Yıl: 2023 Cilt: 24 Sayı: 2 Sayfa Aralığı: 142 - 147 Metin Dili: İngilizce DOI: 10.4274/meandros.galenos.2023.25901 İndeks Tarihi: 26-07-2023

Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease

Öz:
Objective: With the aging of society, the number of centenarians, i.e., individuals aged 100 years and over, is increasing. This study aimed to develop strategies to prevent mortality and morbidity by determining the clinical profiles of patients aged 100 and over who applied to the emergency department (ED). Materials and Methods: The study was a retrospective analysis of patients aged 100 years and older that presented to the ED of tertiary hospital with an acute disease between 2012 and 2021. An analysis was performed using the patient files and computer database containing information on demographic characteristics, presentation complaints, clinical findings, emergency severity index (ESI) triage categories, final diagnoses and outcomes in the ED, length of hospital stay, and discharge characteristics. Results: Of the 222 patients that presented to the ED, 98.6% were women, 78.8% lived in their own homes, and 71.6% were transferred to the hospital by ambulance. At the time of presentation, 72.1% of the patients were in the ESI 3 triage category. Overall, 35.1% of the patients were hospitalized, and the median length of stay in the ED was 240 minutes. Mortality was the in-hospital outcome in 10.4% of the patients. The ESI triage categories, number of consultations, and length of hospital stay were found to be directly related to mortality (p<0.001). Conclusion: Defining patient profile and reasons for mortality and morbidity in centenarian patients, can be used to both prevent possible adverse events and effectively plan healthcare services in this population.
Anahtar Kelime:

Acil Servise Akut Bir Hastalıkla Başvuran Asırlık Hastaların Klinik Profilleri

Öz:
Amaç: Toplumun yaşlanması ile birlikte asırlık yani 100 yaş ve üzeri bireylerin sayısı artmaktadır. Bu çalışma, acil servise başvuran 100 yaş ve üzeri hastaların klinik profillerini belirleyerek mortalite ve morbiditeyi önleyebilecek stratejiler geliştirmeyi amaçlamıştır. Gereç ve Yöntemler: Çalışma 2012-2021 yılları arasında üçüncü basamak bir hastanenin acil servisine akut hastalık şikayeti ile başvuran 100 yaş ve üstü hastaların retrospektif analizini içermektedir. Çalışmada hastaların demografik özellikleri, başvuru şikayetleri, klinik bulguları, emergency severity index (ESI) triyaj kategorileri, acil servisteki kesin tanıları ve son durumları, hastanede kalış süreleri ve taburculuk gibi bilgiler hasta dosyaları ve bilgisayar veri tabanı kullanılarak analiz edildi. Bulgular: Acil servise başvuran 222 hastanın %98,6’sı kadındı, %78,8’i kendi evinde yaşıyordu ve %71,6’sı ambulansla hastaneye sevk edilmişti. Başvuru anında hastaların %72,1’i ESI 3 triyaj kategorisindeydi. Genel olarak, hastaların %35,1’i hastaneye kaldırıldı ve acil serviste medyan kalış süresi 240 dakikaydı. Hastaların %10,4’ü mortalite ile sonuçlandı. ESI triyaj kategorileri, konsültasyon sayısı ve hastanede kalış süresinin mortalite ile doğrudan ilişkili olduğu bulundu (p<0,001). Sonuç: Asırlık hastalarda mortalite ve morbidite nedenlerini ve hasta profilini belirlemek, bu popülasyonda hem olası yan etkileri önlemek hem de sağlık hizmetlerini etkin bir şekilde planlamak için kullanılabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Bilir O, YAZICI M, ataş i, ersunan g (2023). Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. , 142 - 147. 10.4274/meandros.galenos.2023.25901
Chicago Bilir Ozlem,YAZICI Mümin Murat,ataş ismail,ersunan gokhan Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. (2023): 142 - 147. 10.4274/meandros.galenos.2023.25901
MLA Bilir Ozlem,YAZICI Mümin Murat,ataş ismail,ersunan gokhan Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. , 2023, ss.142 - 147. 10.4274/meandros.galenos.2023.25901
AMA Bilir O,YAZICI M,ataş i,ersunan g Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. . 2023; 142 - 147. 10.4274/meandros.galenos.2023.25901
Vancouver Bilir O,YAZICI M,ataş i,ersunan g Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. . 2023; 142 - 147. 10.4274/meandros.galenos.2023.25901
IEEE Bilir O,YAZICI M,ataş i,ersunan g "Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease." , ss.142 - 147, 2023. 10.4274/meandros.galenos.2023.25901
ISNAD Bilir, Ozlem vd. "Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease". (2023), 142-147. https://doi.org/10.4274/meandros.galenos.2023.25901
APA Bilir O, YAZICI M, ataş i, ersunan g (2023). Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. Meandros Medical And Dental Journal, 24(2), 142 - 147. 10.4274/meandros.galenos.2023.25901
Chicago Bilir Ozlem,YAZICI Mümin Murat,ataş ismail,ersunan gokhan Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. Meandros Medical And Dental Journal 24, no.2 (2023): 142 - 147. 10.4274/meandros.galenos.2023.25901
MLA Bilir Ozlem,YAZICI Mümin Murat,ataş ismail,ersunan gokhan Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. Meandros Medical And Dental Journal, vol.24, no.2, 2023, ss.142 - 147. 10.4274/meandros.galenos.2023.25901
AMA Bilir O,YAZICI M,ataş i,ersunan g Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. Meandros Medical And Dental Journal. 2023; 24(2): 142 - 147. 10.4274/meandros.galenos.2023.25901
Vancouver Bilir O,YAZICI M,ataş i,ersunan g Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease. Meandros Medical And Dental Journal. 2023; 24(2): 142 - 147. 10.4274/meandros.galenos.2023.25901
IEEE Bilir O,YAZICI M,ataş i,ersunan g "Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease." Meandros Medical And Dental Journal, 24, ss.142 - 147, 2023. 10.4274/meandros.galenos.2023.25901
ISNAD Bilir, Ozlem vd. "Clinical Profiles of Centenarian Patients Presenting to the Emergency Department with an Acute Disease". Meandros Medical And Dental Journal 24/2 (2023), 142-147. https://doi.org/10.4274/meandros.galenos.2023.25901