sdü tıp fak derg

Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.953443

Clinical Sciences

Klinik Tıp Bilimleri

EVALUATION OF GERIATRIC PATIENTS THAT ADMITTED TO THE EMERGENCY DEPARTMENT WITH ACUTE ABDOMINAL PAIN

ACİL SERVİSE AKUT KARIN AĞRISI İLE BAŞVURAN GERİATRİK HASTALARIN DEĞERLENDİRİLMESİ

https://orcid.org/0000-0003-2751-0046

Kavak

Nezih

University of Health Sciences Dışkapi Yıldırım Beyazıt Training and Research Hospital, Emergency Department, Ankara, Turkey.

https://orcid.org/0000-0003-2529-2946

Kavalcı

Cemil

University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Emergency Department, Ankara, Turkey

03 01 2022

29 1 37 46 06 20 2021 10 26 2021

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

ObjectiveThe goal of the study is to investigate demographicfindings, clinical characteristics, radiologicalexamination methods, and mortality rate of geriatricpatients (aged 65 and above) with non-traumatic acuteabdominal pain, that were admitted to the emergencydepartment (ED).Materials and Methods2253 patients included in the study were divided by ageas patients aged 65 to 74 years and patients aged 75years and above. Gender, comorbidity, concomitantcomplaints examination findings (tenderness defense,rebound), radiological examination methods (radiography,ultrasonography, and computed tomography),diagnoses, treatments (medical, surgical), discharge,and mortality rate were compared between thesepatients.ResultsOf the patients, 62.3% were female, and the meanage was 72.2±5.1 years (65-88). While 59.4% ofthe patients were in the 65–74 age group, 40.6% ofthem were aged 75 years and above. Hypertension,diabetes mellitus, dementia/Alzheimer's disease,atrial fibrillation were significantly higher in the aged65 to 74 years patients (p

AmaçBu çalışmanın amacı acil servise (AS) nontravmatikakut karın ağrısı ile başvuran 65 yaş ve üzeri geriatrikhastaların demografik bulgularını, klinik özelliklerini,radyolojik inceleme yöntemlerini ve mortalite oranlarınıdeğerlendirmektir.Gereç ve YöntemÇalışmaya dahil edilen 2253 hasta yaş aralıklarınagöre; 65-74 ve 75 yaş ve üzeri olarak ayrıldı. Cinsiyet,komorbidite, eşlik eden şikayetler, muayene bulguları(hassasiyet, defans, rebound), radyolojik incelemeyöntemleri (radyografi, ultrasonografi ve bilgisayarlıtomografi), tanılar, tedaviler (tıbbi, cerrahi), taburculukve mortalite oranları karşılaştırıldı.BulgularHastaların %62.3'ü kadın olup, yaş ortalaması72.2±5.1 yıl (65-88) idi. Hastaların %59,4'ü 65-74yaş aralığında iken, %40,6'sı 75 yaş ve üzerinde idi.Hipertansiyon, diabetes mellitus, demans/Alzheimerhastalığı, atriyal fibrilasyon 65-74 yaş aralığındakihastalarda anlamlı olarak daha yüksekti (p

Abdominal pain geriatric patient emergency department

Karın ağrısı geriatrik hasta acil servis

1. Gans SL, Pols MA, Stoker J, Boermeester MA; expert steering group. Guideline for the diagnostic pathway in patients with acute abdominal pain. Dig Surg. 2015;32(1):23-31

2. Caporale N, Morselli-Labate AM, Nardi E, Cogliandro R, Cavazza M, Stanghellini V. Acute abdominal pain in the emergency department of a university hospital in Italy. United European Gastroenterol J. 2016 Apr;4(2):297-304. doi: 10.1177/2050640615606012.

3. Ellis G, Marshall T, Ritchie C. Comprehensive geriatric assessment in the emergency department. Clin Interv Aging. 2014;9:2033-43.

4. Henden Çam P, Baydin A, Yürüker S, Erenler AK, Şengüldür E. Investigation of Geriatric Patients with Abdominal Pain Admitted to Emergency Department. Curr Gerontol Geriatr Res. 2018;2018:9109326.

5. Fagbohun CF, Toy EC, Baker I. The evaluation of acute abdominal pain in the elderly patient. BJPCUfOG, 1999; 6(6):181-5.

6. Gardner RL, Almeida R, Maselli JH, Auerbach A. Does gender influence emergency department management and outcomes in geriatric abdominal pain? J Emerg Med. 2010 Sep;39(3):275-81.

7. Leuthauser A, McVane B. Abdominal Pain in the Geriatric Patient. Emerg Med Clin North Am. 2016;34(2):363-75.

8. Samaras N, Chevalley T, Samaras D, Gold G. Older patients in the emergency department: a review. Ann Emerg Med. 2010;56(3):261-9.

9. Durukan P, Çevik Y, Yıldız M. Acil servise karın ağrısı ile başvuran yaşlı hastaların değerlendirilmesi. Turkish journal of geriatrics 2005;8:111-14.

10. Mert D, Durak V, Özdemir F, Armağan E. Acil Servise Karın Ağrısı Şikayeti ile Başvuran 45-64 Yaş ile 65 Yaş ve Üzeri Hastaların Karşılaştırılması ve Tanılarının Fizyolojik Değişikliklerle İlişkisinin Değerlendirilmesi. Uludağ Tıp Derg. 2017; 43(1): 7-12.

11. Bilgili MA, Öncü MR. Evaluation of Geriatric Patients Applying to the Emergency Department. Van Med J. 2021; 28(1): 77-83.

12. Pappas A, Toutouni H, Gourgiotis S, Seretis C, Koukoutsis I, Chrysikos I, et al. Comparative approach to non-traumatic acute abdominal pain between elderly and non-elderly in the emergency department: a study in rural Greece. J Clin Med Res. 2013;5(4):300-4.

13. Lewis LM, Banet GA, Blanda M, Hustey FM, Meldon SW, Gerson LW. Etiology and clinical course of abdominal pain in senior patients: a prospective, multicenter study. J Gerontol A Biol Sci Med Sci. 2005;60(8):1071-6. doi: 10.1093/gerona/60.8.1071.

14. Laurell H, Hansson LE, Gunnarsson U. Acute abdominal pain among elderly patients. Gerontology. 2006;52(6):339-44.

15. Bedel C, Tomruk Ö. Bir Universite Acil Servisine Başvuran Geriatrik Hastaların Ozellikleri. SDU Tıp Fakültesi Dergisi. 2018;25(4):393-99.

16. Hustey FM, Meldon SW, Banet GA, Gerson LW, Blanda M, Lewis LM. The use of abdominal computed tomography in older ED patients with acute abdominal pain. Am J Emerg Med. 2005;23(3):259-65.

17. Pérez-Hernández JL, Teuffer-Carrion LT, Díaz-Aldana EV, Hernández- Guerrero S, Morón-Ventura P, Nieves-Durán M, et al. Dolor abdominal agudo en pacientes geriátricos evaluados en el servicio de urgencias en un hospital de tercer nivel [Acute abdominal pain in elderly patients evaluated in the emergency department at a tertiary level]. Rev Gastroenterol Mex. 2010;75(3):261-6.

18. Dündar ZD, Ayrancı MK. Karın Ağrısı Şikayetiyle Acil Servise Başvuran Geriatrik Hastaların Demografik Özelliklerinin ve Prognozlarının Değerlendirilmesi. Selcuk Med 2021;37(1): 45-51.

19. Magidson PD, Martinez JP. Abdominal Pain in the Geriatric Patient. Emerg Med Clin North Am. 2016;34(3):559-74. doi: 10.1016/j.emc.2016.04.008.

20. Öncül MV, Dağar S, Emektar E, Çorbacıoğlu ŞK, Aytar H, Çevik Y. Effects of Systemic Inflammatory Parameters on Mortality in Elderly Patients Admitted to Emergency Department with Abdominal Pain. İstanbul Med J 2019; 20(2):125-9.

21. Velissaris D, Karanikolas M, Pantzaris N, Kipourgos G, Bampalis V, Karanikola K, Fafliora E, Apostolopoulou C, Gogos C. Acute Abdominal Pain Assessment in the Emergency Department: The Experience of a Greek University Hospital. J Clin Med Res. 2017;9(12):987-993. doi: 10.14740/jocmr3206w.

22. Lyon C, Clark DC. Diagnosis of acute abdominal pain in older patients. Am Fam Physician. 1;74(9):1537-44.

23. Spangler R, Van Pham T, Khoujah D, Martinez JP. Abdominal emergencies in the geriatric patient. Int J Emerg Med. 2014;7:43. doi:10.1186/s12245-014-0043-2.

24. Kalyani RR, Corriere M, Ferrucci L. Age-related and disease- related muscle loss: the effect of diabetes, obesity, and other diseases. Lancet Diabetes Endocrinol. 2014;2(10):819- 829. doi:10.1016/S2213-8587(14)70034-8.

25. Miettinen P, Pasanen P, Lahtinen J, Alhava E. Acute abdominal pain in adults. Ann Chir Gynaecol. 1996;85(1):5-9.

26. Lamsal D, Bhandari J. Status of Geriatric Patients with Abdominal Pain Presented To Emergency Department. Journal of Chitwan Medical College, 2019;9(2), 90-6.

27. Torrance AD, Powell SL, Griffiths EA. Emergency surgery in the elderly: challenges and solutions. Open Access Emerg Med. 2015;7:55-68. doi:10.2147/OAEM.S68324.

28. Dumic I, Nordin T, Jecmenica M, Stojkovic Lalosevic M, Milosavljevic T, Milovanovic T. Gastrointestinal Tract Disorders in Older Age. Can J Gastroenterol Hepatol. 2019:6757524. doi: 10.1155/2019/6757524.

29. Omari AH, Khammash MR, Qasaimeh GR, Shammari AK, Yaseen MK, Hammori SK. Acute appendicitis in the elderly: risk factors for perforation. World J Emerg Surg. 2014;9(1):6.

30. Gardner CS, Jaffe TA, Nelson RC. Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain. Abdom Imaging. 2015;40(7):2877-82.

31. Chang CC, Wang SS. Acute abdominal pain in the elderly. International Journal of Gerontology 2007;1(2):77-82.