Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study

Karcioglu, Ozgur; EREN, Şevki Hasan; Korkmaz, İlhan; Sarıkaya, Sezgin; Caliskan, Haci Mehmet; AKTAŞ, Can

Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study

Can AKTAŞ, (Yeditepe Üniversitesi Tıp Fakültesi, Acil Tıp Ana Bilim Dalı, İstanbul, Türkiye)

Şevki Hasan EREN, (Cumhuriyet Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Sivas, Türkiye)

İlhan KORKMAZ, (Cumhuriyet Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Sivas, Türkiye)

Hacı Mehmet ÇALIŞKAN, (Yozgat Devlet Hastanesi, Acil Servis, Yozgat, Türkiye)

Özgür KARCIOĞLU, (Acıbadem Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, İstanbul, Türkiye)

Sezgin SARIKAYA (Yeditepe Üniversitesi Tıp Fakültesi, Acil Tıp Ana Bilim Dalı, İstanbul, Türkiye)

Türk Geriatri Dergisi

5 2

Yıl: 2013 Cilt: 16 Sayı: 1 Sayfa Aralığı: 20 - 24 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study

Öz:

Giriş: Acil servise başvuran yaşlı hastalarda depresyonun karakteristiğini ve prevalansını araştırmak ve depresyona ilişkin faktörleri incelemektir.Gereç ve Yöntem: Bu prospektif çalışma altı aylık dönemde üç farklı merkezin acil servislerine başvuran 65 yaş ve üstü 512 ardışık hastada gerçekleştirilmiştir. Depresyonun tanımlanmasında Geriatrik Depresyon Skalası (GDS) kullanılmıştır. Sosyo-demografik bilgiler ve depresyon durumu için gerekli bilgiler çalışma için hazırlanan bilgi formundan toplanmıştır.Bulgular: GDS verilerine göre hastaların ciddiyetlerine göre gruplandırılmıştır: Hastaların %35.3 (n=181) normal, %48.4 (n=248) hasta hafif depresyon, %16.2 (n=81)hastada ciddi depresyon bulundu. Normal grup içerisindeki hastaların GDS ortalamaları 5.6±2.4 (range= 0-9), hafif depresyonda 14.7±2.4 (range=10-26), ciddi depresyonda 23.5±2.2 (range=20-28) bulundu. Depresyon ile kronik hastalık, acil servise başvuru sıklığı ve psikiyatrik tedavi arasında anlamlı ilişki tespit edildi.Sonuç: Altta yatan hastalıklar ile yaşlılarda depresyon tanınması ve tedavisi oldukça kompleks bir hale gelmiştir. Hastaların depresif semptomları hastaların mevcut hastalıklarına bağlanabilir ve depresyon sıklıkla atlanabilir.

Anahtar Kelime:

Konular: Cerrahi

Acil servise kabul edilen yaşlı hastalarda depresyon: çok merkezli çalışma

Öz:

Introduction: To investigate the prevalence and characteristics of depression in geriatric patients admitted to the emergency department (ED), and to determine the factors concerning depression.Materials and Method: This prospective study was carried out on 512 consecutive elderly patients over or equal to 65 years of age referred to EDs of three different centers during the six-month study period. The Geriatric Depression Scale (GDS) was used for the recognition of depression. Sociodemographic data and information needed to highlight depression status were collected via datasheets prepared for the study.Results: Scores obtained from GDS were assigned into groups regarding severity of illness: 35.3% of the patients (n=181) were found normal, 48.4% of the patients (n=248) were interpreted as mildly depressed and severe depression was considered in 16.2% of the patients (n=81). Mean GDS score determined in the normal patient group is 5.6±2.4 (range: 0 and 9). Mean scores of the mildly depressive patients were found to be 14.7±2.4 (range:10 and 26) while those of the severely depressed patients were found as 23.5±2.2 (range: 20 and 28). A significant relationship was determined between depression, and chronic disease, frequency of ED visit and psychiatric treatments.Conclusion: Depression in the elderly with underlying comorbid illnesses becomes more complex to recognize and treat. Depressive symptoms of patients are attributed to patients' current diseases and depression is often unnoticed.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	AKTAŞ C, EREN Ş, Korkmaz İ, Caliskan H, Karcioglu O, Sarıkaya S (2013). Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. , 20 - 24.
Chicago	AKTAŞ Can,EREN Şevki Hasan,Korkmaz İlhan,Caliskan Haci Mehmet,Karcioglu Ozgur,Sarıkaya Sezgin Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. (2013): 20 - 24.
MLA	AKTAŞ Can,EREN Şevki Hasan,Korkmaz İlhan,Caliskan Haci Mehmet,Karcioglu Ozgur,Sarıkaya Sezgin Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. , 2013, ss.20 - 24.
AMA	AKTAŞ C,EREN Ş,Korkmaz İ,Caliskan H,Karcioglu O,Sarıkaya S Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. . 2013; 20 - 24.
Vancouver	AKTAŞ C,EREN Ş,Korkmaz İ,Caliskan H,Karcioglu O,Sarıkaya S Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. . 2013; 20 - 24.
IEEE	AKTAŞ C,EREN Ş,Korkmaz İ,Caliskan H,Karcioglu O,Sarıkaya S "Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study." , ss.20 - 24, 2013.
ISNAD	AKTAŞ, Can vd. "Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study". (2013), 20-24.

APA	AKTAŞ C, EREN Ş, Korkmaz İ, Caliskan H, Karcioglu O, Sarıkaya S (2013). Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. Türk Geriatri Dergisi, 16(1), 20 - 24.
Chicago	AKTAŞ Can,EREN Şevki Hasan,Korkmaz İlhan,Caliskan Haci Mehmet,Karcioglu Ozgur,Sarıkaya Sezgin Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. Türk Geriatri Dergisi 16, no.1 (2013): 20 - 24.
MLA	AKTAŞ Can,EREN Şevki Hasan,Korkmaz İlhan,Caliskan Haci Mehmet,Karcioglu Ozgur,Sarıkaya Sezgin Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. Türk Geriatri Dergisi, vol.16, no.1, 2013, ss.20 - 24.
AMA	AKTAŞ C,EREN Ş,Korkmaz İ,Caliskan H,Karcioglu O,Sarıkaya S Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. Türk Geriatri Dergisi. 2013; 16(1): 20 - 24.
Vancouver	AKTAŞ C,EREN Ş,Korkmaz İ,Caliskan H,Karcioglu O,Sarıkaya S Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study. Türk Geriatri Dergisi. 2013; 16(1): 20 - 24.
IEEE	AKTAŞ C,EREN Ş,Korkmaz İ,Caliskan H,Karcioglu O,Sarıkaya S "Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study." Türk Geriatri Dergisi, 16, ss.20 - 24, 2013.
ISNAD	AKTAŞ, Can vd. "Depressıon ın the elderly patıents admıtted to the emergency department: a multıcenter study". Türk Geriatri Dergisi 16/1 (2013), 20-24.