Öz
Kaynakça
- 1.Schwab CW, Kauder DR. Trauma in the geriatricpatient. Arch Surg. 1992;127(6):701-6.
- 2.Taylor MD, Tracy JK, Meyer W, et al. Trauma inthe elderly: intensive care unit resource use andoutcome. J Trauma. 2002;53(3):407-414.
- 3.Llompart-Pou JA, Chico-Fernández M, Sánchez-Casado M, et al. Age-related injury patterns inSpanish trauma ICU patients. Results from theRETRAUCI. Injury. 2016;47 Suppl 3:61-5.
- 4.Keller JM, Sciadini MF, Sinclair E, O'Toole RV.Geriatric trauma: demographics, injuries, andmortality. J Orthop Trauma. 2012;26(9):161-5.
- 5.Bonne S, Schuerer DJ. Trauma in the older adult:epidemiology and evolving geriatric traumaprinciples. Clin Geriatr Med. 2013;29(1):137-50.
- 6.Kapçi M, Tomruk Ö, Beceren NG, et al.Investigation of factors affecting cost of geriatricpatients admitted to the emergency department.Eurasian J Emerg Med. 2013;12(3):134.
- 7.Frink M. Multiple trauma and emergency roommanagement. Dtsch Arztebl Int. 2017;114(29-30):497-503.
- 8.Eser M, Keten A, İçme F, et al. Investigation oftraffic accidents in geriatric age group. Turk JGeriatr. 2013;16(3):277-80.
- 9.Kandiş H, Karakuş A, Katırcı Y, et al. Geriatrik yaşgrubu ve adli travmalar. Turk J Geriatr.2011;14(3):20-4.
- 10.Etehad H, Yousefzadeh-Chabok S, Davoudi-Kiakalaye A, et al. Impact of road traffic accidentson the elderly. Arch Gerontol Geriatr.2015;61(3):489-93.
- 11.Safih MS, Norton R, Rogers I, et al. Elderlytrauma patients admitted to the intensive careunit are different from the younger population. N ZMed J. 1999;112(1098):402-4.
- 12.Perdue PW, Watts DD, Kaufmann CR, et al.Differences in mortality between elderly andyounger adult trauma patients: geriatric statusincreases risk of delayed death. J Trauma. 1998;45(4):805-10.
- 13.Meşin MZ, Cihan FG, Pekgör S, et al. Evaluation ofgeriatric patients admitted to the emergencydepartment due to a traffic accident. Turk J Geriatr.2017;20(2):3-8.
- 14.Abou-Raya S, ElMeguid LA. Road trafficaccidents and the elderly. Geriatr Gerontol Int.2009;9(3):290-7.
- 15.Lee WY, Cameron PA, Bailey MJ. Road trafficinjuries in the elderly. Emerg Med J. 2006;23(1):42-6.
- 16.Bulger EM, Arneson MA, Mock CN, et al. Ribfractures in the elderly. J Trauma. 2000;48(6):1040-7.
- 17.Coley A, Partridge R, Kaylor C, et al. The effect ofseatbelt use on injury patterns, disposition, andhospital charges for elders. Acad Emerg Med.2002;9(12):1411-6.
- 18.Güneytepe U, Aydın S, Gökgöz S, et al. The factorsinfluencing the mortality in elderly trauma patientsand scoring systems. Uludag Med J. 2008;34(1):15-9.
- 19.Akköse Aydın Ş, Bulut M, Fedakar R, et al.Trauma in the elderly patients in Bursa. Turk JTrauma Emerg Surg. 2006;12(3):230-4.
- 20.Heinrich D, Holzmann C, Wagner A, et al. Whatare the differences in injury patterns of young andelderly traffic accident fatalities considering deathon scene and death in hospital? Int J Legal Med.2017;131(4):1023-37.
- 21.Matsui Y, Oikawa S, Hitosugi M. Features of fatalinjuries in older cyclists in vehicle-bicycle accidentsin Japan. Traffic Inj Prev. 2018;19(1):60-5.
- 22.Nagata T, Uno H, Perry MJ. Clinical consequencesof road traffic injuries among the elderly in Japan.BMC Public Health. 2010;10(2):375.
- 23.Richter M, Pape HC, Otte D, et al. The currentstatus of road user injuries among the elderly in Germany: a medical and technical accident analysis. J Trauma. 2005;58(3):591-5.
- 24.Güler H, Kaya KA, Şenol E, et al. 65 yaş ve üzeriolgular için düzenlenen adli raporların retrospektifincelenmesi. Ege Tıp Derg. 2020;59(3):196-201.
- 25.García-Altés A, Pérez K. The economic cost ofroad traffic crashes in an urban setting. Inj Prev.2007;13(1):65-8.
- 26.World Health Organization. Global status reporton road safety 2015. Geneva: World HealthOrganization; 2015.
- 27.Emamgholipour S, Raadabadi M, Dehghani M, etal. Analysis of hospital costs in road traffic injuries.Bull Emerg Trauma. 2021;9(1):36-41.
- 28.Bock JO, König HH, Brenner H, et al. Associationsof frailty with health care costs: results of theESTHER cohort study. BMC Health Serv Res.2016;16:128.
- 29.Butler A, Gallagher D, Gillespie P, et al. Frailty: acostly phenomenon in caring for elders withcognitive impairment. Int J Geriatr Psychiatry.2016;31(2):161-8.
- 30.Van Der Vlegel M, Haagsma JA, Geraerds AJLM, etal. Health care costs of injury in the olderpopulation: a prospective multicentre cohort studyin the Netherlands. BMC Geriatr. 2020;20(1):417.
Evaluation of the Clinical Status and Cost Analysis of Patients Aged 65 and Over who Applied to the Emergency Department due to Traffic Accident
Öz
Aim: The elderly population is increasing worldwide. Traffic accidents are an important cause of morbidity and mortality in the elderly. Depending on the increasing age and population, the cost required for the admission and treatment of patients aged 65 and over to the emergency department also increases. The aim of our study is to make clinical evaluation and cost analysis of patients aged 65 and over who applied due to traffic accidents.
Methods: A total of 110 patients aged 65 years and older who presented to the Emergency Department of Hatay Mustafa Kemal University Hospital due to traffic accidents between January 1, 2016, and December 31, 2018, were included in this study. The clinical evaluations of the patients were made retrospectively by scanning their files. Findings were analyzed using appropriate statistical methods.
Results: 70% (n=77) of the patients were male and 30% (n=33) were female. The most cases were in november (16.4%)(n=18) and summer (31.8%) (n=35). Injury was most common (42.7%) in the thoracic region. Multiple trauma was present in 24.5% of the cases. The rate of death in the emergency department was 6.4%, the rate of hospitalization in the intensive care unit was 19.1%, and the rate of hospitalization was 30.9%. The overall mortality rate was 12.7%. A statistically significant difference was found between head-neck, thorax, abdomen and extremity injuries and the clinical outcomes of the cases (death, discharge, hospitalization) (p=0.022, p=0.003, p=0.011, p=0.013, respectively). It was determined that mortality was increased in patients with thorax, abdominal injuries and multiple traumas (p=0.02, p=0.001, p=0.001, respectively). The average length of stay in the hospital was (9.8±9.68) days, and the average cost (3555±5663) was Turkish Lira. It was determined that the cost of treatment increased in cases with extremity injury, multiple trauma, and death (p=0.006, p=0.012, p=0.004, respectively). It was observed that the cost of treatment increased as the length of hospital stay increased (r=0.602; p=0.001).
Conclusion: The first approach in the emergency department is often life-saving in traffic accident patients in the elderly patient group. Prevention of traffic accidents in the elderly, adequate and timely intervention are important in terms of reducing hospital treatment costs, morbidity and mortality.
Anahtar Kelimeler
Kaynakça
- 1.Schwab CW, Kauder DR. Trauma in the geriatricpatient. Arch Surg. 1992;127(6):701-6.
- 2.Taylor MD, Tracy JK, Meyer W, et al. Trauma inthe elderly: intensive care unit resource use andoutcome. J Trauma. 2002;53(3):407-414.
- 3.Llompart-Pou JA, Chico-Fernández M, Sánchez-Casado M, et al. Age-related injury patterns inSpanish trauma ICU patients. Results from theRETRAUCI. Injury. 2016;47 Suppl 3:61-5.
- 4.Keller JM, Sciadini MF, Sinclair E, O'Toole RV.Geriatric trauma: demographics, injuries, andmortality. J Orthop Trauma. 2012;26(9):161-5.
- 5.Bonne S, Schuerer DJ. Trauma in the older adult:epidemiology and evolving geriatric traumaprinciples. Clin Geriatr Med. 2013;29(1):137-50.
- 6.Kapçi M, Tomruk Ö, Beceren NG, et al.Investigation of factors affecting cost of geriatricpatients admitted to the emergency department.Eurasian J Emerg Med. 2013;12(3):134.
- 7.Frink M. Multiple trauma and emergency roommanagement. Dtsch Arztebl Int. 2017;114(29-30):497-503.
- 8.Eser M, Keten A, İçme F, et al. Investigation oftraffic accidents in geriatric age group. Turk JGeriatr. 2013;16(3):277-80.
- 9.Kandiş H, Karakuş A, Katırcı Y, et al. Geriatrik yaşgrubu ve adli travmalar. Turk J Geriatr.2011;14(3):20-4.
- 10.Etehad H, Yousefzadeh-Chabok S, Davoudi-Kiakalaye A, et al. Impact of road traffic accidentson the elderly. Arch Gerontol Geriatr.2015;61(3):489-93.
- 11.Safih MS, Norton R, Rogers I, et al. Elderlytrauma patients admitted to the intensive careunit are different from the younger population. N ZMed J. 1999;112(1098):402-4.
- 12.Perdue PW, Watts DD, Kaufmann CR, et al.Differences in mortality between elderly andyounger adult trauma patients: geriatric statusincreases risk of delayed death. J Trauma. 1998;45(4):805-10.
- 13.Meşin MZ, Cihan FG, Pekgör S, et al. Evaluation ofgeriatric patients admitted to the emergencydepartment due to a traffic accident. Turk J Geriatr.2017;20(2):3-8.
- 14.Abou-Raya S, ElMeguid LA. Road trafficaccidents and the elderly. Geriatr Gerontol Int.2009;9(3):290-7.
- 15.Lee WY, Cameron PA, Bailey MJ. Road trafficinjuries in the elderly. Emerg Med J. 2006;23(1):42-6.
- 16.Bulger EM, Arneson MA, Mock CN, et al. Ribfractures in the elderly. J Trauma. 2000;48(6):1040-7.
- 17.Coley A, Partridge R, Kaylor C, et al. The effect ofseatbelt use on injury patterns, disposition, andhospital charges for elders. Acad Emerg Med.2002;9(12):1411-6.
- 18.Güneytepe U, Aydın S, Gökgöz S, et al. The factorsinfluencing the mortality in elderly trauma patientsand scoring systems. Uludag Med J. 2008;34(1):15-9.
- 19.Akköse Aydın Ş, Bulut M, Fedakar R, et al.Trauma in the elderly patients in Bursa. Turk JTrauma Emerg Surg. 2006;12(3):230-4.
- 20.Heinrich D, Holzmann C, Wagner A, et al. Whatare the differences in injury patterns of young andelderly traffic accident fatalities considering deathon scene and death in hospital? Int J Legal Med.2017;131(4):1023-37.
- 21.Matsui Y, Oikawa S, Hitosugi M. Features of fatalinjuries in older cyclists in vehicle-bicycle accidentsin Japan. Traffic Inj Prev. 2018;19(1):60-5.
- 22.Nagata T, Uno H, Perry MJ. Clinical consequencesof road traffic injuries among the elderly in Japan.BMC Public Health. 2010;10(2):375.
- 23.Richter M, Pape HC, Otte D, et al. The currentstatus of road user injuries among the elderly in Germany: a medical and technical accident analysis. J Trauma. 2005;58(3):591-5.
- 24.Güler H, Kaya KA, Şenol E, et al. 65 yaş ve üzeriolgular için düzenlenen adli raporların retrospektifincelenmesi. Ege Tıp Derg. 2020;59(3):196-201.
- 25.García-Altés A, Pérez K. The economic cost ofroad traffic crashes in an urban setting. Inj Prev.2007;13(1):65-8.
- 26.World Health Organization. Global status reporton road safety 2015. Geneva: World HealthOrganization; 2015.
- 27.Emamgholipour S, Raadabadi M, Dehghani M, etal. Analysis of hospital costs in road traffic injuries.Bull Emerg Trauma. 2021;9(1):36-41.
- 28.Bock JO, König HH, Brenner H, et al. Associationsof frailty with health care costs: results of theESTHER cohort study. BMC Health Serv Res.2016;16:128.
- 29.Butler A, Gallagher D, Gillespie P, et al. Frailty: acostly phenomenon in caring for elders withcognitive impairment. Int J Geriatr Psychiatry.2016;31(2):161-8.
- 30.Van Der Vlegel M, Haagsma JA, Geraerds AJLM, etal. Health care costs of injury in the olderpopulation: a prospective multicentre cohort studyin the Netherlands. BMC Geriatr. 2020;20(1):417.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Tıp Eğitimi, Sağlık Hizmetleri ve Sistemleri (Diğer) |
| Bölüm | Original Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Haziran 2025 |
| Gönderilme Tarihi | 31 Aralık 2024 |
| Kabul Tarihi | 29 Nisan 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 52 Sayı: 2 |
