Kanser Dışı Ağrı ile Algoloji Kliniğine Başvuran Yaşlı Hastaların Değerlendirilmesi

Amaç: Artan yaşlı nüfusla birlikte yaşlı hastaların ağrı tedavisi ihtiyaçları artmaktadır. Bu yazıda, 65 yaşın üzerindeki kanser olmayan nedenlerden dolayı ağrı şikayeti ile başvuran hastaların klinik özelliklerini sunmayı amaçladık.Materyal ve Metot: Selçuk Üniversitesi Tıp Fakültesi Algoloji Kliniğine 01.01.2010 ve 31.05.2018 tarihleri arasında başvuran 65 yaş üstü 642 hastanın verileri analiz edildi.Bulgular: Hastaların medyan yaşı 72 (IQR: 67-78) idi ve % 62,8'i (n = 403) kadındı. Algoloji kliniğine ağrı ile başvuran 65 yaş üstü hastalarda en sık görülen ağrı türü mekanik ağrı idi (% 54,9). Girişimsel tedavi hastaların % 39.9'una uygulandı. Tedaviye cevap cinsiyet ve yaş grupları açısından karşılaştırıldığında fark bulunmadı. Sonuç: Algoloji kliniğine başvuran yaşlı hastalarda klinik özelliklerini belirleyerek daha hızlı ve etkili bir ağrı tedavisi sağlanabilir.

Anahtar Kelimeler:

Yaşlı, ağrı, algoloji

The Evaluation of Elderly Patients Admitted to Algology Clinic for Non-Cancer Pain

Aim: With the increasing elderly population, the pain treatment needs of elderly patients increase. In this article, we aimed to present the clinical features of the patients presenting with pain due to non-cancerous causes over the age of 65 years.Material and Methods: The data of 642 patients older than 65 years who were admitted to Selçuk University Algology clinic between 01.01.2010 and 31.05.2018 were analyzed.Results: The median age of the patients was 72 (IQR: 67-78) years, and 62.8% (n=403) of the patients were female. The most common type of pain we observed in patients over 65 years of age who presented to algology clinic with pain was mechanical pain (54.9%). Interventional medication was applied in 39.9% of the patients. When the response to treatment was compared in terms of gender and age groups, no difference was found. Conclusion: By determining the clinical features in elderly patients who applied to the algology clinic, faster and effective pain relief can be provided.

Keywords:

Elderly, pain, algology,

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Andersson HI, Ejlertsson G, Leden I, et al. Chronic pain in a geographically defined general population: Studies of differences in age, gender, social class, and pain localizaiton.Clin J Pain. 1993;9:174-182
Hanks-Bell M, Halvey K, Paice JA. Pain assessment and management in aging. Online Journal of Issues in Nursing. 2004;9: 3
Gökçe Kutsal Y. Ağrı In: Gökçe- Kutsal Y(ed). Temel Geriatri, Ankara, Güneş Kitabevi 2007 s:279-288
Brattgerg G, Parker MG, Thorlund M. A longitudinal study of pain:reported pain from middle age to old age. Clin J Pain. 1997; 13:144-9
Gallegher RM, Verma S, Mossey J. Chronic pain, Sources of late-life pain and risk factors for disability. Geriatrics. 2000;55:40-4,47
Ersek M, Turner JA, Cain KC, et al. Chronic pain self-management for older adults: a randomized controlled trial [ISRCTN11899548]. Pain. 2008;138:29-40
Fine PG. Chronic pain management in older adults: special considerations. J Pain Symptom Manage. 2009;38:4-14
Wang SJ, Fuh JL, Lu SR, et al. Chronic daily headache in Chinese elderly:prevalence, risk factors, and biannual follow up. Neurology. 2000;54:314-319
Prencipe M, Casini AR, Ferretti C, et al. Prevalence of headache in an elderly population: attack frequency, disability, and use of medication. J Neurol Neurosurg Psychiatry 2001;70:377-381
Gloth MF 3rd. Pharmacological management of persistent pain in older persons: Focus on opioids and nonopioids. J Pain. 2011;12:14-20.
Nikolaus T, Zeyfang A. Pharmalogical treatments for persistent non-malignant pain in older persons. Drug Aging. 2004;21:19-41
Prager JP. Invasive modalities for the diagnosis and treatment of pain in the elderly. Clinics of Geriatric Medicine. 1996;12:549-61
Özyalçın NS. Yaşlı hastalarda ağrı kontrolünde invaziv girişimler. Ağrı 2004;16(2):26-36
Raj PP. Epidural steroid injections. In: Raj PP, ed. Practical Management of Pain, 3rd ed. St Louis : Mosby Inc 2000;732-43.