Yüksel YAZICI, Süheyla ALİUSTAOĞLU, Haluk İNCE, Nurhan İNCE

İstanbul'da adli tıp bakışı ile yaşlı ölümleri ve özellikleri

Amaç: Türkiye'de sosyokültürel ve demografik değişime bağlı olarak şiddet türlerinde farklılıklar ortaya çıkmaktadır. Yaşlıya yönelik şiddet, bunlardan en dikkat çekenidir. Bu çalışmanın amacı, İstanbul'da, 65 ve üzeri yaş grubundaki insanlarda, adli olgu niteliğindeki ölümlerin durumunu, ölüm nedenlerini ve ölüme neden olan şiddetin yıllara göre değişimini ortaya koymaktır. Gereç ve yöntem: Çalışma tanımlayıcı epidemiyolojik yöntemle yapılmıştır. Adalet Bakanlığı, Adli Tıp Kurumu Başkanlığı Morg İhtisas Dairesi'nde, 1996 ile 2001 yılları arasında yapılan, 17015 adli nedenli otopsiden, yaşı 65 ve üzeri olan 1326 olgu çalışma grubunu oluşturmuştur.Bulgular: 17015 otopsinin %7,8 (n. 1326)'i 65 yaş ve üzerinde bulunmuştur. Olay yeri incelemesine göre 1996 yılında toplamda % 1,9 olan ateşli silah yaralanmaları sonucu ölüm, 2001 yılında %4,0'a yükselmiştir. Kesici delici alet yaralanmaları sonucu ölüm oranlarındaki değişim sırasıyla %1,9 ve % 4,3 ‘dür.Sonuç: Türkiye'de 65 yaş üstü nüfus, 25 yıl sonra 12,1 milyon'a ulaşacaktır. Ailenin güçlendirilmesi ve ekonomik açıdan desteklenmesi, yaşlıların insani ölçülerde yaşaması, evde bakımın bir ölçüde temin edilebilmesi için gerekli düzenlemeler gerekmektedir.

Elderly deaths and characteristics in Istanbul from the point of view of forensic medicine

Objective: Due to the socio-cultural and demographical changes that have been taking place in Turkey, differences in types of violence are coming on the scene. Violence targeting the elderly is the most striking of all. The purpose of the present study is to reveal the number of criminal deaths, causes of these deaths, and the variation by time in the types of violence resulting in death in the elderly of ages 65 and above in Istanbul. Materials and methods: Using a descriptive epidemiological method, this study was carried out with 1326 subjects of ages 65 and above among 17015 criminal autopsies in Forensic Medicine Council , Ministry of Justice between the years 1996 and 2001.Results: Of the 17015 autopsies, 7.8% (n. 1326) were of ages 65 and above. According to the crime scene investigations, the percentage of deaths caused by firearm injuries increased to 4.0% in 2001 from 1.9% in 1994. Changes in the rates of deaths caused by cutting/piercing tool injuries were 1.9% and 4.3%, respectively.Conclusion: The elderly population of ages 65 and above in Turkey will reach 12.1 million in a 25 years time. Regulations are needed to reinforce and financially support the family, to secure humanely life standards for the elderly, and to ensure homecare to an optimum extent.

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