Trauma analysis of patients over age of 65 who apply to emergency service

Nazlı Gormeli Kurt; Songül Araç; Evren Ekıngen; Murat Orak; Mehmet Ustundag

Research Article

Year 2017, Volume: 9 Issue: 1, 7 - 14, 15.06.2017

Nazlı Gormeli Kurt Songül Araç Evren Ekıngen Murat Orak Mehmet Ustundag

Abstract

References

1. Cesur F. Geriatriktravma hastalarının prospektif analizi. Uzmanlık tezi, Ege Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, İzmir. 2012.
2. The EAST Practice Management Guidlines WorkGroup, Practice Management Guidelines for Geriatric Trauma, 2001.
3. Ma OJ, DeBehnke DJ. Geriatrictrauma.In: Tintinalli J, Kelen GD, Stapcznski JS, editors. Emergency Medicine, Acomprehensive Study Guide, 5th ed. New York: Mc Graw Hill;1999. p.1623-7)
4. Rubenstein LA, Robbins AS, Josephson KR, et all: The value of assessing falls in an elderly population –A randomized clinical trial, Ann InternMed 1990,15:113-308).
5. Perdue PW, Watts DD, Kaufmann CR, Trask AL. Differences in mortality between elderly and younger adult trauma patients: geriatric status increases risk of delayed death. J Trauma 1998; 45:805-10).
6. Committee on Medical Aspects of Automotive Safety: rating the severity of tissue damage. 1. The Abbreviated scale. J Am Med Assoc. 1971; 215:277-280.
7. Miriam T. Aschkenasy, MD, MPH*, Todd C. Rothenhaus, MD, FACEP Trauma and Falls in the Elderly Emerg Med Clin N Am 24 (2006) 413–432.
8. Koval KJ, Meek R, Schemitsch E, et al. An AOA critical issue. Geriatric trauma: young ideas. J Bone Joint Surg Am 2003;85-A:1380–8.
9. Eliastam M. Elderly patients in the emergency department. Ann Emerg Med 1998;18: 1222–9.)
10. Champion HR, Copes WS, Buyer D, et al. Major trauma in geriatric patients. Am J Public Health 1989;79(9):1278–82.
11. Mert E. Geriatrik Hastaların Acil Servis Kullanımı. Turkish Journal of Geriatrics. 2006;9(2):70-4.
12. Dede F. Hacettepe Üniversitesi Erişkin Acil Polikliniği'ne Ocak 2005 - Aralık 2005 Tarihleri Arasında Başvuran 65 Yaş ve Üzerindeki Hastaların Epidemiyolojik İncelenmesi. Hacettepe Üniversitesi; 2006.
13. Ersel M. Dokuz Eylül Üniversitesi Tıp Fakültesi Acil Servisinin Kullanım Özellikleri ve Hasta Aciliyetinin Hekim ve Hasta Açısından Değerlendirilmesi.
14. Akoğlu H. Denizbaşı A., Ünlüer E., Güneysel Ö., Onur Ö., Marmara Üniversitesi Hastanesi Acil Servisine Başvuran Travma Hastalarının Demografik Özellikleri, Marmara Medical Journal 2005;18(3); 113-122).
15. Trafik Kaza İstatistikleri. TÜİK; 2010.
16. Gürol Arslan G, Eşer İ. Yaşlılara Verilen Eğitimin İlaç Kullanım Uyumuna Etkisinin İncelenmesi. Türk Geriatri Dergisi. 2005;8(3):134-40.
17. Kandiş H, Karakuş A, Katırcı Y, Karapolat S, Kara İH. Geriatrik yaş grubu ve adli travmalar. Turkish Journal of Geriatrics 2011; 14 (3) 193-198.
18. Ghodsi SM, Roudsari BS, Abdollah M et al. Fall-related injuries in the elderly in tehran. Injury 2003; 34: 809-14.
19. Moore BT. Trauma in the elderly. Mol Med 2003; 100:515-7.
20. Knudson MM, Lieberman J, Morris JA, Jr., Cushing BM, Stubbs HA. Mortality factors in geriatric blunt trauma patients. Arch Surg. 1994;129(4):448-53.
21. Özdoğan M, Ağalar F, Daphan ÇE, Topaloğlu S, Çakmakçı M, İ. S. Geriatrik Travmada Mortalite Ve Morbiditeye Etki Eden Faktörler. Ulusal Travma Dergisi. 1999;5(3):189-93.
22. Day RJ, Vinen J, Hewitt-Falls E. Major trauma outcomes in the elderly. Med J Aust 1994 160:657-8.
23. Richmond TS, Kauder D, Stumpf N et al. Characteristics and outcomes of serious traumatic injury in older adults. J Am Geriatr Soc 2002; 50:215-22.
24. Abdulhayoğlu E. Hacettepe Üniversitesi Erişkin Acil Servisi’ne Başvuran Geriatrik Travma Olgularının Analizi, Hacettepe Üniversitesi 2011)

Trauma analysis of patients over age of 65 who apply to emergency service

Year 2017, Volume: 9 Issue: 1, 7 - 14, 15.06.2017

Nazlı Gormeli Kurt Songül Araç Evren Ekıngen Murat Orak Mehmet Ustundag

Abstract

Background: Changes in the physiology of patients over the age of 65 and additional internal pathologies cause them to be subject to trauma more often and change their ability to respond trauma. The purpose of this study is to make demographic analysis of geriatrics patients who apply to emergency service of Batman Regional State Hospital.
Method: Our study involves patients over the age of 65 who applied to Batman Regional State Hospital in 1st February 2016-31st January 2017. 615 cases which were considered convenient with study criteria, had been examined retrospectively. The reason of application of cases, social demographic characteristics, specifications, additional diseases, the month of trauma, trauma area, trauma hour, mortality rates, GKS (Glasgow Coma Scale) and RTS (Revised Trauma Score) were obtained from automation system and case files.
Results: 615 patients were included into study 252 of which were male and 363 were female. The average age of patients was 74.36. 70% of patients (n=433) were illiterate. The most common trauma was falling. Women patients were applied to service due to reason of falling than men. We used an anatomic scoring system called “Abbreviated Injury Scale (AIS)” and we divided patients into two groups as local and multiple according to the number of trauma areas. 58% (n=354) of patients were local cases while 42% (n=259) of them were multiple trauma cases and in both of the groups the most of affected body parts were extremities. In total, 6.17% (n=38) of patients were exitus. 11 of them died in emergency services. Most of patients died (78.94%) due to multiple trauma and they were mostly subject to traffic accidents. The most accompanying comorbid disease to deaths is hypertension.
Conclusion: Both in our country and globally, the elderly population is increasing rapidly. The deaths due to trauma has a significant share in geriatric age group. Thus, it is significantly important to eliminate geriatric traumas and to intervene to the cases with multidisciplinary approach beginning from emergency services.

Keywords

Trauma, geriatrics

References

1. Cesur F. Geriatriktravma hastalarının prospektif analizi. Uzmanlık tezi, Ege Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, İzmir. 2012.
2. The EAST Practice Management Guidlines WorkGroup, Practice Management Guidelines for Geriatric Trauma, 2001.
3. Ma OJ, DeBehnke DJ. Geriatrictrauma.In: Tintinalli J, Kelen GD, Stapcznski JS, editors. Emergency Medicine, Acomprehensive Study Guide, 5th ed. New York: Mc Graw Hill;1999. p.1623-7)
4. Rubenstein LA, Robbins AS, Josephson KR, et all: The value of assessing falls in an elderly population –A randomized clinical trial, Ann InternMed 1990,15:113-308).
5. Perdue PW, Watts DD, Kaufmann CR, Trask AL. Differences in mortality between elderly and younger adult trauma patients: geriatric status increases risk of delayed death. J Trauma 1998; 45:805-10).
6. Committee on Medical Aspects of Automotive Safety: rating the severity of tissue damage. 1. The Abbreviated scale. J Am Med Assoc. 1971; 215:277-280.
7. Miriam T. Aschkenasy, MD, MPH*, Todd C. Rothenhaus, MD, FACEP Trauma and Falls in the Elderly Emerg Med Clin N Am 24 (2006) 413–432.
8. Koval KJ, Meek R, Schemitsch E, et al. An AOA critical issue. Geriatric trauma: young ideas. J Bone Joint Surg Am 2003;85-A:1380–8.
9. Eliastam M. Elderly patients in the emergency department. Ann Emerg Med 1998;18: 1222–9.)
10. Champion HR, Copes WS, Buyer D, et al. Major trauma in geriatric patients. Am J Public Health 1989;79(9):1278–82.
11. Mert E. Geriatrik Hastaların Acil Servis Kullanımı. Turkish Journal of Geriatrics. 2006;9(2):70-4.
12. Dede F. Hacettepe Üniversitesi Erişkin Acil Polikliniği'ne Ocak 2005 - Aralık 2005 Tarihleri Arasında Başvuran 65 Yaş ve Üzerindeki Hastaların Epidemiyolojik İncelenmesi. Hacettepe Üniversitesi; 2006.
13. Ersel M. Dokuz Eylül Üniversitesi Tıp Fakültesi Acil Servisinin Kullanım Özellikleri ve Hasta Aciliyetinin Hekim ve Hasta Açısından Değerlendirilmesi.
14. Akoğlu H. Denizbaşı A., Ünlüer E., Güneysel Ö., Onur Ö., Marmara Üniversitesi Hastanesi Acil Servisine Başvuran Travma Hastalarının Demografik Özellikleri, Marmara Medical Journal 2005;18(3); 113-122).
15. Trafik Kaza İstatistikleri. TÜİK; 2010.
16. Gürol Arslan G, Eşer İ. Yaşlılara Verilen Eğitimin İlaç Kullanım Uyumuna Etkisinin İncelenmesi. Türk Geriatri Dergisi. 2005;8(3):134-40.
17. Kandiş H, Karakuş A, Katırcı Y, Karapolat S, Kara İH. Geriatrik yaş grubu ve adli travmalar. Turkish Journal of Geriatrics 2011; 14 (3) 193-198.
18. Ghodsi SM, Roudsari BS, Abdollah M et al. Fall-related injuries in the elderly in tehran. Injury 2003; 34: 809-14.
19. Moore BT. Trauma in the elderly. Mol Med 2003; 100:515-7.
20. Knudson MM, Lieberman J, Morris JA, Jr., Cushing BM, Stubbs HA. Mortality factors in geriatric blunt trauma patients. Arch Surg. 1994;129(4):448-53.
21. Özdoğan M, Ağalar F, Daphan ÇE, Topaloğlu S, Çakmakçı M, İ. S. Geriatrik Travmada Mortalite Ve Morbiditeye Etki Eden Faktörler. Ulusal Travma Dergisi. 1999;5(3):189-93.
22. Day RJ, Vinen J, Hewitt-Falls E. Major trauma outcomes in the elderly. Med J Aust 1994 160:657-8.
23. Richmond TS, Kauder D, Stumpf N et al. Characteristics and outcomes of serious traumatic injury in older adults. J Am Geriatr Soc 2002; 50:215-22.
24. Abdulhayoğlu E. Hacettepe Üniversitesi Erişkin Acil Servisi’ne Başvuran Geriatrik Travma Olgularının Analizi, Hacettepe Üniversitesi 2011)

There are 24 citations in total.

Details

Primary Language	English
Subjects	Internal Diseases
Journal Section	Research
Authors	Nazlı Gormeli Kurt Songül Araç This is me Evren Ekıngen This is me Murat Orak This is me Mehmet Ustundag This is me
Publication Date	June 15, 2017
Published in Issue	Year 2017 Volume: 9 Issue: 1

Cite

APA	Kurt, N. G., Araç, S., Ekıngen, E., Orak, M., et al. (2017). Trauma analysis of patients over age of 65 who apply to emergency service. International Archives of Medical Research, 9(1), 7-14.
AMA	Kurt NG, Araç S, Ekıngen E, Orak M, Ustundag M. Trauma analysis of patients over age of 65 who apply to emergency service. IAMR. June 2017;9(1):7-14.
Chicago	Kurt, Nazlı Gormeli, Songül Araç, Evren Ekıngen, Murat Orak, and Mehmet Ustundag. “Trauma Analysis of Patients over Age of 65 Who Apply to Emergency Service”. International Archives of Medical Research 9, no. 1 (June 2017): 7-14.
EndNote	Kurt NG, Araç S, Ekıngen E, Orak M, Ustundag M (June 1, 2017) Trauma analysis of patients over age of 65 who apply to emergency service. International Archives of Medical Research 9 1 7–14.
IEEE	N. G. Kurt, S. Araç, E. Ekıngen, M. Orak, and M. Ustundag, “Trauma analysis of patients over age of 65 who apply to emergency service”, IAMR, vol. 9, no. 1, pp. 7–14, 2017.
ISNAD	Kurt, Nazlı Gormeli et al. “Trauma Analysis of Patients over Age of 65 Who Apply to Emergency Service”. International Archives of Medical Research 9/1 (June 2017), 7-14.
JAMA	Kurt NG, Araç S, Ekıngen E, Orak M, Ustundag M. Trauma analysis of patients over age of 65 who apply to emergency service. IAMR. 2017;9:7–14.
MLA	Kurt, Nazlı Gormeli et al. “Trauma Analysis of Patients over Age of 65 Who Apply to Emergency Service”. International Archives of Medical Research, vol. 9, no. 1, 2017, pp. 7-14.
Vancouver	Kurt NG, Araç S, Ekıngen E, Orak M, Ustundag M. Trauma analysis of patients over age of 65 who apply to emergency service. IAMR. 2017;9(1):7-14.

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