Acil Servisten Hastaneye Yatırılan 65 Yaş Üstü Hastaların Bir Yıllık Retrospektif Analizi

Öz

Amaç: Bu çalışmada, acil servisten hastaneye yatırılan 65 yaş üstü hastaların demografik ve klinik özelliklerinin değerlendirilmesi, yatış yerlerinin (servis veya yoğun bakım) ve yatış nedenlerinin (dahili veya travmatik) karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif tanımlayıcı çalışmada, 01.01.2024-31.12.2024 tarihleri arasında ikinci basamak olarak hizmet veren bir devlet hastanesi acil servisine başvurarak servise veya yoğun bakıma yatırılan 65 yaş ve üzeri hastalar incelendi. Hastaların yaş, cinsiyet, başvuru saati, başvuru tipi, teşhis sınıflaması ve yatış yerleri hastane elektronik verileri kullanılarak kaydedildi. Bulgular: Çalışmaya toplam 3.976 hasta dahil edildi. Hastaların %50,3’ü kadındı (n=2001). Ortalama yaş 77,43±7,90 yıl idi. Hastaların %74,7’si servise, %25,3’ü yoğun bakıma yatırıldı. Dahili hastalar (n=3517, %88,5), travmatik hastalardan (n=459, %11,5) belirgin olarak daha fazlaydı (x²=53,288, p<0,001). Kardiyovasküler (%17,8) ve solunumsal (%23,4) nedenler başlıca yatış sebepleriydi. Travmatik nedenlerle yatan hastaların %88,7’si serviste, %11,3’ü yoğun bakımda takip edildi. Dahili hastaların %72,9’u servise, %27,1’i yoğun bakıma yatırıldı. Sonuç: Yaşlı hastalarda hastaneye yatışların büyük kısmı dahili nedenlerle ve servis koşullarında gerçekleşmektedir. Ancak ileri yaş, çoklu komorbidite ve kardiyovasküler-sebep ilişkili başvurular yoğun bakım ihtiyacıyla anlamlı ilişkilidir.

Anahtar Kelimeler

• acil servis
• yaşlı hasta
• hastaneye yatış
• yoğun bakım

Retrospective Analysis of Patients Aged 65 and Older Admitted to the Hospital from the Emergency Department

Öz

Objective: This study aimed to evaluate the demographic and clinical characteristics of patients aged 65 years and older who were hospitalized from the emergency department and to compare hospitalization locations (ward or intensive care unit) and causes of admission (medical or traumatic). Material and Method: In this retrospective descriptive study, patients aged 65 years and older who were admitted to a hospital ward or intensive care unit after presenting to the emergency department of a secondary-level state hospital between January 1, 2024, and December 31, 2024, were analyzed. Patient age, sex, time of admission, type of presentation, diagnostic classification, and hospitalization location were recorded using hospital electronic records. Results: A total of 3,976 patients were included in the study. Of the patients, 50.3% were female (n=2001). The mean age was 77.43±7.90 years. Of all patients, 74.7% were admitted to hospital wards and 25.3% to intensive care units. Medical conditions (n=3517, 88.5%) were significantly more common than traumatic conditions (n=459, 11.5%) (χ²=53.288, p<0.001). Cardiovascular (17.8%) and respiratory (23.4%) diseases were the leading causes of hospitalization. Among patients hospitalized due to trauma, 88.7% were admitted to wards and 11.3% to intensive care units. Among patients with medical conditions, 72.9% were admitted to wards and 27.1% to intensive care units. Conclusion: Most hospitalizations among elderly patients occur due to medical conditions and are managed in hospital wards. However, advanced age, multiple comorbidities, and cardiovascular-related presentations are significantly associated with the need for intensive care.

Anahtar Kelimeler

• Emergency department
• elderly patients
• hospital admission
• intensive care

Kaynakça

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