied to the algology clinic, faster and
effective pain relief can be provided.
Kaynakça
- Andersson HI, Ejlertsson G, Leden I, et al. Chronic pain in a geographically defined general population: Studies of differences in age, gender, social class, and pain localizaiton.Clin J Pain. 1993;9:174-182
- Hanks-Bell M, Halvey K, Paice JA. Pain assessment and management in aging. Online Journal of Issues in Nursing. 2004;9: 3
- Gökçe Kutsal Y. Ağrı In: Gökçe- Kutsal Y(ed). Temel Geriatri, Ankara, Güneş Kitabevi 2007 s:279-288
- Brattgerg G, Parker MG, Thorlund M. A longitudinal study of pain:reported pain from middle age to old age. Clin J Pain. 1997; 13:144-9
- Gallegher RM, Verma S, Mossey J. Chronic pain, Sources of late-life pain and risk factors for disability. Geriatrics. 2000;55:40-4,47
- Ersek M, Turner JA, Cain KC, et al. Chronic pain self-management for older adults: a randomized controlled trial [ISRCTN11899548]. Pain. 2008;138:29-40
- Fine PG. Chronic pain management in older adults: special considerations. J Pain Symptom Manage. 2009;38:4-14
- Wang SJ, Fuh JL, Lu SR, et al. Chronic daily headache in Chinese elderly:prevalence, risk factors, and biannual follow up. Neurology. 2000;54:314-319
- Prencipe M, Casini AR, Ferretti C, et al. Prevalence of headache in an elderly population: attack frequency, disability, and use of medication. J Neurol Neurosurg Psychiatry 2001;70:377-381
- Gloth MF 3rd. Pharmacological management of persistent pain in older persons: Focus on opioids and nonopioids. J Pain. 2011;12:14-20.
- Nikolaus T, Zeyfang A. Pharmalogical treatments for persistent non-malignant pain in older persons. Drug Aging. 2004;21:19-41
- Prager JP. Invasive modalities for the diagnosis and treatment of pain in the elderly. Clinics of Geriatric Medicine. 1996;12:549-61
- Özyalçın NS. Yaşlı hastalarda ağrı kontrolünde invaziv girişimler. Ağrı 2004;16(2):26-36
- Raj PP. Epidural steroid injections. In: Raj PP, ed. Practical Management of Pain, 3rd ed. St Louis : Mosby Inc 2000;732-43.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Anesteziyoloji |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2019 |
| Kabul Tarihi | 22 Nisan 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 2 Sayı: 1 |
