Yıldırım Sibel, Çiler Büyükatalay Zahide, Agha Oghali Ahmed Majid Naji, Kılıç Rıdvan, Dursun Gürsel
Department of Otorhinolaryngology Head and Neck Surgery, Ankara University School of Medicine, Ankara, Turkey.
Turk Arch Otorhinolaryngol. 2021 Mar;59(1):8-13. doi: 10.4274/tao.2021.6193. Epub 2021 Mar 26.
This study was designed to characterize the distribution of otorhinolaryngological emergencies seen in the geriatric population in one year. In this article we present our results and discuss the differences between our results and those reported in the current literature.
The study was carried out in a tertiary care university hospital. All patients aged 65 years or over that were referred by the general emergency department (ED) to the otorhinolaryngology emergency room in a one-year period were retrospectively reviewed. Demographic characteristics (age, gender), findings of physical examination, accompanying systemic diseases, diagnosis, and treatment methods were documented. Hospitalization and referral needs were also analyzed.
In the one-year period from April 2017 to April 2018, a total of 12,780 patients aged 65 or older presented to the ED and the otorhinolaryngology physician was consulted for 195 (1.5%) of these patients. The age range of the patients was 65-96 years, with a mean age of 75 years. The most common cause for presenting to the ED was maxillofacial trauma (31.7%), followed by epistaxis (18.7%). Dyspnea (9.7%) and peripheral facial paralysis (9.7%) were the third most frequent causes. The outcome analysis revealed that 9.7% of the patients were hospitalized.
Identifying the characteristics of the geriatric patients presenting to EDs is important for developing proper management algorithms. Maxillofacial traumas were the most frequently seen ORL emergencies in our cohort of geriatric patients, followed by epistaxis. The distribution and the prevalence of the cases could differ according to the institutional protocols.
本研究旨在描述老年人群中一年里耳鼻喉科急诊的分布情况。在本文中，我们展示研究结果并讨论我们的结果与当前文献报道结果之间的差异。
本研究在一家三级护理大学医院开展。回顾性分析了在一年时间里由普通急诊科转诊至耳鼻喉科急诊室的所有65岁及以上患者。记录了人口统计学特征（年龄、性别）、体格检查结果、伴随的全身性疾病、诊断及治疗方法。还分析了住院需求和转诊需求。
在2017年4月至2018年4月的一年时间里，共有12780名65岁及以上患者前往急诊科就诊，其中195名（1.5%）患者咨询了耳鼻喉科医生。患者年龄范围为65 - 96岁，平均年龄为75岁。前往急诊科就诊的最常见原因是颌面外伤（31.7%），其次是鼻出血（18.7%）。呼吸困难（9.7%）和周围性面瘫（9.7%）是第三常见的原因。结果分析显示9.7%的患者住院治疗。
明确前往急诊科就诊的老年患者的特征对于制定恰当的管理方案很重要。在我们的老年患者队列中，颌面外伤是最常见的耳鼻喉科急诊，其次是鼻出血。病例的分布和患病率可能因机构规程而异。
