Araştırma Makalesi
BibTex RIS Kaynak Göster

Demographic Features of Fall-Related Trauma in Geriatric Population in the Emergency Department: 5 Years Experience

Yıl 2019, Cilt: 13 Sayı: 3, 295 - 299, 20.09.2019
https://doi.org/10.21763/tjfmpc.609684

Öz

Introduction: Life expectancy increases throughout the world and it
was estimated that in 2020 nearly 12% of the Turkish population will be
categorized as elderly. Trauma, especially falls are important cause of
admission to emergency departments for elderly. This study evaluates the
demographical profile of fall-related emergency admissions of elderly for 5
years. Method: This study is a
retrospective cross-sectional study, carried out in elderly patients (≥65
years) admitted to the emergency department between January 2013 to 31 December
2017. A fall is defined as a situation coded as E880-E888 in ICD9 and W00-W19
in ICD 10 in an electronic database. 460 admissions met these inclusion
criteria. All of the demographical data were obtained from hospital records. Results: The rate of emergency
admission due to fall related trauma was %1.3 and this rate increase up to
11.84% in older patients group. The mean age of the group was 74.8±7.5 years,
and most of the patients have at least one underlying disease. Most of the
falls take place outside from home, summer and daytime. Only 1 death occurred
due to falls. Conclusion: Falls and
related injuries are an important public health problem due to growing elderly
population. In conclusion, nearly 1 in 6 elderly admitted to the emergency
department due to falls, and this rate is expected to increase. Preventive
measures must be taken to reduce these falls and related injuries and
epidemiological data should be gathered regularly and methodologically. 


 Giriş: Yaşam beklentisi tüm dünyada
artmaktadır, 2020 yılında Türk toplumunda yaşlı oranının %12 civarında olacağı
tahmin edilmektedir. Travmalar özellikle düşmeler yaşlı bireylerin acil servise
başvuruları için önemli bir nedendir. Bu çalışmada 5 yıl boyunca acil servise
düşme nedenli olarak başvuran yaşlıların demografik özellikleri
değerlendirilmiştir. Yöntem: Mevcut
geriye dönük kesitsel çalışma Ocak 2013-Aralık 2017 tarihleri arasında acil
servise başvuran yaşlılar (≥65 yaş) ile yürütülmüştür. Çalışmada düşme
elektronik veri tabanına ICD 9 kodlarına göre E880-E888 ve ICD 10 kodlarına
göre W00-W19 arasında kodlanan tanılar olarak kabul edilmiştir. Veri tabanından
elde edilen 460 hasta çalışmanın örneklemini oluşturmuştur. Tüm demografik
veriler hastane kayıtlarından elde edilmiştir. Bulgular: Acil servise başvurular içinde sadece %1,3 yer tutan
travma olgularının oranı yaşlı hasta grubunda %11,84’e yükselmektedir. Grubun
yaş ortalaması 74,8±7,4 yıldır, hastaların çoğunda altta yatan bir hastalık
bulunmaktadır. Düşmelerin büyük çoğunluğu ev dışında, yaz mevsiminde ve gündüz
gerçekleşmiştir. Düşme nedenli sadece 1 ölüm gerçekleşmiştir. Sonuç: Düşme ve ilişkili yaralanmalar
artan yaşlı nüfus nedeni ile önemli bir halk sağlığı sorunu olarak karşımıza
çıkmaktadır. Sonuç olarak her 6 yaşlıdan 1’i düşme nedenli olarak acil servise
başvurmaktadır, bu oranların artacağı düşünülmektedir. Düşme oranlarını
azaltıcı önleyici önlemlerin alınması ve sistemli ve düzenli olarak
epidemiyolojik verilerin toplanması yararlıdır.

Kaynakça

  • 1. Türkiye İstatistik Kurumu. Haber Bülteni, Bülten No:24638.(Erişim tarihi: 18.10.2018 In: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24638)
  • 2. Akoglu H, Denizbası A, Ünlüer E, Güneysel Ö, Onu Ö. Marmara Üniversitesi Hastanesi acil servisine başvuran travmalı hastaların demografik özellikleri. Marmara Medical Journal 2005;18(3):113-122.
  • 3. Kannus P, Sievan H, Palvanen M, Jarvien T, Parkkari J. Prevention of falls and consequent injuries in elderly people. Lancet. 2005;366(9500):1885–1893.
  • 4. Aydın AŞ, Bulut M, Fedakar R, Özgürer A, Özdemir F. Trauma in elderly patients in Bursa. Ulus Travma Acil Cerrahi Derg 2006;12(3):230-234.
  • 5. Kara H, Bayır A, Akıncı M, Tüfekci N,Degirmenci S, Azap M. Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study. Clinical Interventions in Aging 2014; 9:17-21.
  • 6. Yıldız M, Bozdemir MN, Kılıcaslan I, Atescelik M, Gürbüz S, Mutlu B et al. Elderly trauma: the two years experience of a university-affiliated emergency department. Eur Rev Med Pharmacol Sci 2012; 16(S1):62-67.
  • 7. Fuller GF. Falls in the elderly Am Fam Physician 2000;61(7):2159-2168.
  • 8. Gillespie LD, Robetson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2012; 12(9):CD007146.
  • 9. Todd C. Ballinger C, Whitehead S. Reviews of sociodemographic factors related to falls and environmental interventions to prevent falls amongst older people living in the community.(Erişim tarihi:18.10.2018 In:http://www.who.int/ageing/projects/3.Environmental%20and%20socioeconomic%20risk%20factors%20on%20falls.pdf)
  • 10. Aoyagi K, Ross PD, Davis JW, Wasnich RD, Hayashi T, Takemoto T-I. Falls among community-dwelling elderly in Japan. Journal of Bone and Mineral Research, 1998; 13: 1468-1474.
  • 11. Lawlor DA, Patel R, Ebrahim S. Association between falls in elderly women and chronic diseases and drug use: cross-sectional study. British Medical Journal. 2003; 327: 712-718.
  • 12. Lyons RA, Jones SJ, Deacon T, Heaven M. Socioeconomic variation in injury in children and older people: a population based study. Injury Prevention, 2003; 9: 33-37.
  • 13. Yoshida S. Epidemiology of Falls. WHO, Geneva,2008.pp 6.
  • 14. Anderson KE. Falls in the elderly. JR Coll Physicians Edinb 2008;38:138-143.
  • 15. Owens P.L. (AHRQ), Russo, C.A. (Thomson Reuters), Spector, W. (AHRQ) and Mutter, R. (AHRQ). Emergency Department Visits for Injurious Falls among the Elderly, 2006. HCUP Statistical Brief #80. October 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb80.pdf.
  • 16. Blumenthal J, Plummer E, Gambert S. Trauma in the elderly: causes and prevention. Clin Geriatr. 2010;8:21–24
  • 17. Isık AT, Cankurtaran M, Doruk H, Mas MR. Evaluation of falls in geriatric patients. Turk J Geriatr. 2006;9(1):45–50
  • 18. Campbell, A.J., et al., Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age Ageing, 1990. 19(2): p. 136-41.
  • 19. Adam SH, Eid HO, Barss P, et al. Epidemiology of geriatric trauma in United Arab Emirates. Arch Gerontol Geriatr. 2008;47:377–382. 20. Gowing R, Jain MK. Injury patterns and outcomes associated with elderly trauma victims in Kingston, Ontario. Can J Surg. 2007;50:437–444
  • 21. Alexander, B.H., F.P. Rivara, and M.E. Wolf, The cost and frequency of hospitalization for fall-related injuries in older adults. Am J Public Health, 1992. 82(7): p. 1020-3.
Yıl 2019, Cilt: 13 Sayı: 3, 295 - 299, 20.09.2019
https://doi.org/10.21763/tjfmpc.609684

Öz

Kaynakça

  • 1. Türkiye İstatistik Kurumu. Haber Bülteni, Bülten No:24638.(Erişim tarihi: 18.10.2018 In: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24638)
  • 2. Akoglu H, Denizbası A, Ünlüer E, Güneysel Ö, Onu Ö. Marmara Üniversitesi Hastanesi acil servisine başvuran travmalı hastaların demografik özellikleri. Marmara Medical Journal 2005;18(3):113-122.
  • 3. Kannus P, Sievan H, Palvanen M, Jarvien T, Parkkari J. Prevention of falls and consequent injuries in elderly people. Lancet. 2005;366(9500):1885–1893.
  • 4. Aydın AŞ, Bulut M, Fedakar R, Özgürer A, Özdemir F. Trauma in elderly patients in Bursa. Ulus Travma Acil Cerrahi Derg 2006;12(3):230-234.
  • 5. Kara H, Bayır A, Akıncı M, Tüfekci N,Degirmenci S, Azap M. Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study. Clinical Interventions in Aging 2014; 9:17-21.
  • 6. Yıldız M, Bozdemir MN, Kılıcaslan I, Atescelik M, Gürbüz S, Mutlu B et al. Elderly trauma: the two years experience of a university-affiliated emergency department. Eur Rev Med Pharmacol Sci 2012; 16(S1):62-67.
  • 7. Fuller GF. Falls in the elderly Am Fam Physician 2000;61(7):2159-2168.
  • 8. Gillespie LD, Robetson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2012; 12(9):CD007146.
  • 9. Todd C. Ballinger C, Whitehead S. Reviews of sociodemographic factors related to falls and environmental interventions to prevent falls amongst older people living in the community.(Erişim tarihi:18.10.2018 In:http://www.who.int/ageing/projects/3.Environmental%20and%20socioeconomic%20risk%20factors%20on%20falls.pdf)
  • 10. Aoyagi K, Ross PD, Davis JW, Wasnich RD, Hayashi T, Takemoto T-I. Falls among community-dwelling elderly in Japan. Journal of Bone and Mineral Research, 1998; 13: 1468-1474.
  • 11. Lawlor DA, Patel R, Ebrahim S. Association between falls in elderly women and chronic diseases and drug use: cross-sectional study. British Medical Journal. 2003; 327: 712-718.
  • 12. Lyons RA, Jones SJ, Deacon T, Heaven M. Socioeconomic variation in injury in children and older people: a population based study. Injury Prevention, 2003; 9: 33-37.
  • 13. Yoshida S. Epidemiology of Falls. WHO, Geneva,2008.pp 6.
  • 14. Anderson KE. Falls in the elderly. JR Coll Physicians Edinb 2008;38:138-143.
  • 15. Owens P.L. (AHRQ), Russo, C.A. (Thomson Reuters), Spector, W. (AHRQ) and Mutter, R. (AHRQ). Emergency Department Visits for Injurious Falls among the Elderly, 2006. HCUP Statistical Brief #80. October 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb80.pdf.
  • 16. Blumenthal J, Plummer E, Gambert S. Trauma in the elderly: causes and prevention. Clin Geriatr. 2010;8:21–24
  • 17. Isık AT, Cankurtaran M, Doruk H, Mas MR. Evaluation of falls in geriatric patients. Turk J Geriatr. 2006;9(1):45–50
  • 18. Campbell, A.J., et al., Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age Ageing, 1990. 19(2): p. 136-41.
  • 19. Adam SH, Eid HO, Barss P, et al. Epidemiology of geriatric trauma in United Arab Emirates. Arch Gerontol Geriatr. 2008;47:377–382. 20. Gowing R, Jain MK. Injury patterns and outcomes associated with elderly trauma victims in Kingston, Ontario. Can J Surg. 2007;50:437–444
  • 21. Alexander, B.H., F.P. Rivara, and M.E. Wolf, The cost and frequency of hospitalization for fall-related injuries in older adults. Am J Public Health, 1992. 82(7): p. 1020-3.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Orijinal Makaleler
Yazarlar

Erdem Türkseven Bu kişi benim

Can Öner Bu kişi benim

Engin Ersin Şimşek

Yayımlanma Tarihi 20 Eylül 2019
Gönderilme Tarihi 18 Ekim 2018
Yayımlandığı Sayı Yıl 2019 Cilt: 13 Sayı: 3

Kaynak Göster

Vancouver Türkseven E, Öner C, Şimşek EE. Demographic Features of Fall-Related Trauma in Geriatric Population in the Emergency Department: 5 Years Experience. TJFMPC. 2019;13(3):295-9.

Sağlığın ve birinci basamak bakımın anlaşılmasına ve geliştirilmesine katkıda bulunacak yeni bilgilere sahip yazarların İngilizce veya Türkçe makaleleri memnuniyetle karşılanmaktadır.