Dergiler / Türk Geriatri Dergisi / 2013 / Cilt: 16 - Sayı: 3
Demographıc propertıes and factors affectıng mortalıty of elderly patıents related wıth motocycle ınjurıes
- Sayfa
- 271–276
- DOI
- —
Özet
Giriş: Son zamanlarda motosiklet ilişkili yaralanmalar nedeniyle oluşan ölümlerin sayısında artışlar görülmektedir. Çalışmamızda acil servise başvuran 65 yaş üstü motosiklet kazalarından etkilenmiş hastaların sosyo-demografik özellikleri, travma skorları ile birlikte mortalite oranları ve mortaliteyi etki eden faktörlerin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntem: Çalışmamız tanımlayıcı tipte bir araştırmadır. Hastalar Grup A (yaşayan grup) ve Grup B (ölen grup) olmak üzere iki ayrı gruba ayrılarak değerlendirilmiştir.Bulgular: Çalışmaya dahil edilen 108 hastanın; 96'sı Grup A'da, 12'si Grup B'de idi. Özellikle çoklu organ yaralanmaları (p
Abstract
Introduction: To determine the socio-demographic attributes, trauma scoring systems' relationship to mortality rates and the factors affecting mortality of the victims of motorcycle accidents (VMAs) over 65 who arrive at the emergency department.Materials and Method: A descriptive study was conducted in a university-based hospital. Patients were divided into two groups: survival (group A) and deceased (group B).Results: A total of 108 patients who were VMAs were identified. 96 patients were in group A and 12 were in group B. We especially noted the existence of internal injuries, head injuries, multiple injuries and alcohol intake (p=0.029) as risk factors affecting mortality. The Injury Severity Score (ISS) and Abbreviated Injury Scale (AIS) were found to be higher in group B compared to group A (p= 0.003, 0.001, respectively). The Glasgow Coma Score (GCS), Trauma Injury Severity Score (TRISS) and Revised Trauma Score (RTS) were found to be higher in group A compared to group B (p< 0.001 for both).Conclusion: Most of the motorcycle-related injuries in elderly involved men, and occurred in urban areas, during the summer and on weekdays, with a mechanism of falling off the motorbike. Skin and musculoskeletal systems were injured most frequently in our study.