ACİL SERVİSE AKUT KARIN AĞRISI İLE BAŞVURAN GERİATRİK HASTALARIN DEĞERLENDİRİLMESİ

Amaç Bu çalışmanın amacı acil servise (AS) nontravmatik akut karın ağrısı ile başvuran 65 yaş ve üzeri geriatrik hastaların demografik bulgularını, klinik özelliklerini, radyolojik inceleme yöntemlerini ve mortalite oranlarını değerlendirmektir. Gereç ve Yöntem Çalışmaya dahil edilen 2253 hasta yaş aralıklarına göre; 65-74 ve 75 yaş ve üzeri olarak ayrıldı. Cinsiyet, komorbidite, eşlik eden şikayetler, muayene bulguları (hassasiyet, defans, rebound), radyolojik inceleme yöntemleri (radyografi, ultrasonografi ve bilgisayarlı tomografi), tanılar, tedaviler (tıbbi, cerrahi), taburculuk ve mortalite oranları karşılaştırıldı. Bulgular Hastaların %62.3'ü kadın olup, yaş ortalaması 72.2±5.1 yıl (65-88) idi. Hastaların %59,4'ü 65-74 yaş aralığında iken, %40,6'sı 75 yaş ve üzerinde idi. Hipertansiyon, diabetes mellitus, demans/Alzheimer hastalığı, atriyal fibrilasyon 65-74 yaş aralığındaki hastalarda anlamlı olarak daha yüksekti (p

EVALUATION OF GERIATRIC PATIENTS THAT ADMITTED TO THE EMERGENCY DEPARTMENT WITH ACUTE ABDOMINAL PAIN

Objective The goal of the study is to investigate demographic findings, clinical characteristics, radiological examination methods, and mortality rate of geriatric patients (aged 65 and above) with non-traumatic acute abdominal pain, that were admitted to the emergency department (ED). Materials and Methods 2253 patients included in the study were divided by age as patients aged 65 to 74 years and patients aged 75 years and above. Gender, comorbidity, concomitant complaints examination findings (tenderness defense, rebound), radiological examination methods (radiography, ultrasonography, and computed tomography), diagnoses, treatments (medical, surgical), discharge, and mortality rate were compared between these patients. Results Of the patients, 62.3% were female, and the mean age was 72.2±5.1 years (65-88). While 59.4% of the patients were in the 65–74 age group, 40.6% of them were aged 75 years and above. Hypertension, diabetes mellitus, dementia/Alzheimer's disease, atrial fibrillation were significantly higher in the aged 65 to 74 years patients (p

___

  • 1. Gans SL, Pols MA, Stoker J, Boermeester MA; expert steering group. Guideline for the diagnostic pathway in patients with acute abdominal pain. Dig Surg. 2015;32(1):23-31
  • 2. Caporale N, Morselli-Labate AM, Nardi E, Cogliandro R, Cavazza M, Stanghellini V. Acute abdominal pain in the emergency department of a university hospital in Italy. United European Gastroenterol J. 2016 Apr;4(2):297-304. doi: 10.1177/2050640615606012.
  • 3. Ellis G, Marshall T, Ritchie C. Comprehensive geriatric assessment in the emergency department. Clin Interv Aging. 2014;9:2033-43.
  • 4. Henden Çam P, Baydin A, Yürüker S, Erenler AK, Şengüldür E. Investigation of Geriatric Patients with Abdominal Pain Admitted to Emergency Department. Curr Gerontol Geriatr Res. 2018;2018:9109326.
  • 5. Fagbohun CF, Toy EC, Baker I. The evaluation of acute abdominal pain in the elderly patient. BJPCUfOG, 1999; 6(6):181-5.
  • 6. Gardner RL, Almeida R, Maselli JH, Auerbach A. Does gender influence emergency department management and outcomes in geriatric abdominal pain? J Emerg Med. 2010 Sep;39(3):275-81.
  • 7. Leuthauser A, McVane B. Abdominal Pain in the Geriatric Patient. Emerg Med Clin North Am. 2016;34(2):363-75.
  • 8. Samaras N, Chevalley T, Samaras D, Gold G. Older patients in the emergency department: a review. Ann Emerg Med. 2010;56(3):261-9.
  • 9. Durukan P, Çevik Y, Yıldız M. Acil servise karın ağrısı ile başvuran yaşlı hastaların değerlendirilmesi. Turkish journal of geriatrics 2005;8:111-14.
  • 10. Mert D, Durak V, Özdemir F, Armağan E. Acil Servise Karın Ağrısı Şikayeti ile Başvuran 45-64 Yaş ile 65 Yaş ve Üzeri Hastaların Karşılaştırılması ve Tanılarının Fizyolojik Değişikliklerle İlişkisinin Değerlendirilmesi. Uludağ Tıp Derg. 2017; 43(1): 7-12.
  • 11. Bilgili MA, Öncü MR. Evaluation of Geriatric Patients Applying to the Emergency Department. Van Med J. 2021; 28(1): 77-83.
  • 12. Pappas A, Toutouni H, Gourgiotis S, Seretis C, Koukoutsis I, Chrysikos I, et al. Comparative approach to non-traumatic acute abdominal pain between elderly and non-elderly in the emergency department: a study in rural Greece. J Clin Med Res. 2013;5(4):300-4.
  • 13. Lewis LM, Banet GA, Blanda M, Hustey FM, Meldon SW, Gerson LW. Etiology and clinical course of abdominal pain in senior patients: a prospective, multicenter study. J Gerontol A Biol Sci Med Sci. 2005;60(8):1071-6. doi: 10.1093/gerona/60.8.1071.
  • 14. Laurell H, Hansson LE, Gunnarsson U. Acute abdominal pain among elderly patients. Gerontology. 2006;52(6):339-44.
  • 15. Bedel C, Tomruk Ö. Bir Universite Acil Servisine Başvuran Geriatrik Hastaların Ozellikleri. SDU Tıp Fakültesi Dergisi. 2018;25(4):393-99.
  • 16. Hustey FM, Meldon SW, Banet GA, Gerson LW, Blanda M, Lewis LM. The use of abdominal computed tomography in older ED patients with acute abdominal pain. Am J Emerg Med. 2005;23(3):259-65.
  • 17. Pérez-Hernández JL, Teuffer-Carrion LT, Díaz-Aldana EV, Hernández- Guerrero S, Morón-Ventura P, Nieves-Durán M, et al. Dolor abdominal agudo en pacientes geriátricos evaluados en el servicio de urgencias en un hospital de tercer nivel [Acute abdominal pain in elderly patients evaluated in the emergency department at a tertiary level]. Rev Gastroenterol Mex. 2010;75(3):261-6.
  • 18. Dündar ZD, Ayrancı MK. Karın Ağrısı Şikayetiyle Acil Servise Başvuran Geriatrik Hastaların Demografik Özelliklerinin ve Prognozlarının Değerlendirilmesi. Selcuk Med 2021;37(1): 45-51.
  • 19. Magidson PD, Martinez JP. Abdominal Pain in the Geriatric Patient. Emerg Med Clin North Am. 2016;34(3):559-74. doi: 10.1016/j.emc.2016.04.008.
  • 20. Öncül MV, Dağar S, Emektar E, Çorbacıoğlu ŞK, Aytar H, Çevik Y. Effects of Systemic Inflammatory Parameters on Mortality in Elderly Patients Admitted to Emergency Department with Abdominal Pain. İstanbul Med J 2019; 20(2):125-9.
  • 21. Velissaris D, Karanikolas M, Pantzaris N, Kipourgos G, Bampalis V, Karanikola K, Fafliora E, Apostolopoulou C, Gogos C. Acute Abdominal Pain Assessment in the Emergency Department: The Experience of a Greek University Hospital. J Clin Med Res. 2017;9(12):987-993. doi: 10.14740/jocmr3206w.
  • 22. Lyon C, Clark DC. Diagnosis of acute abdominal pain in older patients. Am Fam Physician. 1;74(9):1537-44.
  • 23. Spangler R, Van Pham T, Khoujah D, Martinez JP. Abdominal emergencies in the geriatric patient. Int J Emerg Med. 2014;7:43. doi:10.1186/s12245-014-0043-2.
  • 24. Kalyani RR, Corriere M, Ferrucci L. Age-related and disease- related muscle loss: the effect of diabetes, obesity, and other diseases. Lancet Diabetes Endocrinol. 2014;2(10):819- 829. doi:10.1016/S2213-8587(14)70034-8.
  • 25. Miettinen P, Pasanen P, Lahtinen J, Alhava E. Acute abdominal pain in adults. Ann Chir Gynaecol. 1996;85(1):5-9.
  • 26. Lamsal D, Bhandari J. Status of Geriatric Patients with Abdominal Pain Presented To Emergency Department. Journal of Chitwan Medical College, 2019;9(2), 90-6.
  • 27. Torrance AD, Powell SL, Griffiths EA. Emergency surgery in the elderly: challenges and solutions. Open Access Emerg Med. 2015;7:55-68. doi:10.2147/OAEM.S68324.
  • 28. Dumic I, Nordin T, Jecmenica M, Stojkovic Lalosevic M, Milosavljevic T, Milovanovic T. Gastrointestinal Tract Disorders in Older Age. Can J Gastroenterol Hepatol. 2019:6757524. doi: 10.1155/2019/6757524.
  • 29. Omari AH, Khammash MR, Qasaimeh GR, Shammari AK, Yaseen MK, Hammori SK. Acute appendicitis in the elderly: risk factors for perforation. World J Emerg Surg. 2014;9(1):6.
  • 30. Gardner CS, Jaffe TA, Nelson RC. Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain. Abdom Imaging. 2015;40(7):2877-82.
  • 31. Chang CC, Wang SS. Acute abdominal pain in the elderly. International Journal of Gerontology 2007;1(2):77-82.
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi-Cover
  • ISSN: 1300-7416
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1994
  • Yayıncı: SDÜ Basımevi / Isparta
Sayıdaki Diğer Makaleler

HEMATOLOGICAL FINDINGS IN CHILDREN WITH VITAMIN B12 DEFICIENCY

Nergiz ÖNER, Gülcihan ÖZEK

GLİAL TÜMÖR TEDAVİSİNDE TAMAMLAYICI HEDEF TEDAVİ: PROSTAT SPESİFİK MEMBRAN ANTİJEN (PSMA)

Ali Serdar OĞUZOĞLU, Nilgün ŞENOL, Hasan YASAN, Ramazan Oğuz YÜCEER, CENGİZ GAZELOĞLU, İbrahim Metin CİRİŞ

PENTOSAN POLİSÜLFAT SODYUM TEDAVİSİ ALAN PRİMER MESANE AĞRISI SENDROMU HASTALARINDA PİGMENTER MAKULOPATİ İLİŞKİSİNİN DEĞERLENDİRİLMESİ

Murat AKGÜL, Tansu GÖNEN, Cenk Murat YAZICI, Ayşe SARIFAKIOĞLU, Arzu MALAK, Çağrı DOĞAN, Hulusi DAYISOYLU, Ece KARASU GÜNDER

EVALUATION OF THE ASSOCIATION OF PIGMENTARY MACULOPATHY IN PRIMARY BLADDER PAIN SYNDROME PATIENTS RECEIVING PENTOSAN POLYSULFATE SODIUM TREATMENT

Çağrı DOĞAN, Arzu MALAK, Murat AKGÜL, Cenk Murat YAZICI, Banu SARIFAKIOĞLU, Tansu GÖNEN, Hulusi DAYISOYLU, Ece KARASU GÜNDER

ROTATOR MANŞET YIRTIKLARINDA BİSEPS TENDON PATOLOJİLERİNİN SAPTANMASINDA PREOPERATİF MR’IN ETKİNLİĞİ: MR VE İNTRAOPERATİF BULGULARIN KORELASYONU

Ahmet Çağdaş BİÇEN, Mustafa Hulusi ÖZKAN, Ahmet EKİN, Meriç ÜNAL

EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS

Çağdaş BİÇEN, ABDULLAH MERİÇ ÜNAL, Ahmet EKİN, Mustafa ÖZKAN

ACİL SERVİSE AKUT KARIN AĞRISI İLE BAŞVURAN GERİATRİK HASTALARIN DEĞERLENDİRİLMESİ

Nezih KAVAK, Cemil KAVALCI

AKUT AŞİL TENDON RÜPTÜR TEDAVİSİNDE MİNİ-AÇIK VE PERKÜTAN TAMİR YÖNTEMLERİNİN KARŞILAŞTIRILMASI

Fatih İNCİ, İbrahim Alper YAVUZ

EVALUATION OF GERIATRIC PATIENTS THAT ADMITTED TO THE EMERGENCY DEPARTMENT WITH ACUTE ABDOMINAL PAIN

Nezih KAVAKA, Cemil KAVALCI

COMORBID PSYCHIATRIC DISORDERS IN SOME COMMON NEUROLOGICAL DISEASES

Ümit GÖRGÜLÜ, Nermin GÜRHAN, Yasemin YALÇIN AKMAN, Kevser ALTAY, Ülkü POLAT, Şükrü ÖZEN, Behçet COŞAR, GİRAY KOLCU