Ahmet NALBANT, Ceyhun VARIM, Tezcan KAYA, Ali TAMER

İç Hastalıkları Kliniğinde Yatarak İzlenen 65 Yaş ve Üzeri Genel Dahiliye Hastalarında Tanısal Dağılımın Araştırılması

Amaç: Dünya genelinde olduğu gibi ülkemizde de yaşlı nüfus sayısı hızla artmaktadır. Bu yazının amacı, genel dahiliye kliniğimizde yatarak tedavi gören tüm 65 yaş üzeri hastaların klinik son tanılarının incelenmesi amaçlanmıştır. Yöntem: 01.01.2011 - 31.12.2011 tarihleri arasında, Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi genel dahiliye kliniğine yatan tüm hastalar geriye dönük olarak incelendi. 65 yaş ve üzeri 316 hasta saptandı. Tüm geriatrik hastaların tanısal dağılımları değerlendirildi.Bulgular: İncelenen 316 olgunun %57 (181)'si kadın ve % 43 (135)'ü erkekti. Tüm hastaların yaş ortalaması 76 ±7 yıl idi. En sık yatış tanısı, tüm olguların % 60'ında (189) anemi olarak tespit edildi. İkinci sıklıkla yatış nedeni hipertansiyon olup, tüm olguların %41,3 (130)'ünde mevcuttu. Diyabetes mellitus tüm olgunun %35 (110)'inde saptanırken en az sıklıkta akut böbrek yetmezliği olguların %0,1 (1)'inde saptandı. Sonuçlar: Kliniğimizde yatan 65 yaş üzeri olgularda, anemi, hipertansiyon ve diyabet tanıları ön plana çıkmıştır.

Anahtar Kelimeler:

Anemi, geriatri, tanı, yatan hasta

Investigation of the Diagnostic Distribution in General Internal Medicine Patients over 65 Years Admitted and Followed Up at Our Clinic

Objective: Geriatric population has been increasing in our country just like in overall growth worldwide. We aimed to investigate the final clinical diagnosis of the patients older than 65 years who has been admitted to our general internal medicine clinic. Material and method: Patients who were admitted to Sakarya University Training And Research Hospital general internal medicine inpatient clinic from 01/01/2011 to 31/12/2011 has been retrospectively investigated. There were 316 patients who were older than 65 years. Final diagnosis in all of these patients were evaluated. Results: 181 of 316 patients were female (57%) and 135 were male (43%). The mean age was 76±7 years. The most common admission diagnosis was anemia (189 patients, 60%), followed by hypertension(130 patients, 41.3%). Diabetes mellitus was detected in 110 patients (35%) and the least common diagnosis was acute renal failure which was detected in 1 patient (0.1%). Conclusion: Anemia, hypertension and diabetes mellitus has been the predominant diagnosis in patients over 65 years in our inpatient clinic.

Keywords:

Anemia, geriatri, diagnosis, hospitalized patient,

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