Araştırma Makalesi
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Determination of the Geriatric Patient Profile Admitting to the Emergency Department

Yıl 2022, Cilt: 5 Sayı: 3, 72 - 80, 31.12.2022
https://doi.org/10.47141/geriatrik.1202842

Öz

Aim: The study was conducted to determine the characteristics and reasons for the admission of elderly patients who admitted to the emergency department.

Material and Methods:
The research was conducted in the form of face-to-face interviews with 123 patients over the age of 65 who admitted to the emergency department of a tertiary education and research hospital and agreed to participate in the study, using a questionnaire prepared by the researchers. The data obtained from the study were evaluated with the SPSS 22.0 program.

Results: The mean age of the patients participating in the study was 75.2±6.53 (min: 65, max: 90); 97.6% of them had a chronic disease; It was determined that patients applied to the emergency department primarily because of deterioration of their general health condition, and 38.2% of them had five or more applications to the emergency department in the last year. In addition, it was determined that the frequency of admission to the emergency service in the elderly with low education levels and chronic disease was high. The hospitalization rate in another hospital clinic was high in the elderly who applied to the emergency department by ambulance, and the results were statistically significant (p<0,05).

Conclusion: Parallel to the increase in the proportion of the elderly, the increase in the rate of admission to the emergency services reveals the necessity for emergency service personnel to know about geriatrics.

Kaynakça

  • TÜİK, Adrese Dayalı Nüfus Kayıt Sistemi, 2008-2021. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2021-45636
  • TÜİK, 2018 Nüfus Projeksiyonları, 2025-2080. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Nufus-Projeksiyonlari-2018-2080-30567
  • Mushtaq S, Abro M, Sualeh M, et al. Profile of Geriatric Patients Attending the Emergency Department of a Tertiary Care Hospital in Karachi: A Cross-Sectional Study 2022; Cureus 14(2): e21874
  • Sabzwari SR. A call to action-integration of geriatrics into mainstream medicine . J Pak Med Assoc. 2014, 64:3-4.
  • Samaras N, Chevalley T, Samaras D, et al. Older patients in the emergency department: A review. Ann Emerg Med 2010;56:261–7.
  • Keskinoğlu P, İnan F. Analysis of trauma cases admitted to a state hospital emergency department. GMJ 2014; 25: 1-4.
  • TÜİK, Hayat Tabloları, 2017-2019. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Hayat-Tablolari-2017-2019-33711.
  • Avcı S, Erdoğdu Hİ. Acil Servise Başvuran Geriatrik Hastaların Cinsiyete Göre Değerlendirilmesi. Kafkas J Med Sci 2017; 7(3):209–213.
  • Smith AA, Silva AO, Rodrigues RAP, et al. Assessment of risk of falls in elderly living at home. Rev Latino-Am Enfermagem 2017;25:e2754.
  • Özşaker E, Korkmaz F, Dölek M. Analyzing individual characteristics and admission causes of elderly patients to emergency departments. Turkish Journal of Geriatrics 2011;14(2):128-34.
  • Varışlı B, Doğan F, Yiğitbaş M. Acil Servise Başvuran Geriatrik Yaş Grubu Hastaların Klinik, Demografik ve Maliyet Açısından İncelenmesi. Anatolian Journal of Emergency Medicine 2018;1(2); 18-24.
  • Richard D. Shih MD, Christopher R, et al. Balancing vision with pragmatism: The geriatric emergency department guidelines-realistic expectations from emergency medicine and geriatric medicine. J Am Geriatr Soc. 2022; 70:1368–1373.
  • Ünüvar S, Bayrak H, Aktay G. Yaşlılarda çoklu ilaç kullanımının değerlendirilmesi. Genel Tıp Derg 2019;29(2):55-59.
  • Lavan AH, Gallagher P. Predicting risk of adverse drug reactions in older adults. Ther Adv Drug Saf 2016; 7: 11-22.
  • Rivera-Chávez JG, Torres-Gutiérrez JL, Regalado-Villalobos A, et al. Association between falls and cardiovascular diseases in the geriatric population. Arch. Cardiol. Mex. 2021; 91, 66–72.
  • Siqueira FV, Facchini LA, Silveira DS, et al. Prevalence of falls in elderly in Brazil a countrywide analysis. Cad Saúde Pública. 2011;27(9):1819–1826.
  • Zijlstra GAR, Van Haastreg JCM, Van Eijk JTM, et al. Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age Ageing. 2007;36(3):304–309.
  • Mitchell RJ, Watson WL, Milat A, et al. Health and lifestyle risk factors for falls in a large population-based sample of older people in Australia. Journal of Safety Research 2013;45:7-13.
  • Zak M, Krupnik S, Puzio G, et al. Assessment of functional capability and on-going falls-risk in older institutionalized people after total hip arthroplasty for femoral neck fractures. Archives of Gerontology and Geriatrics 2015;61(1):14-20.
  • Lopes KT, Costa DF, Santos LF, et al. Prevalência do medo de cair em uma populade to the idosos the comunidadee ve ua correlação com mobilidade, denge dinâmico, risco e historico de quedas. Rev Bras Fisioter. 2009; 13 (3):223–229.
  • Hastings SN, Barrett A, Weinberger M, et al. Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. Journal of Patient Safety 2011; 7, 19–25.
  • LaMantia MA, Platts-Mills TF, Biese K, et al. Predicting hospital admission and returns to the emergency department for elderly patients. Academic Emergency Medicine 2010; 17, 252–259.
  • Salvi F, Morichi V, Grilli A, et al. A geriatric emergency service for acutely ill elderly patients: pattern of use and comparison with a conventional emergency department in Italy. Journal of the American Geriatrics Society 2008; 56, 2131–2138.
  • Spector WD, Mutter R, Owens P, et al. Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay. Medical Care 2012; 50, 863–869.
  • Rising KL, Padrez KA, O’Brien M, et al. Return visits to the emergency department: the patient perspective. Ann Emerg Med. 2015;65(4):377.
  • Hastings SN, Heflin MT. A systematic review of interventions to improve outcomes for elders discharged from the emergency department. Acad Emerg Med. 2005;12(10):978–86.
  • American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, Society for Academic Emergency Medicine and Geriatric Emergency Department Guidelines Task Force. Geriatric emergency department guidelines. Ann Emerg Med 2014;63:e7–25.
  • Carpenter CR, Hwang U, Rosenberg M. New guidelines enhance care standards for elderly patients in the ED. ACEP NOW 2014;33(3):14–6, 28. Erişim adresi: https://www.acepnow.com/article/new-guidelines-enhance-care-standards-elderly-patients-ed/
  • Kennedy M, Hwang U, Han JH. Delirium in the Emergency Department: Moving From Tool-Based Research to System-Wide Change. J Am Geriatr Soc. 2020; 68(5):956-958.
  • Satar S, Sebe A, Avcı A, et al. Yaşlı hasta ve acil servis. Çukurova Üniversitesi Tıp Fakültesi Dergisi. 2004;29:43-50.
  • Marengoni A, Angleman S, Melis R ,et al. Aging with Multimorbidity: A Systematic Review of the Literature, Ageing Res Rev., 2011; 10(4):430-439.
  • Bähler C, Huber CA, Brüngger B, et al. Multimorbidity, Health Care Utilization and Costs in an Elderly Community-Dwelling Population: A Claims Data Based Observational Study, BMC Health Services Research, 2015; 15:( 23)1-12.
  • Yıldız S, Bilgili N. Acil servise başvuran yaşlı hastaların bireysel özellikleri ve başvurularının değerlendirilmesi. Gazi Üniversitesi Sağlık Bilimleri Dergisi. 2016; 1(1): 15-31.

Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi

Yıl 2022, Cilt: 5 Sayı: 3, 72 - 80, 31.12.2022
https://doi.org/10.47141/geriatrik.1202842

Öz

Amaç: Araştırma acil servise başvuran yaşlı hastaların bireysel özelliklerinin ve başvuru nedenlerinin belirlenmesi amacıyla yapıldı.

Gereç ve Yöntemler: Araştırma, üçüncü basamak bir eğitim araştırma hastanesinin acil servise başvuran ve araştırmaya katılmayı kabul eden 65 yaş üstü 123 hasta ile araştırmacılar tarafından hazırlanan anket formu kullanılarak yüz yüze görüşme şeklinde yapılmıştır. Çalışmadan elde edilen veriler SPSS 22.0 programı ile değerlendirilmiştir.

Bulgular: Araştırmaya katılan hastaların yaş ortalamalarının 75,2±6,53 olduğu; %97,6’sının kronik hastalığının olduğu; hastaların en çok genel durum bozukluğu nedeni ile acil servise başvurduğu, %38,2’sinin son bir yıl içerisinde acil servise başvuru sayılarının beş ve üzerinde olduğu belirlendi. Ayrıca eğitim düzeyi düşük olan ve kronik hastalığı bulunan yaşlıların acil servise başvuru sıklığının fazla olduğu ve ambulans ile acil servise başvuran yaşlıların hastanenin başka bir kliniğine yatış oranlarının yüksek olduğu belirlendi, sonuçların ise istatistiksel olarak anlamlı olduğu bulundu (p<0,05).

Sonuç: Yaşlıların nüfus içerisindeki oranlarının artışına paralel olarak acil servislere başvuru oranlarının artması, acil servis çalışanlarının geriatri konusunda bilgi sahibi olması gerekliliğini ortaya koymaktadır.

Kaynakça

  • TÜİK, Adrese Dayalı Nüfus Kayıt Sistemi, 2008-2021. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2021-45636
  • TÜİK, 2018 Nüfus Projeksiyonları, 2025-2080. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Nufus-Projeksiyonlari-2018-2080-30567
  • Mushtaq S, Abro M, Sualeh M, et al. Profile of Geriatric Patients Attending the Emergency Department of a Tertiary Care Hospital in Karachi: A Cross-Sectional Study 2022; Cureus 14(2): e21874
  • Sabzwari SR. A call to action-integration of geriatrics into mainstream medicine . J Pak Med Assoc. 2014, 64:3-4.
  • Samaras N, Chevalley T, Samaras D, et al. Older patients in the emergency department: A review. Ann Emerg Med 2010;56:261–7.
  • Keskinoğlu P, İnan F. Analysis of trauma cases admitted to a state hospital emergency department. GMJ 2014; 25: 1-4.
  • TÜİK, Hayat Tabloları, 2017-2019. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Hayat-Tablolari-2017-2019-33711.
  • Avcı S, Erdoğdu Hİ. Acil Servise Başvuran Geriatrik Hastaların Cinsiyete Göre Değerlendirilmesi. Kafkas J Med Sci 2017; 7(3):209–213.
  • Smith AA, Silva AO, Rodrigues RAP, et al. Assessment of risk of falls in elderly living at home. Rev Latino-Am Enfermagem 2017;25:e2754.
  • Özşaker E, Korkmaz F, Dölek M. Analyzing individual characteristics and admission causes of elderly patients to emergency departments. Turkish Journal of Geriatrics 2011;14(2):128-34.
  • Varışlı B, Doğan F, Yiğitbaş M. Acil Servise Başvuran Geriatrik Yaş Grubu Hastaların Klinik, Demografik ve Maliyet Açısından İncelenmesi. Anatolian Journal of Emergency Medicine 2018;1(2); 18-24.
  • Richard D. Shih MD, Christopher R, et al. Balancing vision with pragmatism: The geriatric emergency department guidelines-realistic expectations from emergency medicine and geriatric medicine. J Am Geriatr Soc. 2022; 70:1368–1373.
  • Ünüvar S, Bayrak H, Aktay G. Yaşlılarda çoklu ilaç kullanımının değerlendirilmesi. Genel Tıp Derg 2019;29(2):55-59.
  • Lavan AH, Gallagher P. Predicting risk of adverse drug reactions in older adults. Ther Adv Drug Saf 2016; 7: 11-22.
  • Rivera-Chávez JG, Torres-Gutiérrez JL, Regalado-Villalobos A, et al. Association between falls and cardiovascular diseases in the geriatric population. Arch. Cardiol. Mex. 2021; 91, 66–72.
  • Siqueira FV, Facchini LA, Silveira DS, et al. Prevalence of falls in elderly in Brazil a countrywide analysis. Cad Saúde Pública. 2011;27(9):1819–1826.
  • Zijlstra GAR, Van Haastreg JCM, Van Eijk JTM, et al. Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age Ageing. 2007;36(3):304–309.
  • Mitchell RJ, Watson WL, Milat A, et al. Health and lifestyle risk factors for falls in a large population-based sample of older people in Australia. Journal of Safety Research 2013;45:7-13.
  • Zak M, Krupnik S, Puzio G, et al. Assessment of functional capability and on-going falls-risk in older institutionalized people after total hip arthroplasty for femoral neck fractures. Archives of Gerontology and Geriatrics 2015;61(1):14-20.
  • Lopes KT, Costa DF, Santos LF, et al. Prevalência do medo de cair em uma populade to the idosos the comunidadee ve ua correlação com mobilidade, denge dinâmico, risco e historico de quedas. Rev Bras Fisioter. 2009; 13 (3):223–229.
  • Hastings SN, Barrett A, Weinberger M, et al. Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. Journal of Patient Safety 2011; 7, 19–25.
  • LaMantia MA, Platts-Mills TF, Biese K, et al. Predicting hospital admission and returns to the emergency department for elderly patients. Academic Emergency Medicine 2010; 17, 252–259.
  • Salvi F, Morichi V, Grilli A, et al. A geriatric emergency service for acutely ill elderly patients: pattern of use and comparison with a conventional emergency department in Italy. Journal of the American Geriatrics Society 2008; 56, 2131–2138.
  • Spector WD, Mutter R, Owens P, et al. Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay. Medical Care 2012; 50, 863–869.
  • Rising KL, Padrez KA, O’Brien M, et al. Return visits to the emergency department: the patient perspective. Ann Emerg Med. 2015;65(4):377.
  • Hastings SN, Heflin MT. A systematic review of interventions to improve outcomes for elders discharged from the emergency department. Acad Emerg Med. 2005;12(10):978–86.
  • American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, Society for Academic Emergency Medicine and Geriatric Emergency Department Guidelines Task Force. Geriatric emergency department guidelines. Ann Emerg Med 2014;63:e7–25.
  • Carpenter CR, Hwang U, Rosenberg M. New guidelines enhance care standards for elderly patients in the ED. ACEP NOW 2014;33(3):14–6, 28. Erişim adresi: https://www.acepnow.com/article/new-guidelines-enhance-care-standards-elderly-patients-ed/
  • Kennedy M, Hwang U, Han JH. Delirium in the Emergency Department: Moving From Tool-Based Research to System-Wide Change. J Am Geriatr Soc. 2020; 68(5):956-958.
  • Satar S, Sebe A, Avcı A, et al. Yaşlı hasta ve acil servis. Çukurova Üniversitesi Tıp Fakültesi Dergisi. 2004;29:43-50.
  • Marengoni A, Angleman S, Melis R ,et al. Aging with Multimorbidity: A Systematic Review of the Literature, Ageing Res Rev., 2011; 10(4):430-439.
  • Bähler C, Huber CA, Brüngger B, et al. Multimorbidity, Health Care Utilization and Costs in an Elderly Community-Dwelling Population: A Claims Data Based Observational Study, BMC Health Services Research, 2015; 15:( 23)1-12.
  • Yıldız S, Bilgili N. Acil servise başvuran yaşlı hastaların bireysel özellikleri ve başvurularının değerlendirilmesi. Gazi Üniversitesi Sağlık Bilimleri Dergisi. 2016; 1(1): 15-31.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Pelin Çelik 0000-0002-1179-4227

Şimşek Çelik 0000-0002-1343-1710

Fatma Hastaoğlu 0000-0001-8929-2860

Yayımlanma Tarihi 31 Aralık 2022
Gönderilme Tarihi 11 Kasım 2022
Kabul Tarihi 31 Aralık 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 5 Sayı: 3

Kaynak Göster

APA Çelik, P., Çelik, Ş., & Hastaoğlu, F. (2022). Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi. Geriatrik Bilimler Dergisi, 5(3), 72-80. https://doi.org/10.47141/geriatrik.1202842
AMA Çelik P, Çelik Ş, Hastaoğlu F. Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi. GBD. Aralık 2022;5(3):72-80. doi:10.47141/geriatrik.1202842
Chicago Çelik, Pelin, Şimşek Çelik, ve Fatma Hastaoğlu. “Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi”. Geriatrik Bilimler Dergisi 5, sy. 3 (Aralık 2022): 72-80. https://doi.org/10.47141/geriatrik.1202842.
EndNote Çelik P, Çelik Ş, Hastaoğlu F (01 Aralık 2022) Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi. Geriatrik Bilimler Dergisi 5 3 72–80.
IEEE P. Çelik, Ş. Çelik, ve F. Hastaoğlu, “Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi”, GBD, c. 5, sy. 3, ss. 72–80, 2022, doi: 10.47141/geriatrik.1202842.
ISNAD Çelik, Pelin vd. “Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi”. Geriatrik Bilimler Dergisi 5/3 (Aralık 2022), 72-80. https://doi.org/10.47141/geriatrik.1202842.
JAMA Çelik P, Çelik Ş, Hastaoğlu F. Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi. GBD. 2022;5:72–80.
MLA Çelik, Pelin vd. “Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi”. Geriatrik Bilimler Dergisi, c. 5, sy. 3, 2022, ss. 72-80, doi:10.47141/geriatrik.1202842.
Vancouver Çelik P, Çelik Ş, Hastaoğlu F. Acil Servise Başvuran Geriatrik Hasta Profilinin Belirlenmesi. GBD. 2022;5(3):72-80.

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