IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?

İpek ÖZMEN, (SB Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye)
Elif YILDIRIM, (SB Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye)
Hamza OGUN, (Turhal Devlet Hastanesi, Tokat, Türkiye)
Halil İbrahim YAKAR, (İstanbul Medeniyet Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İstanbul, Türkiye)
Tülay TÖRÜN, (SB Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye)
Haluk ÇALIŞIR (Acıbadem Üniversitesi, Atakent Hastanesi, İstanbul, Türkiye)
Türk Geriatri Dergisi
1 0
Yıl: 2016 Cilt: 19 Sayı: 4 Sayfa Aralığı: 203 - 210 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?

Öz:
Giriş: Dünya nüfusu giderek yaşlanmaktadır. Pnömoni yaşlı nüfus için önemli bir mortalite vemorbidite nedenidir. Yapılan çalışmalarda "yaşlılık" tanımı için 65 yaş ve üzeri kabul edilmektedir.Diğer taraftan "yaşlılık" tanımı ülkeden ülkeye farklılık gösterebilir. Bu çalışmada "75-84 yaş" ve"85 yaş ve üzeri" hasta gruplarında pnömoni seyrinde fark olup olmadığının araştırılması amaçlanmıştır. Gereç ve Yöntem: Üçüncü basamak göğüs hastalıkları hastanesinde bir göğüs hastalığı kliniğinde Ocak 2009- Mayıs 2013 tarihleri arasında kliniğe yatırılarak tedavi edilen 75 yaş ve üzeripnömoni hastaları retrospektif olarak incelenmiştir. Hastalar; "75-84 yaş" ve "85 yaş ve üzeri" olarak iki grupta değerlendirilmiştir. Hastaların demografik özellikleri, CURB 65 skoru, hastane ve kısa dönem mortalite (taburculuktan sonraki ilk 30 gün) özellikleri hastane verilerinden kaydedilmiştir. Bulgular: Çalışmaya yaş ortalaması 83±5 olan toplam 116 hasta alındı. Yetmiş altı hasta "7584 yaş" grubunda ve 40 hasta "85 yaş ve üzeri" gruptadır. Konjestif kalp yetmezliği/koroner arter hastalığı "85 yaş ve üzeri" hasta grubunda anlamlı olarak yüksek saptandı (P = 0.002). Genelhastane mortalitesi %8, kısa dönem mortalite %11 olarak saptandı. Hastane ve kısa dönem mortalite her iki yaş grubunda da benzer saptandı. Hastane yatış süresi her iki grupta benzerdi, yoğun bakıma nakil "75-84 yaş" gruptaki hastalarda daha fazla idi (%11 vs %3, p=0.13). Her iki yaşgrubunda da %18-20 penisilin ve sefalosporin tedavisine makrolit eşlik etmekteydi.Sonuç: Pnömoni seyri, hastane yatış süresi, hastane ve erken mortalite sonuçları "75-84 yaş"ve "85 yaş ve üzeri" hastalarda benzerdir. İleri yaşlı olan bu hastalarda eşlik eden hastalıkların iyiyönetimi, multidisipliner yaklaşım ve yakın izlem hayati önem taşımaktadır bu nedenle hastane işgücü koşullarına odaklanmak, planlama ve organizasyon gerekmektedir
Anahtar Kelime:

Konular: Cerrahi

YAfiLI VE <LER< YAfiLI PNÖMON< HASTALARININ SEYR< AYNI MIDIR?

Öz:
Introduction: Pneumonia is a major mortality and morbidity reason among elderly. Age limit is commonly accepted as 65 years, but actually age definition varies by country. Objective: In the present study we aimed to evaluate the course of pneumonia in patientsage 75 and older as "75-84 years" and "85 and older" patients.Materials and Method: This is a retrospective cohort study in a chest disease clinic between January 2009 and May 2013. Pneumonia patients aged 75 and older followed in chest disease ward were included in the study. The patients were evaluated in two groups: "75-84 years"and "85 and older". Demographics, CURB65 score, hospital and short term mortality (mortalitywithin 30 days after discharge) were recorded. Results: A total number of 116 pneumonia patients, 54% male were enrolled. The meanage was 83±5 years. There were 76 patients in "75-84 years" group and 40 in "85 and older"group. The incidence of congestive heart failure/coronary artery disease was significantly higherin "85 and older" patients (P = 0.002). Penicillins and cephalosporins were the most commonlyused antibiotics. In both age groups in-hospital and short-term mortalities were similar. Thelength of hospital stay was similar in both age groups, but "75-84 years" patients were more likely to transfer to intensive care unit than "85 and older" patients (11% vs. 3%, p = 0.13) Conclusion: The course of pneumonia, LOS, and in-hospital and short-term mortality areanalogous among "75-84 years" and "85 and older" patients. Close clinical follow-up, goodcompliance to guidelines and a good management to comorbidities is required. As multidisciplinary approach and close follow-up is vital for elderly patients, a focus on hospital workforce conditions while planning and organizing is essential
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ozmen i, yıldırım e, OGUN H, YAKAR H, TÖRÜN T, ÇALIŞIR H (2016). IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. , 203 - 210.
Chicago ozmen ipek,yıldırım elif,OGUN Hamza,YAKAR HALİL İBRAHİM,TÖRÜN Tülay,ÇALIŞIR Haluk IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. (2016): 203 - 210.
MLA ozmen ipek,yıldırım elif,OGUN Hamza,YAKAR HALİL İBRAHİM,TÖRÜN Tülay,ÇALIŞIR Haluk IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. , 2016, ss.203 - 210.
AMA ozmen i,yıldırım e,OGUN H,YAKAR H,TÖRÜN T,ÇALIŞIR H IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. . 2016; 203 - 210.
Vancouver ozmen i,yıldırım e,OGUN H,YAKAR H,TÖRÜN T,ÇALIŞIR H IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. . 2016; 203 - 210.
IEEE ozmen i,yıldırım e,OGUN H,YAKAR H,TÖRÜN T,ÇALIŞIR H "IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?." , ss.203 - 210, 2016.
ISNAD ozmen, ipek vd. "IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?". (2016), 203-210.
APA ozmen i, yıldırım e, OGUN H, YAKAR H, TÖRÜN T, ÇALIŞIR H (2016). IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. Türk Geriatri Dergisi, 19(4), 203 - 210.
Chicago ozmen ipek,yıldırım elif,OGUN Hamza,YAKAR HALİL İBRAHİM,TÖRÜN Tülay,ÇALIŞIR Haluk IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. Türk Geriatri Dergisi 19, no.4 (2016): 203 - 210.
MLA ozmen ipek,yıldırım elif,OGUN Hamza,YAKAR HALİL İBRAHİM,TÖRÜN Tülay,ÇALIŞIR Haluk IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. Türk Geriatri Dergisi, vol.19, no.4, 2016, ss.203 - 210.
AMA ozmen i,yıldırım e,OGUN H,YAKAR H,TÖRÜN T,ÇALIŞIR H IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. Türk Geriatri Dergisi. 2016; 19(4): 203 - 210.
Vancouver ozmen i,yıldırım e,OGUN H,YAKAR H,TÖRÜN T,ÇALIŞIR H IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?. Türk Geriatri Dergisi. 2016; 19(4): 203 - 210.
IEEE ozmen i,yıldırım e,OGUN H,YAKAR H,TÖRÜN T,ÇALIŞIR H "IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?." Türk Geriatri Dergisi, 19, ss.203 - 210, 2016.
ISNAD ozmen, ipek vd. "IS THE COURSE OF PNEUMONIA THE SAME INELDERLY AND OLDER PATIENTS?". Türk Geriatri Dergisi 19/4 (2016), 203-210.
Sayfa Oluşturulma Tarihi
25-04-2024 0:37

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