Anatolian Journal of Emergency Medicine
Yazarlar: Behçet VARIŞLI
Konular:Tıp
Anahtar Kelimeler:Emergency,Geriatrics,Cost
Özet: Aim: In this study we aimed to determine the characteristics and costs of the health services they need and to investigate the clinical, epidemiological and cost data of the geriatric patients, who applied to AS with non-traumatic complaints. Materials and Method: This study was carried out with a retrospective analysis of 400 patients in the geriatric age group. Persons who consented to consecutive, non- traumatic complaints, evaluated by emergency medicine physicians, were observed to be the follow-up for treatment and follow-up individuals. Patient complaints, physical examination findings, required examinations and consultations, observation periods, hospitalization- discharge-ex rates and costs were calculated. The results were compared between geriatric age subgroups. The results were evaluated with a confidence interval of 95% and a significance level of p <0.05. Methods: 44% of the patients included in this study were male and 56% female.. 34% were 65-74 years old, 44.3% were 75-84 years old and 21.3% were 85 years old. The mean age of the patients was 77.85 ± 8.25 years. 46.3% of the patients were discharged while 53.3% were hospitalized. Two patients (0.5%) died. The rate of hospitalization of patients with ambulance (32.4%) was higher than others. The mean duration of observation of patients in AS was 431.58 ± 340.54 minutes. The cost of the patients was calculated as 173,69 ± 96,19 TL. The costs of the group over the age of 85 were higher than the other age subgroups. The cost of patients with a duration of 0-4 hours was significantly lower than the other patients. The costs of the patients who were observed for 12-24 hours were found to be significantly higher than the others. The average cost of patients with ambulance was significantly higher than the other patients. The cost average of the patients who were admitted to the intensive care unit and neurology service was found to be significantly higher than the other services Conclusion: Elderly patients should be able to benefit from emergency health services adequately and efficiently. New regulations are required for this purpose. Further studies on geriatric patients and costs in AS should be performed.