Geriatrik Popülasyonda Travma Analizi: Kesitsel Çalışma

Geriatrik Popülasyonda Travma Analizi: Kesitsel Çalışma

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Orijinal makale
Geriatrik Popülasyonda Travma Analizi:
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PHWDEROLN GH÷LúLNOHU ELUH\OHULQ WUDYPDGDQ NHQGLOHULQL
koruyabilme kabiliyetini azaltmakta ve geriatrik travma
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nedenlerini ortaya koyabilmek ve bunlara yönelik gerekli
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Anahtar Kelimeler: Acil Servis; geriatri; travma
ABSTRACT
Analysis of trauma in geriatric population: A crosssectional study
Aim: Geriatric people are more exposed to trauma due
to physiopathological changes caused by aging. The aim
of this study was to evaluate the demographic
characteristics of geriatric patients admitted to the
emergency clinic and their diagnosis and treatment
processes.
Material and Method: Our study was carried out at a
3th degree area hospital and evaluated 1450 geriatric
trauma cases between May 2011-April 2012. The study
data was collected and was obtained from patient charts
and automation system. Patients who had mismatch
between the patient cards and their automation
information, and who did not accept the examination
and treatment, were excluded. The patients were
evaluated in terms of the demographic characteristics,
months of exposure to trauma, body region to the
affected trauma and the number of regions covered by
trauma, type of trauma and hospitalized clinics.
Results: Of the evaluated 1540 cases, 790 were male
and 750 were female. The mean age was 73.9 in years.
1368 cases (88.8%) were local trauma patients and 172
cases were multiple trauma patients. The falls were the
most common cause of trauma (82,3%). The extremities
were the most affected body region. The soft tissue
injury was the most commonly observed trauma in cases
of local trauma, while the coexistence of the extremity
and head and neck trauma was the most frequently
observed trauma in cases of multiple trauma.
Conclusion: Physiological and metabolic changes that
occur with aging has decreased the people’s ability to
protect themselves from injury, so has increased the
number of geriatric trauma. Therefore, each case has to
be examined carefully and patient records must be kept
meticulously to reveal the causes of trauma, and to take
precautions against them.
Key Words: Emergency room; geriatrics; trauma
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e-mail: [email protected]
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: 28.06.2012
<D\ÕQDNDEXOWDULKL
: 25.08.2012
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637 (50,2)
14 (93,3)
12 (60)
8 (40)
20 (43,4)
1 (100)
2 (66,7)
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631 (49,8)
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12 (60)
26 (56,6)
0 (0)
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750
Toplam (n%)
167 (10,8)
1268 (82,3)
15 (1)
20 (1,3)
20 (1,3)
46 (2,9)
1 (0,1)
3 (0,3)
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Erkek (n%)
78 (59,1)
579 (48,8)
19 (79,2)
4 (57,1)
102 (59,3)
8 (42,1)
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607 (51,2)
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70 (40,7)
11 (57,9)
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Toplam (n%)
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1186 (77)
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Ortopedi ve Travmatoloji
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Lokal travma (n)
115
16
1
3
12
2
4
4
157
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Multipl travma (n)
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8
0
2
11
0
0
11
34
Total (n/%)
117 (%61,2)
24 (%11,5)
1 (%0,5)
5 (%2,6)
23 (%12,0)
2 (%1)
4 (%2,4)
15 (%7,8)
191 (%100)
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8. hQVDO $ dHYLN $$ 0HWLQWDúÕ 6 $UVODQWDúÕ ' øQDQ 2d <DúOÕ
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