ACİL SERVİSE BAŞVURAN 65 YAŞ ÜSTÜ HASTALARDA ABDOMİNAL AORT ANEVRİZMA TARAMASI VE RİSK FAKTÖRLERİNİN DEĞERLENDİRİLMESİ

Amaç:Acil servislere başvuruların önemli birkısmını oluşturan yaşlı hastalarda abdominal aortanevrizma riski fazladır. Bu sebeple 65 yaş ve üzerihastaların aort çapı ölçülerek risk faktörleri ilebirlikte değerlendirilmesi amaçlanmıştır.Gereç ve Yöntem:65 yaş ve üzeri 150 hastaçalışmaya dahil edildi. Travma ile acil servisegelenler, vasküler olabilecek şikayet veya bulgu ilegelenler çalışmaya dahil edilmedi. Hastaların renalarter ayrım yerinden ve iliak bifurkasyo üzerindenolmak üzere iki yerden aort çapları ölçülmüştür veaort boylu boyunca taranarak diğer arada kalanalanlar da değerlendirildi. Veriler SPSS 20.0istatistik programı ile değerlendirilmiş ve t-test, kikaretestleri uygulandı.Bulgular:Abdominal aort anevrizması (AAA)tesbit edilen 3 hastanın 2’si kadın cinsiyette idi.Aort çapları sigara içen hastalarda içmeyenlere göredaha geniştir(p<0,01). Diğer risk faktörleri ile aortçaplarının kıyaslamasında istatistikî olarak anlamlıfark saptanmadı.Sonuç:Çalışmamızda 150 asemptomatik hastadan 3kişide AAA tesbit edilmiştir. Sigara içimi ve yaşınen önemli risk faktörü olduğu görülmüştür. AAA’lıhastaların yatak başı USG ile taranması AAA içinerken teşhis olanağı sağlayacak ve mortaliteninazaltılmasına katkıda bulunacaktır.

Anahtar Kelimeler:

abdominal aort anevrizması, tarama, yatak başı ultrasonografi

Evaluation of risk factors and screening of abdominal aort anevrism in patients admitted to the emergency department with over the age of 65

Background: A significant number of applicationsto emergency services consists of elderly patients.Elderly patients are at increased risk for abdominalaortic aneurysms. Therefore, we measured thediameter of the aorta in patients over the age of 65and compared with the risk factorsMethod: 150 patients, over 65 years old wereincluded in the study. The patients with trauma orwith any complaints or findings vascular disease,have not been included in the study. Aorticdiameters were measured from separation zone ofthe renal artery and the iliac bifurcation and theremaining areas of the aorta were evaluated withscanning. The data was evaluated with SPSS 20.0statistical software and t-test, chi-square tests wereapplied.Results: 3 of the patients, 2 women and a man,were identified AAA. Aortic diameters larger thanin the smokers compared to nonsmokers. (p<0,01)Aortic diameters compared with other risk factors,there were no statistically significant difference.Conclusion: In our study, AAA has been found in3 of 150 asymptomatic patients. Smoking and agewere found to be the most important risk factor forAAA. Screening of AAA patients with bedsideultrasound will allow early detection of AAA andcontribute to the reduction of mortality.

Keywords:

abdominal aortic aneurysm, scanning, bedside ultrasound,

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