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Aim: The need for bodily energy in the elderly may decrease due to physical activity limitations, while it may increase with the effects of the disease. The most common screening tool developed for the geriatric population is the Mini Nutritional Assessment, and lower scores are associated with higher mortality predictions. We aimed to correlate the nutritional status of patients admitted to the emergency department with mortality. Materials and Method: Among the geriatric patients admitted to our emergency internal medicine unit between October 1, 2019, and March 1, 2020, 289 patients were included in this cross-sectional study. The Nutritional Risk Screening-2002 and Mini Nutritional Assessment tests were administered to all patients. Results: The number of patients at risk of malnutrition was 49.4% (n=143). The median follow-up was 312 days for all patients, and the mortality rate was 42.5% (n=123) for all our patients, and 50.4% (n=72) of the patients who died were male. Diabetes was high in our geriatric patients, as in all age groups, and its effect on mortality was observed, and cancer patients had an almost three-fold higher malnutrition rate. Seventy patients were transferred from the internal medicine service to the intensive care unit, and 61 of these patients (87.14%) died. Conclusion: The Mini Nutritional Assessment is a non-complex and sensitive method that can be used to predict early and mid-term mortality in geriatric patients admitted to the emergency department. [ABSTRACT FROM AUTHOR]

Background: The objective of this study was to evaluate the compliance to treatment and quality of life of the diabetic patients admitted to our hospital using SF-36 health survey. Methods: We evaluated the compliance to therapy and sociocultural factors of a total of 133 type 2 diabetic patients whom were admitted and treated in our internal medicine department. Of 133 patients, 41.4% of them were male (n=55) and 58.6% of them were female (n=78). Classification regarding age showed that 29% of patients were between 46-55 years of age, whereas 53.4% of them were over 56. Results: Our records indicate that 38.2% (n=50) of the patients were illiterate. Patients that graduated from primary school or from the university were 49.6% (n=65) and 3.6% (n=5); respectively. Of the patients that participated in our study, 48.8% (n=65) were diagnosed with diabetes 5 years ago and 24% (n=36) of them were diagnosed 11 or more years ago. Treatment modalities included oral diabetics (OADs) alone (48%; n=65), insulin alone (27%; n=36) or insulin and OAD both (25%; n=23). Patients with a diabetic age younger than 5 years had better quality of life scores when compared to patients with 6 years or older diabetes (p=0.001). Similarly, patients with graduated from primary school or higher education had better quality of life score than illiterate patients (p=0.02). The same association was not observed in comparison of patients graduated from primary school or lower and the patients with high school graduation or higher (p=0.98). Treatment modalities had similar effect on quality of life (p=0.13). There were no association between quality of life and the institution treating the patients (p>0.05). Conclusion: As the diabetic patient gets older, quality of life deteriorates. Moreover, illiterate diabetic patients have worse quality of life scores than literate patients. However, there is no statistically significant difference between patients that graduated from primary school and patients with higher education in terms of health survey scores. Treatment modality was not found associated with quality of life. [ABSTRACT FROM AUTHOR]

Background: This study evaluates the rate of reaching glycemic goals in patients with type-2 diabetes admitted to outpatient clinic of our internal medicine department and their medication profile. Methods: A total of 375 diabetic patients visited the outpatient clinic of Internal Medicine Department within 3 months between March 2011 and May 2011. HbA1c levels, age of the patients, and medication were investigated. Medication profiles of the patients with HbA1c levels of ⩽7% (good glycemic control group) were evaluated. Results: Regardless of age, 66% of all patients (n=248) were in good glycemic control group. In patients that reached glycemic goal, 81% of them were using oral antidiabetics (OADs) (n=203); 15% of them (n=36) were using OADs and insulin; and only 4% of them (n=9) were using insulin. There were 169 patients who had diabetes 5 years or longer; in these patients, good glycemic control was seen in 36% of them (n=36). In these patients, 98% of them (n=61) were using OADs, and only 1 patient (2%) was using insulin and OADs. Conclusion: In the diabetic population, increased disease duration is correlated with decreased glycemic control. In good glycemic control group, we unexpectedly observed that there were more patients under OAD medication than patients under insulin therapy. [ABSTRACT FROM AUTHOR]