Derya İPEKÇİOĞLU, Özlem ÇETİNKAYA, İlker KÜÇÜKPARLAK, Hülya GÜVELİ, Gamze BOZGEYİK, SUAT KÜÇÜKGÖNCÜ, NESRİN KARAMUSTAFALIOĞLU, Ferhan YENER, Mehmet Cem İLNEM

Bir eğitim hastanesi psikiyatri acil servisine başvuran yaşlı hastaların sosyodemografik ve klinik özellikleri

Amaç: Bakırköy Ruh Sağlığı ve Hastalıkları Hastanesi Psikiyatri Acil Servisi’ne başvuran 60 yaş ve üzerindeki hastaların sosyodemografik, klinik ve acil servisten yararlanma özellikleri, başvuru sonuçları ve bu özelliklerin cinsiyete göre gösterebileceği farklılıkların belirlenmesi amaçlanmıştır. Yöntem: 01 Haziran 2008-01 Haziran 2009 tarihleri arasında psikiyatri acil servisine başvuran 60 yaş ve üzerindeki 871 hastanın tıbbi dosyaları ve bilgi işlem kayıtları geriye dönük olarak taranmıştır. Bulgular: Atmış yaş ve üzerindeki grup tüm psikiyatri acil servis başvurularının %8.2’sini oluşturmaktaydı. Başvuranların %59.4’ü kadın, %40.6’sı erkekti. Kadınlarda ortalama yaş 68.7, erkeklerde ise 69.0’dı. Kadınlarda eğitimsizlik, eşini kaybetmiş/boşanmış olma, aileleriyle acile geliş oranları yüksekken; erkeklerde ilkokul mezunu olma, evli olma ve yalnız acile başvuru oranı yüksekti. Kadınlarda sıkıntı, somatik yakınmalar; erkeklerde sözel, fiziksel şiddet ve psikotik bulgular anlamlı olarak daha yüksekti. Kadınlarda depresyon ve anksiyete bozukluğu tanısı yüksekken; erkeklerde psikotik bozukluk, demans ve bipolar bozukluk tanıları anlamlı olarak yüksekti. Hastaneye yatış oranı erkeklerde istatistiksel olarak anlamlı düzeyde yüksekti. Kadınlara antidepresan, erkeklere antipsikotik reçete edilme oranı yüksekti. Bir yılda acil servise iki veya daha çok sayıda başvuranların oranı %19.9’du. Sonuç: Ortalama yaşam süresinin uzamasıyla birlikte yaşlı nüfusun toplumdaki oranı da artış göstermektedir. Yaşlı hastalarda psikiyatri acil servis başvurularının özelliklerinin saptan- ması bu özel grubun psikiyatrik, tıbbi ve sosyal gereksinmelerinin belirlenmesinde önemlidir. Çalışmamızda kadın- larda başvurunun daha yüksek oranda olduğu, daha çok sıkıntı ve somatik yakınmalarla acil servise başvur- dukları, depresyon ve anksiyete bozuklukları tanılarının yüksek olduğu, yatış oranının ise erkeklere göre daha düşük olduğu saptanmıştır.

The sociodemographic and clinical characteristics of the psychiatric emergency patients with 60 years or older

Objective: In our research, it was aimed to establish the sociodemographic and the clinical characteristics of the patients over the age of 60 who were admitted to the psychiatric emergency department of Bakirkoy Research and Training Hospital as well as the utilization of the emergency department and the gender differences between them. Methods: Eight hundred and seventy-one patients who were admitted to the psychiatric emergency unit st st between 1 June 2008 and 1 June 2009 were evaluated retrospectively with the medical records and computer based data. Results: Sixty years or older patients were turned out to be the 8.2% of all patients admitted to the psychiatric emergency unit during that period of time. 59.4% of the group was female, and the mean age of women was 68.7 men’s was 69.0. Being uneducated, divorced and admitted with family members were at higher rates within women. On the other hand the rates of being graduated from primary school, married and admitted the emergency unit by themselves were higher in men. The women were more distressed and complained more about somatic symptoms as the men turned out to show more physical and /or verbal violence and psychotic symptoms. Women were more likely diagnosed with psychotic disorders, dementia and bipolar mood disorders. Hospitalization rates were significantly higher in men’s group. The rate of the antidepressant prescriptions was higher for women and for men it turned out to be antipsychotics. Twice or more admissions to psychiatric emer- gency service in one year was 19.9% of all. Result: The older population is growing as the average life time is getting longer. Determining the characteristics of psychiatric emergency service admissions of older patients is important the assessing psychiatric, medical and social needs of this special group. In our study it is established that the admission rates to psychiatry emergency service amongst women are higher and they are more likely admitting with distress and somatic complaints. They are more likely diagnosed with depression and anxiety disor- ders and they are less likely hospitalized than men.

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