Kafa travması nedeniyle hospitalize edilen geriatrik hastalarda prognozu etkileyen faktörlerin incelenmesi

Dilek Arslan

doi:10.19161/etd.1360365

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Kafa travması nedeniyle hospitalize edilen geriatrik hastalarda prognozu etkileyen faktörlerin incelenmesi

Öz

Amaç: Dünyada yaşlı nüfusun artması ile birlikte buna bağlı hastalıklar da artmıştır. Yaşlılığa bağlı fizyolojik değişiklikler hem yaşlıları travmaya açık hale getirmekte hem de travma sonuçlarını ağırlaştırmaktadır. Araştırmamızda kafa travması nedeniyle opere edilen veya hospitalize edilerek takip edilen geriatrik hastalarda, hangi faktörlerin prognoz üzerinde etkili olduğunun ortaya konulması amaçlanmıştır. Gereç ve Yöntem: Hastanemiz beyin cerrahi kliniğinde 2012-2023 yılları arasında kafa travması nedeniyle tedavi edilen geriatrik hastalar çalışmaya dahil edildi. Aynı cerrahi ekip tarafından tedavi edilen 107 kafa travmalı geriatrik hasta retrospektif olarak değerlendirildi. Opere edilerek tedavi gören 70 hasta ve sadece hospitalize edilerek tıbbi tedavi alan 37 hastanın prognozlarını etkileyen faktörler araştırıldı. Hastaların demografik verileri, anamnezleri, fizik muayene bulguları, radyolojik verileri, tedavi şekilleri morbidite ve mortalite nedenleri, değerlendirildi. Bulgular: Erkek hastaların %20,5’i ve kadın hastaların %32,4’ü kaybedilmiştir. Mortalite üzerine etkili olan nihai değişkenler kraniyal bilgisayarlı tomografide (BT) hematom kalınlığı, kanama diyatezi, hemodiyaliz, kronik subdural hematom ve yoğun bakım yatış süresi olarak elde edildi. Sonuç: Geriatrik hastalarda mortalite riski: kraniyal BT’de hematom kalınlığı 10 mm’den fazla olan hastalarda 7,654 kat, kanama diyatezi olan hastalarda 11,825 kat, hemodiyaliz alan hastalarda 6,847 kat ve kronik subdural hematom olmayan hastalarda 4,606 kat artmaktadır. Yoğun bakım yatış süresi bir gün arttıkça mortalite riski 1,052 kat artmaktadır. Araştırmanın sonuçları geriatrik kafa travmalarında prognozu tahmin etmemizde yardımcı olabilir.

Anahtar Kelimeler

Investigation of factors affecting prognosis in geriatric patients hospitalized for head trauma

Abstract

Aim: As the world's elderly population has increased, so has the incidence of associated disorders. Agerelated physiological changes both predispose the elderly to trauma and exacerbate the consequences of trauma. In our study, we aimed to determine the factors influencing the prognosis of geriatric patients who underwent surgery or were hospitalised for head trauma. Materials and Methods: Geriatric patients treated for head trauma in the neurosurgery department of of the hospital between 2012 and 2023 were included in the study. A total of 107 geriatric patients with head trauma treated by the same surgical team were retrospectively evaluated. Factors influencing the prognosis of 70 patients who underwent surgery and 37 patients who received only hospitalization and medical treatment were investigated. Demographic data, medical history, physical examination findings, radiological data, treatment modalities, causes of morbidity and mortality were evaluated, Results: The mortality rate was 20.5% in male patients and 32.4% in female patients. The final variables that had an effect on mortality were: thickness of hemorrhage on cranial computed tomography (CT), bleeding diathesis, haemodialysis, chronic subdural haematoma and length of stay in intensive care unit stay. Conclusion: Mortality risk in geriatric patients were 7.654-fold in patients with a haematoma thickness of more than 10 mm on cranial CT, 11.825-fold in patients with bleeding diathesis, 6.847-fold in patients receiving hemodialysis and 4.606-fold in patients without chronic subdural hematoma. As the duration of intensive care unit stay increases by one day, the mortality risk increases 1.052 times. The results of the study may help us to predict the prognosis in geriatric head trauma.

Keywords

References

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Details

Primary Language

Turkish

Subjects

Brain and Nerve Surgery (Neurosurgery)

Journal Section

Research Article

Authors

Dilek Arslan ^*
Türkiye

Publication Date

September 18, 2023

Submission Date

June 18, 2023

Acceptance Date

July 25, 2023

Published in Issue

Year 2023 Volume: 62 Number: 3

DOI

https://doi.org/10.19161/etd.1360365

IZ

https://izlik.org/JA26MP59BR

Cite

RIS / Bibtex

Vancouver

1.Dilek Arslan. Kafa travması nedeniyle hospitalize edilen geriatrik hastalarda prognozu etkileyen faktörlerin incelenmesi. EJM. 2023 Sep. 1;62(3):457-66. doi:10.19161/etd.1360365