Emergency Department Perspective on Geriatric Patients Presenting with Fall Complaints

Yıl 2024, , 182 - 189, 01.07.2024

Nezih Kavak , Nurgül Balcı

https://doi.org/10.18663/tjcl.1455184

Öz

Aims: Geriatric falls represent a rapidly growing public health concern worldwide. This study aims to evaluate geriatric patients presenting to the emergency department (ED) due to falls.
Materials and Methods: In this retrospective cross-sectional study, patients aged 65 and over who presented to the ED due to falls were evaluated in terms of age, gender, marital status, month of presentation, time of presentation, history of falls within the last year, manner of arrival, affected body region, departments consulted, radiological examinations conducted, previous history of falls, past medical history, hospitalization status, and mortality.
Results: Of the 1080 patients, 718 (66.48%) were female, with a median age of 77.00 (range 65-102). The patients were classified into two groups based on age; those between 65-74 years old as group 1, and those aged 75 and above as group 2. Group 1 comprised 435 patients (40.28%), while the group 2 included 645 patients (59.72%). 49.07% of the patients were married, and 47.87% were divorced/widowed. Among those divorced/widowed, 57.52% were above 75 years of age. Significant statistical associations were found between age groups and marital status, and between gender and marital status (p=0.000 for both). The most common complaints following a fall were related to the head-neck (21.35%) and leg-knee (16.64%) regions.
Conclusion: Our study indicates that age, gender, and marital status are significant risk factors in determining strategies related to falls in the elderly.

Anahtar Kelimeler

Fall, geriatrics, gender, marital status

Etik Beyan

This study adhered to the Helsinki Declaration guidelines, securing approval from the Etlik City Hospital ethical committee (2023/485).

Acil Servise Düşme Şikâyeti ile Başvuran Geriatrik Hastalara Bakış

Öz

Amaç: Geriatrik düşme dünya çapında hızla büyüyen bir halk sağlığı sorunudur. Bu çalışmanın amacı acil servise (AS) düşme nedeniyle başvuran geriatrik hastaları değerlendirmektir.
Gereç ve Yöntemler: Bu retrospektif kesitsel tipte çalışmada, AS e düşme nedeniyle başvuru yapan 65 yaş ve üstü hastaların yaşı, cinsiyeti, medeni hali, başvuru ayı, başvuru saati, son bir yıl içinde düşme hikayesi, geliş şekli, etkilenen vücut bölgesi, konsültasyon istenen birimler, yapılan radyolojik tetkikler, eski düşme öyküsü, özgeçmişindeki hastalıkları, yatış durumu ve mortalite değerlendirildi.
Bulgular: 1080 hastanın 718’i (%66,48) kadın, ortanca yaşı 77.00 (65-102) idi. Hastalar yaşlarına göre; 65-74 yaş aralığında olanlar grup 1 ve 75 yaş ve üstünde olanlar ise grup 2 olarak sınıflandırıldı. Grup 1 (65-74 yaş) hasta sayısı 435 (%40,28) iken grup 2 (75 yaş ve üstü) hasta sayısı 645 (%59.72) idi. Hastaların %49,07’si evli, %47.87’si ise boşanmış/dul idi. Boşanmış/dul olanların 75 yaş üstünde %57,52 oranındaydı. Yaş grupları ile medeni hal, cinsiyet ile medeni hal arasında istatistiksel olarak anlamlı sonuç bulundu (sırasıyla p=0.000, p=0.000). Hastaların düşme sonucunda şikayetleri en sık baş-boyun (%21,35) ve bacak-diz (%16,64) bölgelerinde idi.
Sonuç: Çalışmamız yaşlılarda düşme ile ilişkin stratejilerin belirlenmesi için yaş, cinsiyet ve medeni durumun risk faktörü olarak önemli olduğunu göstermektedir.

Anahtar Kelimeler

Düşme, geriatri, cinsiyet, medeni durum

Kaynakça

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