Examination of Geriatric Trauma Patients Presenting to the Emergency Department

Abstract

Objective: We aimed to determine the demographic characteristics, trauma severity scores, place of occurrence of the trauma, consultations requested and the way it ended in geriatric trauma patients. At the same time, we aimed to reveal the relationship between the occurrence of the event and admission to the emergency department and the relationship between trauma scores and mortality. Material and Method: This study was conducted retrospectively with 250 patients aged 65 and over who applied to the Emergency Department of Erciyes University Faculty of Medicine between 01. 01.2011 and 31.12.2011. Gender, age, time elapsed after trauma, trauma mechanism, diagnoses, requested consultations, injury site, GCS, ISS and outcome patterns were investigated. Results: 51.6% of these patients were female and 48.4% were male. The mean age of the patients is 73.3. While 32.4% of the patients were in the first 1-hour period, 11.2% of them applied to the emergency department after the first 24-hour period. While soft tissue trauma (36.4%) was the most common in the patients, when the trauma areas were examined, it was determined that the extremities were the most common with 51.6%. While 86 of the patients did not want consultation from any branch; Orthopedics consultation was requested for 79 patients and neurosurgery consultation was requested for 44 patients. 54.8% of the patients in the study were discharged from the emergency room after treatment, 28.4% were hospitalized, 12% were followed up under intensive care conditions, and 4.8%, 12 patients, died. The duration of admission to the emergency department, GCS and ISS scores of the patients and their outcomes in the emergency department were compared and a statistically significant relationship was found. Conclusion: Geriatric trauma patients are mortal and morbid patients. Depending on the old age, there are usually additional medical problems. Treatment processes are more laborious and demanding. Therefore, patients should be evaluated more carefully and multisystemically. ÖZET Amaç: Geriatrik travma hastalarındaki demografik özellikleri, travma şiddet skorları, travmanın oluş mekanlarını, hastalara istenen konsültasyonları ve sonlanış şekillerini tespit etmeyi hedefledik. Aynı zamanda olayın oluşu ile acil servise başvuru arasında geçen sürenin ve travma skorlarının mortalite ile ilişkisini ortaya çıkarmayı amaçladık.

The correlation between hemostatic blood parameters and sepsis in patients with gunshot wounds referred to a training and research hospital

“…Trauma is an important problem that causes morbidity and mortality in the whole population, especially in young adults. [ 1 ] Trauma patients account for 40% of all patients admitted to the emergency department in the USA and are reported as the primary cause of death in the 0–44 age group with 59%. [ 2 , 3 ] In Türkiye, trauma is the primary cause of death in the 0–40 age group.…”