Yıl: 2014 Cilt: 17 Sayı: 3 Sayfa Aralığı: 249 - 255 Metin Dili: Türkçe

A RETROSPECTIVE ANALYSIS OF 65 YEARS OLD AND OVER FORENSIC CASES WHO WERE ADMITTED TO THE EMERGENCY DEPARTMENT

Öz:
Giriş: Bu çalışmanın amacı acil servise başvuran geriatrik adli olguların özelliklerini analiz etmek ve önleme programlarının geliştirilmesi için bu olguları adli açıdan araştırmaktır. Gereç ve Yöntem: Acil servise 01.01.2008-30.06.2012 tarihleri arasında başvuran, 65 yaşve üzerindeki adli olguların hasta kartları, adli raporları ve digital hasta kayıtları retrospektif olarak incelendi. Bulgular: Yaş ortancası 71.00±0.50 olan 143 geriatrik adli olgu tespit edildi. En sık trafik kazası (%48.3) ve düşme (%26.6) olguları görüldü. Olguların ortalama 109.2±237.3-dakikada hastaneye ulaştıkları, yarıdan fazlasında (n=75) baş boyun yaralanması olduğu, çoğunda herhangi birbirimden konsültasyon (% 70.6) istenmediği ve %58'sinin acil servisten taburcu edildiği kaydedildi. Fraktür (%26.6) ve yumuşak doku travması (%24.5) en sık tanı olarak görüldü. Düşme ve trafik kazasında tendon kesisine, delici-kesici alet yaralanmasında ise yumuşak doku travması ve intrakranyal kanamaya rastlanmadı. İntrakranyal kanamanın düşme olgularında, yumuşak dokutravmasının da trafik kazalarında daha sık görüldüğü tespit edildi. Sonuç: Çalışma geriatrik yaş grubunda adli olgulara en sık trafik kazaları ve düşmenin nedenolduğunu açığa çıkardı. Yaşlıların korunması için yapılacak eğitimsel girişimler ve yasal düzenlemeler, ciddiyet ve kararlılıkla devam ettiğinde geriatrik yaş grubunda yaralanmaların azaltılmasına yardımcı olacaktır.
Anahtar Kelime:

ACİL SERVİSE BAŞVURAN 65 YAŞ VE ÜZERİ ADLİ OLGULARIN RETROSPEKTİF ANALİZİ

Öz:
Introduction: The objective of this study was to analyze the characteristics of geriatric forensic cases who were admitted to the Emergency Department and to investigate them from the forensic perspective in order to develop prevention programs.Materials and Method: Patient charts, forensic reports and computerized patient records ofgeriatric forensic cases, who were admitted to our emergency department from 01.01.2008 to30.06.2012, were investigated retrospectively. Results: A total 143 forensic geriatric cases with a median age of 71.00±0.50 were includedin the study. The most common incidents were traffic accidents (48.3%) and falls (26.6%). Themean time period for reaching the hospital was 109.2±237.3 minute; more than half (n=75) ofthe cases suffered head and neck injuries; no consultations from other departments were required for the majority of cases (70.6%), and 58% were discharged from the Emergency Department.Fractures (26.6%) and soft tissue injuries (24.5%) were the most common medical diagnoses; tendon cuts were not encountered in falls and traffic accident cases, and soft tissue injuries and intracranial hemorrhages were not encountered in penetrating injury cases. Intracranial hemorrhages were more common among fall cases, and soft tissue injuries were more common in trafficaccident cases. Conclusion: Our investigation revealed that traffic accidents and falls were the most commonforensic cases among the geriatric age group. Educational initiatives and legal measures addressing the safety of elders, when seriously and determinedly conducted, will help to reduce injuriesin the geriatric age group.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KORKMAZ T, ERKOL Z, KARAMANSOY N (2014). A RETROSPECTIVE ANALYSIS OF 65 YEARS OLD AND OVER FORENSIC CASES WHO WERE ADMITTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi, 17(3), 249 - 255.
Chicago KORKMAZ Tanzer,ERKOL Zerrin,KARAMANSOY Nurettin A RETROSPECTIVE ANALYSIS OF 65 YEARS OLD AND OVER FORENSIC CASES WHO WERE ADMITTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi 17, no.3 (2014): 249 - 255.
MLA KORKMAZ Tanzer,ERKOL Zerrin,KARAMANSOY Nurettin A RETROSPECTIVE ANALYSIS OF 65 YEARS OLD AND OVER FORENSIC CASES WHO WERE ADMITTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi, vol.17, no.3, 2014, ss.249 - 255.
AMA KORKMAZ T,ERKOL Z,KARAMANSOY N A RETROSPECTIVE ANALYSIS OF 65 YEARS OLD AND OVER FORENSIC CASES WHO WERE ADMITTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi. 2014; 17(3): 249 - 255.
Vancouver KORKMAZ T,ERKOL Z,KARAMANSOY N A RETROSPECTIVE ANALYSIS OF 65 YEARS OLD AND OVER FORENSIC CASES WHO WERE ADMITTED TO THE EMERGENCY DEPARTMENT. Türk Geriatri Dergisi. 2014; 17(3): 249 - 255.
IEEE KORKMAZ T,ERKOL Z,KARAMANSOY N "A RETROSPECTIVE ANALYSIS OF 65 YEARS OLD AND OVER FORENSIC CASES WHO WERE ADMITTED TO THE EMERGENCY DEPARTMENT." Türk Geriatri Dergisi, 17, ss.249 - 255, 2014.