EVALUATION OF GERIATRIC PATIENTS PRESENTING TO EMERGENCY DEPARTMENT WITH TRAUMA
Objective: Elderly people are more open to accidents due to the physical changes brought by ageing, and an accident or falling that may not cause an important problem in a normal healthy adult may lead to significant injury even death in elderly persons.
In this study, we aimed to prospectively determine demographic features, clinical findings, comorbidities, trauma mechanisms and trauma localizations in geriatric patients who presented to our hospital, and to provide contribution to the management of geriatric trauma patients that account for a considerable part of presentations to emergency departments.
Method: This study included a total of 2108 geriatric patients aged 65 years and over, who presented to the emergency department of Sisli Hamidiye Etfal Training & Research Hospital due to trauma between 01/12/2014 and 30/11/2015. Patients’ demographic data, the way of arrival to emergency department, body region of trauma, GCS scores at the time of admission, vital findings at the time of admission and scene of the trauma were recorded. All data obtained about the patients were recorded to the prepared forms.
Results: The incidence of geriatric trauma cases was 0.62% among all presentations. The rate of traumas experienced at street by patients aged under 75 years was significantly higher than those experienced at street by patients aged over 75 years (p<0.05). The rate of female patients who presented with complaint of falling was significantly higher compared to male patients with the same complaint. The number of male patients who presented with complaint of assault was significantly higher than female patients.
Conclusion: Geriatric patients group is at high risk for traumas. Studies should be performed on this issue and sensitive scoring systems should be developed.
Keywords: geriatric, trauma, emergency department, falling.
Serdar Çağlayan 1, Burak Çelik 2, Elif Çağlayan 1, Nazlı Çelik 3,
Derya Öztürk 1, Ertuğrul Altinbilek 1, Cemil Kavalci 4

1 Şişli Hamidiye Etfal Training and Research Hospital, Emergency department, İstanbul, Turkey
2 Ahi Evran University Faculty of Medicine, Emergency department, Kırşehir, Turkey;
3 Kale Family Health Center, Kırşehir, Turkey;
4 Baskent University Faculty of Medicine, Emergency department, Ankara, Turkey
1. Abdulhayoğlu E. Hacettepe Üniversitesi Erişkin Acil Servisi’ne Başvuran Geriatrik Travma Olgularının Analizi, Hacettepe Üniversitesi 2011, Ankara. p.48-49 2. Cesur F. Geriatrik Travma Hastalarının Prospektif Analizi, Ege Üniversitesi İzmir. 2012; p.68-78 3. Champion H.R., Sacco W.J.: The trauma score as applied to penetrating injury // Ann Emerg Med 1984; 13:6 4. Champion H.R., Copes W.S., Sacco W.J. The Major Trauma Outcome Study // J Trauma 1990;30:1356 5. Chang T.T., Schecter W.P. Injury in the elderly and end-of-life decisions // Surg Clin North Am. 2007;87(1):229-45. 6. Copes W.S., Champion H.E., Sacco W.J., Lawnick M.M., Keast S.L., Bain L.W. The injury severity score revisited // J Trauma 28: 1988;69-77 7. Dede F. Hacettepe Üniversitesi Erişkin Acil Polikliniği'ne Ocak 2005 - Aralık 2005 Tarihleri Arasında Başvuran 65 Yaşve Üzerindeki Hastaların Epidemiyolojik İncelenmesi. Hacettepe Üniversitesi; Ankara. 2006. p.18-19. 8. Dunbar H. The medicine and surgery of Homer // Br Med J 1880;1:48-51 9. Gökçe-Kutsal Y., Yorgancı K., Kadıoğlu N. In: Doğan R, Taştepe Aİ, Liman ŞT, eds. Travma. Ankara: MN Medikal& Nobel Yayınevi; 2006:789-802 10. Güneytepe Ü.İ., Aydın Ş.A., Gökgöz Ş., Özgüç H., Ocakoğlu G., Aktaş H. Yaşlı Travma Olgularında Mortaliteye Etki Eden Faktörlerve Skorlama Sistemleri, Uludağ Üniversitesi Tıp Fakultesi Dergisi 2008;34:15-19. 11. Mattox K.L., Bickell W., Pepe P.E., Burch J., Feliciano D. Prospective MAST studyin 911 patients // The Journal of Trauma. 1989; 29:1104-11. 12. Mert E. Emergency Service Use of Geriatric Patients // Turk J Geriatr. 2006;9(2):70-4. 13. Moreau M., Gainer P., Champion H.R., Sacco W.J. Application of the trauma score in the prehospital setting // Ann Emerg Med. 1985;14:1049 14. Owens P.L. (AHRQ), Russo, C.A. (Thomson Reuters), Spector, W. (AHRQ) and Mutter, R. (AHRQ). Emergency Department Visits for Injurious Falls among the Elderly, 2006.HCUP Statistical Brief #80. October 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb80.pdf. 15. Özdogan M., Agalar F., Daphan C.E., Topaloglu S., Cakmakcı M., Sayek I. Factors effecting mortality and morbidity in theTrauma in Elderly Patient // UlusTravmDerg. 1999;5:189-93 16. Schwab C.W., Kauder D.R. Trauma in the geriatric patient // ARCH Surg. 1992;127:701-6 17. TOBB Economic Report 2017. 74th General Assembly. https://www.tobb.org.tr/Documents/yayinlar/2018/EkonomikRapor 2017.pdf last avalaible date: 27.05.2019 18. Tufan İ. Birinci Türkiye Yaşlılık Raporu. Akdeniz Ü.G.B. Geroyay, Antalya, 2007;1-177. 19. Türkiye’de Yaşlıların Durumuve Yaşlanma Ulusal Eylem Planı. http://ekutup.dpt.gov.tr/nufus/yaslilik/eylempla.pdf.last avalaible date: 15.10.2009; p.5-7. 20. Türkiye İstatistik Kurumu Adrese Dayalı Nüfus Kayıt Sistemi. http://www.tuik.gov.tr/PreHaberBultenleri.do; jsessionid=6nBrRJ1SmG5T4W82jYrmKDmr4s31LYLm2bd9HqqvblLZ72j2dVLp!365014209?id=13425&as_fid=v7EdCP6oHYIUaJzQQF/C. last avalaible date: 27.05.2019. 21. World Health organization. World Health Statistics 2012. http://www.who.int/gho/ publications/world health statistics/EN WHS2012 Full. Pdf. Last avalaible date:15.12.2013 22. Yaman H., Akdeniz M. Etkin Yaşlanma: Birinci Basamak Sağlık Hizmetlerinde Yaşlı Sağlığına Yeni Bir Bakış Açısı STED. 2008;17:6-9 23. Yorgancı K. Travma. In: Gökçe-Kutsal Y, ed. Temel Geriatri. Ankara: Güneş Tıp Kitapevleri; 2007:1335-9
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Çağlayan Serdar, Çelik Burak, Çağlayan Elif, Çelik Nazlı, Öztürk Derya, Altinbilek Ertuğrul, Kavalci Cemil
Evaluation of geriatric patients presentingto emergency department with trauma. Nauka i Zdravookhranenie [Science & Healthcare]. 2019, (Vol.21) 3, pp. 77-83.

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