Analysis of Demographic and Epidemiologic Characteristics of Patients 65 Years and Older with Intracranial Hemorrhage Presenting to the Emergency Department

Tuğçe Yeni; Ozlem Koksal; Vahide Aslıhan Durak; Göksel Aydoğan; Ömer Yontar; Nur Betül Coşkun

Makale detayları

Analysis of Demographic and Epidemiologic Characteristics of Patients 65 Years and Older with Intracranial Hemorrhage Presenting to the Emergency Department

Yazarlar:

Tuğçe Yeni | Ozlem Koksal | Vahide Aslıhan Durak | Göksel Aydoğan | Ömer Yontar | Nur Betül Coşkun

Yayıncı:

Bursa Uludağ University

Ana Başlıklar:

Acil Tıp

Dergi:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.51 Issue 1, pp.119-124

Belge Tipi:

Makale

Yayın Tarihi:

5/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001348986

pISSN:

1300-414X

Anahtar kelimeler:

Özet:

 The aim of this study is to examine the demographic and epidemiological characteristics of patients with intracranial hemorrhage aged 65 years who applied to the emergency department and to determine the factors associated with their clinical outcomes. This cross-sectional study was conducted by retrospectively evaluating the files of patients aged 65 years who were diagnosed with intracranial hemorrhage in the emergency department between January 1, 2018 and December 31, 2022. 57.6 of the cases were male, and the mean age was 75.49  7.43 years. In 79.9 of the cases, there was at least one comorbidity, and 46.0 had a history of trauma. The most frequently identified types of hemorrhage on Computed Tomography were 39.1 subdural, 38.6 intraparenchymal, and 26.1 subarachnoid hemorrhage. In terms of clinical outcomes, 7.6 of the cases were discharged from the emergency department, 21.2 were admitted to the intensive care unit, 29.9 were transferred to an external centers intensive care unit, and 1.6 resulted in death. Compared to other cases, among those with intensive care unit admissiontransferdeath, female gender and subdural hemorrhage were statistically significantly higher, while Glasgow Coma Score and intraparenchymal hemorrhage frequency were significantly lower. In conclusion, considering that in clinical practice, the risk of poor outcome is higher in elderly patients with intracranial hemorrhage, especially those with subdural hematoma detected on cranial CT and with low GCS scores, it is thought that the implementation of treatment modalities in the early period will be among the efforts to increase survival rate.

 The aim of this study is to examine the demographic and epidemiological characteristics of patients with intracranial hemorrhage aged 65 years who applied to the emergency department and to determine the factors associated with their clinical outcomes. This cross-sectional study was conducted by retrospectively evaluating the files of patients aged 65 years who were diagnosed with intracranial hemorrhage in the emergency department between January 1, 2018 and December 31, 2022. 57.6 of the cases were male, and the mean age was 75.49  7.43 years. In 79.9 of the cases, there was at least one comorbidity, and 46.0 had a history of trauma. The most frequently identified types of hemorrhage on Computed Tomography were 39.1 subdural, 38.6 intraparenchymal, and 26.1 subarachnoid hemorrhage. In terms of clinical outcomes, 7.6 of the cases were discharged from the emergency department, 21.2 were admitted to the intensive care unit, 29.9 were transferred to an external centers intensive care unit, and 1.6 resulted in death. Compared to other cases, among those with intensive care unit admissiontransferdeath, female gender and subdural hemorrhage were statistically significantly higher, while Glasgow Coma Score and intraparenchymal hemorrhage frequency were significantly lower. In conclusion, considering that in clinical practice, the risk of poor outcome is higher in elderly patients with intracranial hemorrhage, especially those with subdural hematoma detected on cranial CT and with low GCS scores, it is thought that the implementation of treatment modalities in the early period will be among the efforts to increase survival rate.

 The aim of this study is to examine the demographic and epidemiological characteristics of patients with intracranial hemorrhage aged 65 years who applied to the emergency department and to determine the factors associated with their clinical outcomes. This cross-sectional study was conducted by retrospectively evaluating the files of patients aged 65 years who were diagnosed with intracranial hemorrhage in the emergency department between January 1, 2018 and December 31, 2022. 57.6 of the cases were male, and the mean age was 75.49  7.43 years. In 79.9 of the cases, there was at least one comorbidity, and 46.0 had a history of trauma. The most frequently identified types of hemorrhage on Computed Tomography were 39.1 subdural, 38.6 intraparenchymal, and 26.1 subarachnoid hemorrhage. In terms of clinical outcomes, 7.6 of the cases were discharged from the emergency department, 21.2 were admitted to the intensive care unit, 29.9 were transferred to an external centers intensive care unit, and 1.6 resulted in death. Compared to other cases, among those with intensive care unit admissiontransferdeath, female gender and subdural hemorrhage were statistically significantly higher, while Glasgow Coma Score and intraparenchymal hemorrhage frequency were significantly lower. In conclusion, considering that in clinical practice, the risk of poor outcome is higher in elderly patients with intracranial hemorrhage, especially those with subdural hematoma detected on cranial CT and with low GCS scores, it is thought that the implementation of treatment modalities in the early period will be among the efforts to increase survival rate.

 Bu çalışmanın amacı acil servise başvuran 65 yaş intrakranial kanaması olan hastaların demografik ve epidemiyolojik özelliklerinin incelenmesi ve klinik sonlanımları ile ilişkili faktörlerin belirlenmesidir. Kesitsel tipte olan bu çalışma, 1 Ocak 2018  31 Aralık 2022 tarihleri arasında acil serviste intrakranial kanama tanısı alan 65 yaş olguların dosyalarının retrospektif olarak değerlendirilmesi ile gerçekleştirilmiştir. Olguların 57,6sı erkekti ve yaş ortalaması 75,49  7,43 yıldı. Olguların 79,9unda en az bir ek hastalık, 46,0ında travma öykusu vardı. Bilgisayarlı Tomografi sonucunda en sık saptanan kanama turleri 39,1 subdural, 38,6 intraparankimal ve 26,1 subaraknoid kanama idi. Klinik sonlanım açısından bakıldığında; olguların 7,6sının acil servisten taburcu edildiği 21,2sinin yoğun bakım unitesine yatırıldığı, 29,9unın dış merkez yoğun bakım unitesine sevk edildiği ve 1,6sının ise exitus olarak sonlandığı göruldu. Diğer olgularla karşılaştırıldığında, klinik sonlanımı olarak yoğun bakım unitesi yatış sevk ölum olan olgular arasında kadın cinsiyet sıklığı ve subdural kanama sıklığı istatistiksel olarak anlamlı duzeyde daha yuksek iken; Glasgow Koma Skoru ve intraparankimal kanama sıklığı ise anlamlı duzeyde daha duşuktu. Sonuç olarak klinik pratikte özellikle kranial BTde subdural hematom saptanan ve GKS skoru duşuk yaşlı intrakranial kanamalı olgularda kötu sonlanım riskinin daha fazla olduğunu göz önunde bulundurularak, erken dönemde doğru tedavinin uygulanmasının sağ kalımı artıracak çabalar arasında yer alacağı duşunulmektedir.

Makale detayları

Analysis of Demographic and Epidemiologic Characteristics of Patients 65 Years and Older with Intracranial Hemorrhage Presenting to the Emergency Department

Yazarlar:

Tuğçe Yeni | Ozlem Koksal | Vahide Aslıhan Durak | Göksel Aydoğan | Ömer Yontar | Nur Betül Coşkun

Yayıncı:

Bursa Uludağ University

Ana Başlıklar:

Acil Tıp

Dergi:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.51 Issue 1, pp.119-124

Belge Tipi:

Makale

Yayın Tarihi:

5/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001348986

pISSN:

1300-414X

emergency department

intracranial hemorrhage

glasgow coma scaleacil servis

Glasgow Koma Skoru

intrakranial kanama

Sayı

Makale detayları

Analysis of Demographic and Epidemiologic Characteristics of Patients 65 Years and Older with Intracranial Hemorrhage Presenting to the Emergency Department

Yazarlar: Tuğçe Yeni | Ozlem Koksal | Vahide Aslıhan Durak | Göksel Aydoğan | Ömer Yontar | Nur Betül Coşkun

Yayıncı: Bursa Uludağ University

Ana Başlıklar: Acil Tıp

Dergi: Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.51 Issue 1, pp.119-124

Belge Tipi: Makale

Yayın Tarihi: 5/2025

Belge Dili: Türkçe

Document ID (Org No.): 2001348986

pISSN: 1300-414X

emergency department

intracranial hemorrhage

glasgow coma scaleacil servis

Glasgow Koma Skoru

intrakranial kanama

Sayı

Yazarlar:

Tuğçe Yeni | Ozlem Koksal | Vahide Aslıhan Durak | Göksel Aydoğan | Ömer Yontar | Nur Betül Coşkun

Yayıncı:

Bursa Uludağ University

Ana Başlıklar:

Acil Tıp

Dergi:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.51 Issue 1, pp.119-124

Belge Tipi:

Makale

Yayın Tarihi:

5/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001348986

pISSN:

1300-414X