Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study

Hasan Kara,1 Aysegul Bayir,1 Ahmet Ak,1 Murat Akinci,1 Necmettin Tufekci,1 Selim Degirmenci,1 Melih Azap21Department of Emergency Medicine, Selçuk University, Konya, Turkey; 2Department of Emergency Medicine, Konya Numune Hospital, Konya, TurkeyPurpose: Trauma is a common cause of admissi...

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Autores principales: Kara H, Bayir A, Ak A, Akinci M, Tufekci N, Degirmenci S, Azap M
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2013
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Acceso en línea:https://doaj.org/article/11a3d7a29da44376a953e0e364c31fc9
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spelling oai:doaj.org-article:11a3d7a29da44376a953e0e364c31fc92021-12-02T01:57:54ZTrauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study1178-1998https://doaj.org/article/11a3d7a29da44376a953e0e364c31fc92013-12-01T00:00:00Zhttps://www.dovepress.com/trauma-in-elderly-patients-evaluated-in-a-hospital-emergency-departmen-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Hasan Kara,1 Aysegul Bayir,1 Ahmet Ak,1 Murat Akinci,1 Necmettin Tufekci,1 Selim Degirmenci,1 Melih Azap21Department of Emergency Medicine, Selçuk University, Konya, Turkey; 2Department of Emergency Medicine, Konya Numune Hospital, Konya, TurkeyPurpose: Trauma is a common cause of admission to the hospital emergency department. The purpose of this study was to evaluate the cause of admission, clinical characteristics, and outcomes of patients aged ≥65 years admitted to an emergency department in Turkey because of blunt trauma.Materials and methods: Medical records were retrospectively reviewed for 568 patients (314 women and 254 men) aged ≥65 years who were admitted to an emergency department of a tertiary care hospital.Results: Trauma was caused by low-energy fall in 379 patients (67%), traffic accident in 79 patients (14%), high-energy fall in 69 patients (12%), and other causes in 41 patients (7%). The most frequent sites of injury were the lower extremity, thorax, upper extremity, and head. The femur was the most frequent fracture site. After evaluation in the emergency department, 377 patients (66%) were hospitalized. There were 31 patients (5%) who died. Risk of hospitalization after trauma was significantly associated with trauma to the lower extremity, thorax, and spine; fractures of the femur and rib; and intracranial injury.Conclusion: Emergency department admission after trauma in patients aged $65 years is common after low-energy falls, and most injuries occur to the extremities. It is important to focus on prevention of falls to decrease the frequency of trauma in the elderly.Keywords: fall, femur, fracture, injuryKara HBayir AAk AAkinci MTufekci NDegirmenci SAzap MDove Medical PressarticleFallfemurfractureinjuryGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 17-21 (2013)
institution DOAJ
collection DOAJ
language EN
topic Fall
femur
fracture
injury
Geriatrics
RC952-954.6
spellingShingle Fall
femur
fracture
injury
Geriatrics
RC952-954.6
Kara H
Bayir A
Ak A
Akinci M
Tufekci N
Degirmenci S
Azap M
Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study
description Hasan Kara,1 Aysegul Bayir,1 Ahmet Ak,1 Murat Akinci,1 Necmettin Tufekci,1 Selim Degirmenci,1 Melih Azap21Department of Emergency Medicine, Selçuk University, Konya, Turkey; 2Department of Emergency Medicine, Konya Numune Hospital, Konya, TurkeyPurpose: Trauma is a common cause of admission to the hospital emergency department. The purpose of this study was to evaluate the cause of admission, clinical characteristics, and outcomes of patients aged ≥65 years admitted to an emergency department in Turkey because of blunt trauma.Materials and methods: Medical records were retrospectively reviewed for 568 patients (314 women and 254 men) aged ≥65 years who were admitted to an emergency department of a tertiary care hospital.Results: Trauma was caused by low-energy fall in 379 patients (67%), traffic accident in 79 patients (14%), high-energy fall in 69 patients (12%), and other causes in 41 patients (7%). The most frequent sites of injury were the lower extremity, thorax, upper extremity, and head. The femur was the most frequent fracture site. After evaluation in the emergency department, 377 patients (66%) were hospitalized. There were 31 patients (5%) who died. Risk of hospitalization after trauma was significantly associated with trauma to the lower extremity, thorax, and spine; fractures of the femur and rib; and intracranial injury.Conclusion: Emergency department admission after trauma in patients aged $65 years is common after low-energy falls, and most injuries occur to the extremities. It is important to focus on prevention of falls to decrease the frequency of trauma in the elderly.Keywords: fall, femur, fracture, injury
format article
author Kara H
Bayir A
Ak A
Akinci M
Tufekci N
Degirmenci S
Azap M
author_facet Kara H
Bayir A
Ak A
Akinci M
Tufekci N
Degirmenci S
Azap M
author_sort Kara H
title Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study
title_short Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study
title_full Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study
title_fullStr Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study
title_full_unstemmed Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study
title_sort trauma in elderly patients evaluated in a hospital emergency department in konya, turkey: a retrospective study
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/11a3d7a29da44376a953e0e364c31fc9
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AT akincim traumainelderlypatientsevaluatedinahospitalemergencydepartmentinkonyaturkeyaretrospectivestudy
AT tufekcin traumainelderlypatientsevaluatedinahospitalemergencydepartmentinkonyaturkeyaretrospectivestudy
AT degirmencis traumainelderlypatientsevaluatedinahospitalemergencydepartmentinkonyaturkeyaretrospectivestudy
AT azapm traumainelderlypatientsevaluatedinahospitalemergencydepartmentinkonyaturkeyaretrospectivestudy
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