Abstract
Since the number of geriatric clinics in our country is inadequate, Chest physicians play a very important role in diagnosis, follow-up and treatment of that group of patients in many centers. In this study, 90 years and older geriatric patients hospitalized in pulmonology services was investigated regarding course of disease. Ninety years and older geriatric patients hospitalized in Pulmonology Department of Duzce University and Duzce Ataturk State Hospital was retrospectively analyzed during three-year period between January 2010 and December 2012. Thirty (57.7%) out of 52 patients was women. The mean age was 93.3 ± 3.9. The most common cause of admission was pneumonia (65.4%). Hypertension was the most common concomitant disease (51.6%). Diabetes mellitus, congestive heart failure was other most common concomitant disease, respectively. 80.8% of all patients was accompanied by at least one concomitant disease. All patients had a mortality rate of 17.3%. The most common cause of admission and concomitant disease in 90 years and older geriatric patients was pneumonia and hypertension respectively. Most of the patients discharged from hospital. Further examination and treatment in patients over the age of 90 should be implemented.
Highlights
Since the number of geriatric clinics in our country is inadequate, Chest physicians play a very important role in diagnosis, follow-up and treatment of that group of patients in many centers
90 years and older geriatric patients hospitalized in pulmonology services was investigated regarding course of disease
Most of the patients discharged from hospital
Summary
Giriş: Ülkemizde geriatri kliniklerinin sayısının az olması nedeniyle birçok merkezde göğüs hastalıkları uzmanları bu hasta grubunun tanı, takip ve tedavisinde önemli rol oynamaktadır. Bu çalışmada göğüs hastalıkları servislerinde yatırılarak izlenen 90 yaş ve üzeri geriatrik hastaların akciğer hastalıkların seyrini araştırmak amaçlanmıştır. Materyal ve Metod: Ocak 2010-Aralık 2012 tarihleri arasında üç yıl süresince Düzce Üniversitesi Tıp Fakültesi ve Düzce Atatürk Devlet Hastanesi Göğüs Hastalıkları servislerinde yatırılan 90 yaş ve üzeri geriatrik hastaların dosyaları retrospektif olarak incelendi. Pnömoni olgularına en sık hipertansiyon ek hastalık olarak eşlik etmekteydi (%51.6). Hipertansiyondan sonra sırasıyla diabetes mellitus ve konjestif kalp yetmezliği eşlik etmekteydi. Tüm hastaların %80.8’inde eşlik eden en az bir ek hastalık mevcuttu. Sonuç: Doksan yaş ve üzeri geriatrik hastalıklarda göğüs hastalıkları servislerine en sık yatırılma nedeni pnömoni ve en sık eşlik eden ek hastalık da hipertansiyon olarak saptandı. Dolayısıyla, 90 yaş ve üzeri olgularda ileri tetkik ve tedavi yöntemlerinin uygulanması gerektiği düşünülmektedir
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