Acil Servise Geriatrik Hastaların 72 Saat İçerisindeki Tekrar Başvuruları

Year 2019, Volume: 3 Issue: 3, 267 - 271, 26.10.2019

Mehmet Ali Aslaner

https://doi.org/10.30565/medalanya.562963

Cited By: 3

Abstract

Amaç: Geriatrik hastaların acil servise (AS) üç gün içerisindeki tekrar başvuruları ile ilgili literatürde yeterli veri yoktur. Bu çalışma ile bu hastaların karakteristik özelliklerini belirlemek ve sonrasında 90 günlük mortalite sonuçlarını saptamak amaçlandı.

Gereç ve Yöntem: Bu retrospektif çalışma Ocak 2018 tarihinde ikinci basamak bir devlet hastanesi acil servisinde gerçekleştirildi. Hasta popülasyonu 65 yaş ve üzeri hastalardan seçildi. Hastaların ilk başvuru ve 72 saat içerisindeki ikinci başvuru kayıtları not edildi. 

Bulgular: Çalışma süresince 1422 geriatrik hasta AS’e başvurdu ve bu hastalar içerisinde 85 (%6) hasta 72 saat içerisinde tekrar AS’e başvurdu. Bu hastaların %54,1’i kadındı ve hastaların ortanca yaşı 74’tü (IQR 70-80). Tekrar başvuru yap-an geriatrik hastaların %77,6’sı (n=66) ilk başvurusu ile benzer şikâyetlere sahipti. Tekrar başvuruları farklı tanılarla gerçekleşen hastaların 90 günlük mortalite oranları, aynı tanı ile başvuranlara göre daha yüksek izlense de aradaki fark istatistiksel olarak anlamlı değildi (%26,3 ve %13,6; sırasıyla). Tüm tekrar başvurular içerisinde mortalite sonuçlarına bakıldığında, hastaların %16.5’inde (n=14) 90 gün içerisinde mortalite izlendi.

Sonuç: Geriatrik tekrar başvuru oranları literatürle kıyaslandığında bir miktar daha yüksek izlendi. Benzer tanılarla tekrar başvuru oranları oldukça yüksekti. Çalışma içerisinde yaklaşık her altı hastadan birinin 90 gün içerisinde mortalite ile sonuçlandığı görüldü.

Keywords

Geriatri, acil servis, tekrar başvurular

Revisits of Older Patients to the Emergency Department within 72 Hours

Abstract

Aim: There isn’t enough data in the literature regarding the revisits of geriatric patients to the emergency department (ED) within three days. This study was aimed to determine the characteristics of these patients and to determine the results of 90-day mortality.

Materials and Methods: This retrospective study was carried out in a secondary care emergency department of a state hospital on January 2018. The patient population was 65 years old and over. The first presentation records of revisited patients and the second revisit records within 72 hours were noted.

Results: During the study period, 1422 geriatric patients presented to the ED and 85 (6%) of them had ED revisit within 72 hours. Of all revisited patients, 54.1% were female and the median age was 74 (IQR 70-80). The rate of similar compliants for revisits was 77.6% (n=66). Although the 90-day mortality rate of patients with different diagnoses was higher than that with the same diagnoses, the difference was not statistically significant (26.3% and 13.6%, respectively). Of all revisited patients, mortality was observed in 16.5% (n=14) within 90 days.

Conclusion: Geriatric revisit rate within 72 hours was slightly higher when compared with those in the literature. Revisit rate with the similar diagnoses was quite high. Approx-imately one in six patients in the study had mortality within 90 days.

Keywords

geriatric, emergency department, revisit

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