Evaluation of risk factors and screening of abdominal aort anevrism in patients admitted to the emergency department with over the age of 65

Öz

Background: A significant number of applications
to emergency services consists of elderly patients.
Elderly patients are at increased risk for abdominal
aortic aneurysms. Therefore, we measured the
diameter of the aorta in patients over the age of 65
and compared with the risk factors
Method: 150 patients, over 65 years old were
included in the study. The patients with trauma or
with any complaints or findings vascular disease,
have not been included in the study. Aortic
diameters were measured from separation zone of
the renal artery and the iliac bifurcation and the
remaining areas of the aorta were evaluated with
scanning. The data was evaluated with SPSS 20.0
statistical software and t-test, chi-square tests were
applied.
Results: 3 of the patients, 2 women and a man,
were identified AAA. Aortic diameters larger than
in the smokers compared to nonsmokers. (p<0,01)
Aortic diameters compared with other risk factors,
there were no statistically significant difference.
Conclusion: In our study, AAA has been found in
3 of 150 asymptomatic patients. Smoking and age
were found to be the most important risk factor for
AAA. Screening of AAA patients with bedside
ultrasound will allow early detection of AAA and
contribute to the reduction of mortality.

Anahtar Kelimeler

• abdominal aortic aneurysm
• scanning
• bedside ultrasound

ACİL SERVİSE BAŞVURAN 65 YAŞ ÜSTÜ HASTALARDA ABDOMİNAL AORT ANEVRİZMA TARAMASI VE RİSK FAKTÖRLERİNİN DEĞERLENDİRİLMESİ

Öz

Amaç:Acil servislere başvuruların önemli bir
kısmını oluşturan yaşlı hastalarda abdominal aort
anevrizma riski fazladır. Bu sebeple 65 yaş ve üzeri
hastaların aort çapı ölçülerek risk faktörleri ile
birlikte değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem:65 yaş ve üzeri 150 hasta
çalışmaya dahil edildi. Travma ile acil servise
gelenler, vasküler olabilecek şikayet veya bulgu ile
gelenler çalışmaya dahil edilmedi. Hastaların renal
arter ayrım yerinden ve iliak bifurkasyo üzerinden
olmak üzere iki yerden aort çapları ölçülmüştür ve
aort boylu boyunca taranarak diğer arada kalan
alanlar da değerlendirildi. Veriler SPSS 20.0
istatistik programı ile değerlendirilmiş ve t-test, kikare
testleri uygulandı.

Bulgular:Abdominal aort anevrizması (AAA)
tesbit edilen 3 hastanın 2’si kadın cinsiyette idi.
Aort çapları sigara içen hastalarda içmeyenlere göre
daha geniştir(p<0,01). Diğer risk faktörleri ile aort
çaplarının kıyaslamasında istatistikî olarak anlamlı
fark saptanmadı.
Sonuç:Çalışmamızda 150 asemptomatik hastadan 3
kişide AAA tesbit edilmiştir. Sigara içimi ve yaşın
en önemli risk faktörü olduğu görülmüştür. AAA’lı
hastaların yatak başı USG ile taranması AAA için
erken teşhis olanağı sağlayacak ve mortalitenin
azaltılmasına katkıda bulunacaktır.

Anahtar Kelimeler

• abdominal aort anevrizması
• tarama
• yatak başı ultrasonografi

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