MULT�TRAVMALI HASTALARIN PROGNOZUNU BEL�RLEMEDE YA� FAKT�R�

�kizceli, �brahim; S�z�er, Erdo�an M; Bedirli, Abdulkadir; Y�ld�r�m, Cuma; G�nay, Nurullah; Y�r�mez, Yusuf

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MULT�TRAVMALI HASTALARIN PROGNOZUNU BEL�RLEMEDE YA� FAKT�R� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 1999; 5(1): 40-42

MULT�TRAVMALI HASTALARIN PROGNOZUNU BEL�RLEMEDE YA� FAKT�R�

�brahim �kizceli¹, Erdo�an M S�z�er¹, Abdulkadir Bedirli¹, Cuma Y�ld�r�m¹, Nurullah G�nay¹, Yusuf Y�r�mez¹
Erciyes �niversitesi T�p Fak�ltesi �lk ve Acil Yard�m Ad

�lkemizde ya�l� n�fus giderek artmaktad�r. Ya�l�larda travma nedenleri ve travmaya verilen cevap di�er ya� gruplar�na g�re farkl�l�k g�stermektedir. Ocak 1997 ile Haziran 1998 tarihleri aras�nda hastanemize travma nedeni ile ba�vuran hastalar�n dosya kay�tlar� incelendi. Hastalar erken ya�l� grubu (55-64ya� aras�), ileri ya�l� grubu (65 ya� ve yukar�s�) olmak �zere iki gruba ayr�ld�. Ayr�ca 35-44 ya� aras� hastalar kontrol grubu olarak �al��maya dahil edildi. Bu tarihler aras�nda travma nedeni ile ba�vuran 9450 hastan�n %5,5'i 55 ya� ve yukar�s�nda idi. En s�k travma b�lgesi her �� grupta da kafa idi. En s�k travma nedeni ise kontrol ve erken ya�l� gruplar�nda trafik kazas� iken ileri ya�l� grubunda "d��me idi. Ortalama Travma �iddet Skorlar� kontrol, erken ya�l� ve ileri ya�l� gruplar�nda s�ras�yla 9, 9, 16 olarak bulundu. Ortalama hastanede yatma s�releri, kontrol, erken ya�l� ve ileri ya�l� gruplar�nda s�ras�yla 5, 7, 9 g�n olarak bulundu. Kontrol grubunda mortalite %5,9 iken, erken ya�l� grubunda %10,7, ileri ya�l� grubunda ise %23,7 idi. Sonu� olarak ya�l� hastalar�n fizyolojik rezervlerinin daha az olmas� ve travmaya g�sterdikleri metabolik ve endokrin cevab�n yetersiz olmas�, travma sonras� hayatta kalma �anslar�n� azaltm�� olabilir.

Anahtar Kelimeler: TRAVMA, YA�, TRAVMA ��DDET SKORU, MORTAL�TE

AGE FACTOR IN DETERMINING THE PROGNOSIS OF THE PATIENTS WITH MULTITRAUMA

Elderly population is increasing every year in our country. Reasons of trauma and response to trauma changes with age. Files of the patients who applied to our hospital for trauma between January 1997 and June 1998 have been examined. Patients were divided into two groups: Those who are 55 to 64years old and those who are 65years old and over. In addition, patients of 35 to 44 years have been included in the study as control group. 5.5% of 9450 patients who were admitted to the hospital for trauma were 55 years old and over. The most frequent trauma was head trauma in each of the 3 groups. While most frequent trauma reason was traffic accident in control and early elderly group, in the late elderly it was fall. Average ISS in control, early elderly and late elderly groups have been found 9,9 and 16 respectively. Average hospitalization periods in control, early elderly and late elderly groups have been founds 5,7,9 days, respectively. While mortality was 5.9% in control group, it was 10.7% in early elderly group, and 23.7% in the late elderly group. As a conclusion, the fact that elderly patients physiological reserves are less and their insufficient metabolic and endocrine response to trauma might have reduced their survival chance after trauma.

Keywords: TRAUMA, AGE, INJURY SEVERITY SCORE, MORTALITY

ATIF KOPYALA

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