Geriatrik yaş grubu ve adli travmalar
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Dosyalar
Tarih
2011
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Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Yaşlanma ile vücut fonksiyonlarında oluşan azalma travmatik yaralanma riskini artırmaktadır. Gereç ve Yöntem: Kırıkkale Yüksek İhtisas Hastanesi Acil servisine Ocak 2007 – Haziran 2009 tarihleri arasında başvuran 65 yaş ve üstü adli travma olguları; cinsiyet, yaş, aylık kümülâtif dağılım, travma nedeni, hastaneye getiriliş şekli, travma sonucu oluşan patolojiler, Glaskow koma skoru, gözlem süresi, hastaneye yatış oranları ve mortalite açısından değerlendirilmiştir. Bulgular: 224 olgunun 155'i (%69.2) erkek ve 69'u (%30.8) kadındı. Olguların yaşları 65 ile 98 arasındaydı. Olguların çoğunluğu 5-8. aylar arasında görülmüştür. Travma nedeni olarak en sık trafik kazası tespit edildi. Olguların 178'i (%79.5) özel araçla hastaneye getirilmişti. Oluşan patolojiler içinde en sık yumuşak doku travması gözlendi. Glaskow koma skoru ortalaması 14.5 1.6 idi. Olguların ortalama gözlem süreleri 4.8 2.2 saatti. 38 (%17) olgu hastaneye yatırıldı ve ortalama 5.4 3.5 gün takip edildi. Takipte 8 (%3.6) olgu kaybedildi. Sonuç: Yaşlı travma olgularında daha kapsamlı yapılacak fizik muayene sonrası gerekli görülen tetkikler tamamlanmalı ve bu olguların gözlem süreleri daha uzun tutulmalıdır. Ayrıca takip ve erken dönemde kontrol edilmesi gereken olguların hastaneye yatırılmalarından kaçınmamak gerekmektedir.
Introduction: The lessening in the functions of body by aging increases traumatic injury risk. Materials and Method: The cases of the age 65 and over, who referred to Kırıkkale High Specialization Hospital Emergency Service, between January 2007-June 2009, and had undergone forensic trauma were evaluated from the points of sex, age, monthly cumulative distribution, cause of trauma, way of transferring, pathologies, Glasgow coma scale, follow up duration, rates of hospitalization and mortality. Results: Of the 224 cases, 155 (69.2%) were male and 69 (30.8%) were female. The range of age was 65-98. Most of the cases occurred between 5th-8th months. Motor-vehicle accident was the most frequent cause. 178 (79.5%) cases were taken to hospital by private automobiles. Soft tissue injury was the most frequent pathology. The mean score of Glasgow coma was 14.5 ± 1.6. The follow up duration time was 4.8 ± 2.2 hours. 38 (17%) cases were hospitalized and followed 5.4 ± 3.5 days. 8 cases (3.6%) were died. Conclusion: After comprehensive physical examination, the necessary tests of geriatric trauma patients should be done and the follow up should be prolonged. Also, it is necessary not to avoid hospitalization that should be kept under control during the follow up and early period.
Introduction: The lessening in the functions of body by aging increases traumatic injury risk. Materials and Method: The cases of the age 65 and over, who referred to Kırıkkale High Specialization Hospital Emergency Service, between January 2007-June 2009, and had undergone forensic trauma were evaluated from the points of sex, age, monthly cumulative distribution, cause of trauma, way of transferring, pathologies, Glasgow coma scale, follow up duration, rates of hospitalization and mortality. Results: Of the 224 cases, 155 (69.2%) were male and 69 (30.8%) were female. The range of age was 65-98. Most of the cases occurred between 5th-8th months. Motor-vehicle accident was the most frequent cause. 178 (79.5%) cases were taken to hospital by private automobiles. Soft tissue injury was the most frequent pathology. The mean score of Glasgow coma was 14.5 ± 1.6. The follow up duration time was 4.8 ± 2.2 hours. 38 (17%) cases were hospitalized and followed 5.4 ± 3.5 days. 8 cases (3.6%) were died. Conclusion: After comprehensive physical examination, the necessary tests of geriatric trauma patients should be done and the follow up should be prolonged. Also, it is necessary not to avoid hospitalization that should be kept under control during the follow up and early period.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Türk Geriatri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
3
