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Amaç: Çalışmanın amacı acil servise başvuran geriatrik yaş grubu adli vakaların demografik ve epidemiyolojik açıdan irdelenmesi ve geriatrik adli travma olgularında hastane içi mortalite üzerine etki eden faktörlerin belirlenmesidir. Materyal ve Metot: Çalışmamıza, 1 Ocak 2015 ve 1 Ocak 2018 tarihleri arasında acil servise başvuran ve adli bildirim yapılan 65 yaş ve üzeri tüm hastalar dahil edildi. Hastaların demografik verileri, vital ve klinik bulguları, adli tanıları ve hastane-içi mortalite durumları kaydedildi. Çalışmadaki tüm hastalar için ‘Glaskow Koma Skoru’ ve adli travmalı hastalar için ek olarak ‘Yaralanma Ciddiyet Puanı’ hesaplandı. Mortal seyreden ve sağ kalan hastaların özellikleri karşılaştırıldı. Adli travmalı hastalarda hastane içi mortalite prediktörlerini değerlendirmek için çok değişkenli lojistik regresyon analizi kullanıldı. Bulgular: Çalışmaya toplam 598 geriatrik adli hasta alındı. En sık adli başvuru nedeni motorlu taşıt kazaları (n=317, %53,01) idi. Hastaların %3,17'si (n=19) öldü. Çok değişkenli lojistik regresyon modeli yaş, cinsiyet, ‘Yaralanma Ciddiyet Puanı’, multitravma varlığı, yüksekten düşme ve zemin seviyesinden düşme parametreleri ile oluşturuldu. Hastane içi mortaliteyi ön görmede yüksekten düşme en belirgin prediktör olarak bulunurken [OR: 54,628], yaş artıkça mortalite artmaktaydı. Sonuç: Çalışmamız sonuçlarına göre aktif sosyal hayata katılımı gün geçtikçe artan geriatrik yaş grubunun günümüzde en sık karşılaştığı adli olay motorlu taşıt kazalarıdır. Ayrıca, adli başvurularda, özellikle yüksekten düşme travma mekanizması geriatrik populasyonda hastane içi mortaliteyi belirgin şekilde arttırmaktadır.

Objectives: In this study, we aimed to determine the demographic characteristics of trauma patients ≥ 65 years and to evaluate the relation between RTS scores together with the type of trauma. Materials and Methods: This is a prospective, cross-sectional study. Trauma patients aged ≥65 who applied to the emergency department between 01/12 / 2017- 31/05/2018 were included in the study. Demographic data, vital signs, physical examination findings, imaging, laboratory results, erythrocyte suspension (ES) requirement, patient outcomes, and in-hospital and 28-day mortality were recorded. RTS scores of all patients were calculated. Results: During the study period, 229 of 4898 geriatric patients who applied to the emergency department with trauma were included in our study. 153 (66.81%) of the study patients were women and the median age was 79 (IQR 72-86). The most common comorbid disease was hypertension (n = 109, 47.59%). The most common complaint was a fall. The median RTS of the patients was 12. Soft tissue trauma (YDT) (31.87%) and femur/ hip fracture (23.58%) were the most common final diagnoses. In the group with lower RTS scores Alzheimer/ dementia, presence of previous stroke, erythrocyte suspension requirement and mortality rate were higher (p <0.001, p = 0.002, p <0.001, p = 0.002, respectively). Conclusion: The elderly population and elderly trauma are increasing in our country. In our study, the presence of Alzheimer's/ dementia and previous stroke, ES requirement, and mortality rate were higher in the group with a lower RTS score. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to determine the prevalence of polypharmacy in male and female patients over 65 years of age and to investigate its relationship with sociodemographic characteristics. Materials and Methods: This was a cross-sectional descriptive study conducted between 1 May 2019 and 1 August 2019 through a face-to-face interview in patients aged 65 or above who applied to Gemerek State Hospital Family Medicine Clinics. The questionnaire prepared by the researchers following the literature review was applied by researchers. Results: Mean age of this study including 358 individuals (n=198 women (55.3%) and n=160 men (44.70%) was 71.20 ± 6.60 years (range: 65-95). The incidence of polypharmacy was 38.78%. The proportion of women (44.42%) with polypharmacy was higher than that of men (31.89%), it was statistically significant (p<0.001). Out of 9.09% among women did not use any drugs, while 24.37% of men did not use any drugs (p<0.001). The frequency of polypharmacy is not affected by marital status, income level, education level, place of residence, alcohol or smoking. Conclusion: The main findings of the present study are that the polypharmacy is widely seen among elderly, more common among women than men and having at least a chronic disease an important risk factor for polypharmacy. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to investigate demographic and epidemiological aspects of older people with forensic events and to determine factors affecting in-hospital mortality in geriatric patients with forensic trauma. Materials and Methods: All patients aged ≥65 years who were admitted to the emergency department between January 1, 2015 and January 1, 2018 and reported as a forensic case were included in the study. The demographic data, vital and clinical findings, forensic diagnoses and in-hospital mortality statuses of the patients were recorded. ‘Glasgow Coma Scale’ for all patients and ‘Injury Severity Score’ for patients with forensic trauma were calculated. Characteristics of patients with in-hospital mortality and surviving patients were compared. Also, a multivariate logistic regression analyses was used to assess the predictors for in-hospital mortality in patients with forensic trauma. Results: A total of 598 geriatric forensic patients were included in the analyses. The most frequent forensic admission reason was motor vehicle collisions (n=317, 53.01%). 3.17% (n=19) of the patients died. The multivariate logistic regression model was formed with age, gender, Injury Severity Score, presence of multitrauma, falling from height and ground level falls. Falling from height was found to be the most distinctive predictor for in-hospital mortality [odds ratio: 54.628], and as age increased, mortality increased as well. Conclusion: The most frequent forensic event in the older people was motor vehicle collisions. In forensic admissions, the trauma mechanism of falling from height clearly increases in-hospital mortality among the geriatric population. [ABSTRACT FROM AUTHOR]