Journals / Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2016 / Cilt: 27 - Sayı: 1
Retrospective Evaluation of Geriatric Type 2 Diabetes Mellitus Patients Admitted to Emergency Services as Result of Diabetes
- Pages
- 7–10
- DOI
- —
Abstract
Background: The aim of the present study was to retrospectively evaluate geriatric type 2 diabetic patients admitted to emergency services as a result of diabetes.Methods: All files of geriatric patients admitted to emergency services between January and August 2013 were analyzed. Patients admitted as a result of diabetes and related acute complications were included in the study. Results: Hypoglycemia was diagnosed in 28.2% (n=42) of patients, and hyperglycemic hyperosmolar state was found in 26.9% (n=40). Hyperglycemia, diabetic ketoacidosis, diabetic foot infection, and lactic acidosis were diagnosed in 20.1% (n=30), 16.1% (n=24), 6.7% (n=10), and 2% (n=3) of patients, respectively.Conclusion: Difficulties can occur in follow-up and treatment of diabetes mellitus in geriatric patients. Further comprehensive studies are needed on the topic.
Özet
Amaç: Bu çalışmada diyabet sebebiyle acil servise başvurmuş olan geriatrik tip 2 diyabetik hastaları geriye dönük olarak değerlendirmeyi amaçladık.Gereç ve Yöntem: Ocak-Ağustos 2013 tarihleri arasında acil servise başvuran tüm geriatrik hastaların dosyaları incelendi. Diyabet ve ilişkili akut komplikasyonlar sebebiyle başvuran hastalar çalışmaya alındı. Bulgular: Hastaların %28.2'sinde (n=42) hipoglisemi, %26.9'unda (n=40) hiperglisemik hiperosmolar durum saptandı. Hiperglisemi, diyabetik ketoasidoz, diyabetik ayak enfeksiyonu ve laktik asidoz sırasıyla %20.1 (n=30), %16.1 (n=24), %6.7 (n=10) ve %2 (n=3) tespit edildi.Sonuç: Geriatrik hastalarda diabetes mellitusun takip ve tedavisinde bazı zorluklar olabilir. Bu konuda daha kapsamlı çalışmalara ihtiyaç vardır.