Analysis Of Forensic Geriatric Patients Admitted to Emergency Department

Yıl 2022, Cilt: 8 Sayı: 1, 55 - 62, 25.02.2022

Meltem Kökdener Latif Duran İskender Aksoy Mehmet Ekiz

https://doi.org/10.19127/mbsjohs.1026140

Öz

Objective: Today, geriatric individuals are experiencing more health problems due to physiopathology changes caused by old age. In this study, demographic properties and diagnosis and treatment process in emergency service of geriatric cases who were admitted to emergency service and filed judicial report.
Methods: In four years (2013-2016), 65 years and older who applied to the emergency department of a university hospital and the data of 737 patients whose forensic reports were prepared were investigated. Data of this study were obtained from patient files and automation system records. Socio-demographical properties (age, gender), reason to admit to emergency service, trauma type, duration of treatment in emergency service, type of treatment outcome, and department of admittance were investigated.
Results: Average age of 737 cases were 73.70±7.54 (Female/Male,309/428). 84% of the cases had come to the service with trauma, and the most common reason for trauma was fall (45.4%). Highest number of the cases were observed in summer and autumn. Most common pathology in the cases was fracture (37.3%). 38% of the cases were admitted to related clinics, 5.6% of the cases died, and 56.4% of the cases had outpatient treatment.
Conclusion: In this study, the most common cause of forensic reports in elderly patients admitted to the emergency department was trauma caused by falls (street or home) and the resulting fracture.

Anahtar Kelimeler

Elderly, Emergency department, Forensic case, Geriatrics

Analysis of Forensic Geriatric Patients Admitted to Emergency Department

Öz

Objective: Today, geriatric individuals are experiencing more health problems due to physiopathology changes caused by old age. In this study, demographic properties and diagnosis and treatment process in emergency service of geriatric cases who were admitted to emergency service and filed judicial report.
Methods: In four years (2013-2016), 65 years and older who applied to the emergency department of a university hospital and the data of 737 patients whose forensic reports were prepared were investigated. Data of this study were obtained from patient files and automation system records. Socio-demographical properties (age, gender), reason to admit to emergency service, trauma type, duration of treatment in emergency service, type of treatment outcome, and department of admittance were investigated.
Results: Average age of 737 cases were 73.70±7.54 (Female/Male,309/428). 84% of the cases had come to the service with trauma, and the most common reason for trauma was fall (45.4%). Highest number of the cases were observed in summer and autumn. Most common pathology in the cases was fracture (37.3%). 38% of the cases were admitted to related clinics, 5.6% of the cases died, and 56.4% of the cases had outpatient treatment.
Conclusion: In this study, the most common cause of forensic reports in elderly patients admitted to the emergency department was trauma caused by falls (street or home) and the resulting fracture.

Anahtar Kelimeler

Elderly, Emergency department, Forensic case, Geriatrics

Kaynakça

• 1. Ozcan S, Guzel R, Filiz K, Demir SC, Gocmen C, Ozeren A, et al. Evaluation of the “multidisciplinary approach to elderly individual module” which was performed to the 3rd class medical students at Cukurova University. Turkish Journal of Geriatrics. 2008;11(1):1-6.
• 2. Duyan V, Gelbal S. The adaptation of attitudes towards the elderly scale to Turkish with a group of university students. Turkish Journal of Geriatrics 2013;16(2):202-9.
• 3. Miller KE, Zylstra RG, Standridge JB. The geriatric patient: a systematic approach to maintaining health. American Family Physician. 2000;61(4):1089-104.
• 4. Korkmaz T, Erkol Z, Karamansoy N. A retrospective analysis of 65 years old and over forensic cases who were admitted to the emergency department. Turkish Journal of Geriatrics/Turk Geriatri Dergisi. 2014;17(3).
• 5. Baz U, Satar S, Kozaci S, Acikalin A, Gulen M, Karakurt U. Geriatric patient admissions to the emergency service. Eurasian Journal of Emergency Medicine. 2014;13(2):53-57
• 6. Bilgin NG, Mert E. The characteristics of geriatric forensic cases. Turkish Journal of Geriatrics. 2005;8(1):13-6.
• 7. Hildebrand F, Pape H, Horst K, Andruszkow H, Kobbe P, Simon T, et al. Impact of age on the clinical outcomes of major trauma. European journal of trauma and emergency surgery. 2016;42(3):317-32.
• 8. Gulhan R. Rational drug use in elderly. Okmeydani Tip Dergisi. 2013;29(2):99-105.
• 9. Cinarli T, Zeliha K. Effect of risk and fear of falling on quality of life and Daily living activities in elderly over 65. Gumushane University Journal of Health Sciences. 2015;4(4):660-79.
• 10. Tuncay SU, Ozdincler AR, Erdincler DS. The effect of risk factors for falls on activities of daily living and quality of life in geriatric patients. Turkish Journal of Geriatrics. 2011;14(3):245-52.
• 11. Hawk C, Hyland JK, Rupert R, Colonvega M, Hall S. Assessment of balance and risk for falls in a sample of community-dwelling adults aged 65 and older. Chiropractic & Osteopathy. 2006;14(1):1-8.
• 12. Tanrikulu Sen C, Tanrikulu MY. Analysis of trauma in geriatric population: A cross- sectional study. Yeni Tip Dergisi. 2013;30(2):100-4.
• 13. Durak D, Ural MN, Fedakar R, Gurses MS, Akan O, Turkmen İnanir N, et al. Medicolegal Evaluation of Elderly Trauma Patients. Adli Tip Bulteni. 2016;21(1):23-5.
• 14. Vogel JA, Ginde AA, Lowenstein SR, Betz ME. Emergency department visits by older adults for motor vehicle collisions. Western journal of emergency medicine. 2013;14(6):576-81.
• 15. Aktas C, Eren SH, Eryilmaz M. Effects of co-morbid disease and drug consumption on trauma patients 65 years of age and older: a university emergency department experience. Turkish journal of trauma & emergency surgery. 2008;14(4):313-7.
• 16. Yasar ZF, Buken E. Examination of Forensic Cases that are ConsultedBecause of Traffic Accident to the Başkent University Ankara Hospital. The Bulletin of Legal Medicine. 2015;20(3):132-7.
• 17. Kandis H, Karakus A, Katirci Y, Karapolat S, Kara IH. Geriatric population and forensic traumas. Turkish Journal of Geriatrics. 2011;14(3):193-8.
• 18. Kilic Ozturk Y, Duzenli E, Karaali C, Ozturk F. Physical violence among elderly: analysis of admissions to an emergency department. Turkish Journal of Trauma and Emergency Surgery. 2017;23(1):56-60.
• 19. Satar S, Sebe A, Avci A, Karakus A, İcme F. Yasli hasta ve acil servis. Cukurova Medical Journal. 2004;29(2):43-50.
• 20. Dagar S, Emektar Ea, Corbacioglu SK, Uzunosmanoglu H, Oztekin O, Cevik Y. Medico-Legal Evaluation of Geriatric Patients and Mortality Predictors in the Elderly with Forensic Trauma. Ankara Medical Journal. 2019;19(4):761-8.
• 21. Onur O, Guneysel O, Ünluer E, Denizbasi A, Akoǧlu H. Demographic characteristics of trauma patients of the Emergency Department of Marmara University Hospital. Marmara Medical Journal. 2005;18(3):113-22.
• 22. Guneytepe U, Aydin S, Gokgoz S, Ozguc H, Ocakoclu G, Akta H. The factors influencing the mortality in elderly trauma patients and scoring systems. Uludag Medical Journal. 2008;34:15-9.