TY  - JOUR
TI  - Diagnostic utility of endobronchial ultrasound-guided transbronchial needle aspiration in elderly patients
AB  - Introduction: In the elderly population, diagnosis and initial treatment should be considered as soon as possible because of co-morbidities and complications. We aimed to evaluate the findings of endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA) to determine the diagnostic utility of EBUS-TBNA in patients 65 years of age and older.Materials and Methods: We retrospectively evaluated records of patients who underwent EBUS-TBNA from February 2014 to August2017 for diagnosis and/or staging. The demographic data, clinical and EBUS findings, diagnostic procedures during EBUS-TBNA andthe incidence of accurate diagnosis with EBUS-TBNA in patients 65 years of age and older and in younger patients were determined.Results: A total of 496 patients [younger patients (< 65 years, n= 293, M/F: 198/95) and older patients (≥ 65 years, n= 203, M/F:155/48)] who underwent EBUS-TBNA at our clinic were included. The mean age of the older patients was 69.7 ± 5.1 years, whilethe mean age of the younger patients was 51.4 ± 10.4 years. Overall, the diagnostic accuracy of EBUS-TBNA was 96.5% in the olderpatients and 98% in the younger patients. The diagnostic utility of EBUS-TBNA in the two study groups was similar (p= 0.191). While196 (96.6%) of the older patients had no complications during EBUS-TBNA, 285 (97.3%) of the younger patients had nocomplications. Complication rates were not statistically different between the two groups (p= 0.389).Conclusion: In general, EBUS-TBNA is a safe method. The results of this study demonstrated the high diagnostic value of EBUS-TBNAand its low complication rates in patients 65 years of age and older.
AU  - YILMAZ DEMİRCİ, Nilgün
AU  - ÖZTÜRK, Can
DO  - 10.5578/tt.67020
PY  - 2018
JO  - Tüberküloz ve Toraks
VL  - 66
IS  - 2
SN  - 0494-1373
SP  - 115
EP  - 121
DB  - TRDizin
UR  - http://search/yayin/detay/300387
ER  -