Yıl 2018, Cilt 18, Sayı 4, Sayfalar 637 - 645 2018-12-27

Importance of Sodium Levels for Geriatric Patients Presented to the Emergency Department with a Simple Fall
Acil Servise Basit Düşme Şikayetiyle Gelen Geriatrik Hastalarda Sodyum Seviyesinin Önemi

Tolga Öz [1] , Ayhan Özhasenekler [2] , Gül Pamukçu Günaydın [3] , Yavuz Otal [4] , Gülhan Kurtoğlu Çelik [5] , Selçuk Coşkun [6] , Fatih Tanrıverdi [7] , Şervan Gökhan [8]

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Abstract

Objectives: The aim of this study is to investigate the effect of plasma sodium concentration on falls in geriatric patients age of ≥65 years who visited the emergency room for simple falls.
Materials and Methods: The ages and genders of the patients, plasma sodium values at presentation, localizations of the injuries, radiological examination results (radiography and computed tomography), classification of the injury, the presence of accompanying fractures and whether the patient had been referred from a nursing home were recorded and injuries were compared according to sodium levels.
Results: There was no statistically significant difference between the location of the injuries and the presence of hyponatremia (p=0.743). The prevalence of hyponatremia was statistically significant in the patients who were referred from a nursing home for simple falls (p<0.001). The increase in the incidence of vertebral and pelvic injuries as hyponatremia became more severe was statistically significant (p<0.001).
Conclusion: Hyponatremia should be considered as an independent risk factor for falls in patients who are ≥65 years. Hyponatremia is more common in the patients who are staying in nursing homes.In our study,  no direct relationship between hyponatremia and fracture formation has been detected.

Amaç: Bu çalışmanın amacı acil servise basit düşme nedeniyle başvuran 65 yaş ve üstü hastalarda serum

sodyum değeri ile düşme ilişkisini belirlemektir.

Materyal ve Metot: Hastaların yaşları, cinsiyetleri, gelişteki sodyum değerleri, yaralanma bölgeleri,

radyolojik inceleme sonuçları (düz grafi ve tomografi), yaralanmanın sınıflaması, eşlik eden kırık varlığı

ve hastanın bakım evinden gelip gelmediği kaydedildi ve yaralanmalar sodyum seviyelerine göre

karşılaştırıldı.

Bulgular: Yaralanma bölgeleri ile hiponatremi varlığı arasında anlamlı farklılık tespit edilmedi.

(p=0,743). Basit düşme ile bakımevinden gelen hastalarda hiponatremi prevalansı, bakımevinden

gelmeyen hastalara göre istatistiksel olarak anlamlı derecede yüksek bulundu (p<0,001). Hiponatremi

derinleştikçe vertebra ve pelvis yaralanmalarında anlamlı artış görüldü (p<0,001).

Sonuç: Acil servise basit düşmeyle gelen 65 yaş ve üstü hastalarda, hiponatremi düşme için bir risk

faktörü olarak göz önüne alınmalıdır. Bakımevlerinde yaşayan kişilerde hiponatremi diğer hastalara göre

daha sık görülmektedir. Çalışmamızda hiponatremi ile kırık oluşumu arasında doğrudan bir ilişki

saptanamamıştır.

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Birincil Dil en
Konular Sağlık Bilimleri ve Hizmetleri
Dergi Bölümü Araştırmalar
Yazarlar

Yazar: Tolga Öz

Yazar: Ayhan Özhasenekler

Yazar: Gül Pamukçu Günaydın

Yazar: Yavuz Otal

Yazar: Gülhan Kurtoğlu Çelik (Sorumlu Yazar)

Yazar: Selçuk Coşkun

Yazar: Fatih Tanrıverdi

Yazar: Şervan Gökhan

Bibtex @araştırma makalesi { amj497477, journal = {Ankara Medical Journal}, issn = {}, eissn = {2148-4570}, address = {Ankara Yıldırım Beyazıt Üniversitesi}, year = {2018}, volume = {18}, pages = {637 - 645}, doi = {10.17098/amj.497477}, title = {Importance of Sodium Levels for Geriatric Patients Presented to the Emergency Department with a Simple Fall}, key = {cite}, author = {Gökhan, Şervan and Otal, Yavuz and Öz, Tolga and Coşkun, Selçuk and Kurtoğlu Çelik, Gülhan and Pamukçu Günaydın, Gül and Tanrıverdi, Fatih and Özhasenekler, Ayhan} }
APA Öz, T , Özhasenekler, A , Pamukçu Günaydın, G , Otal, Y , Kurtoğlu Çelik, G , Coşkun, S , Tanrıverdi, F , Gökhan, Ş . (2018). Importance of Sodium Levels for Geriatric Patients Presented to the Emergency Department with a Simple Fall. Ankara Medical Journal, 18 (4), 637-645. DOI: 10.17098/amj.497477
MLA Öz, T , Özhasenekler, A , Pamukçu Günaydın, G , Otal, Y , Kurtoğlu Çelik, G , Coşkun, S , Tanrıverdi, F , Gökhan, Ş . "Importance of Sodium Levels for Geriatric Patients Presented to the Emergency Department with a Simple Fall". Ankara Medical Journal 18 (2018): 637-645 <http://www.ankaramedicaljournal.com/issue/40944/497477>
Chicago Öz, T , Özhasenekler, A , Pamukçu Günaydın, G , Otal, Y , Kurtoğlu Çelik, G , Coşkun, S , Tanrıverdi, F , Gökhan, Ş . "Importance of Sodium Levels for Geriatric Patients Presented to the Emergency Department with a Simple Fall". Ankara Medical Journal 18 (2018): 637-645
RIS TY - JOUR T1 - Importance of Sodium Levels for Geriatric Patients Presented to the Emergency Department with a Simple Fall AU - Tolga Öz , Ayhan Özhasenekler , Gül Pamukçu Günaydın , Yavuz Otal , Gülhan Kurtoğlu Çelik , Selçuk Coşkun , Fatih Tanrıverdi , Şervan Gökhan Y1 - 2018 PY - 2018 N1 - doi: 10.17098/amj.497477 DO - 10.17098/amj.497477 T2 - Ankara Medical Journal JF - Journal JO - JOR SP - 637 EP - 645 VL - 18 IS - 4 SN - -2148-4570 M3 - doi: 10.17098/amj.497477 UR - http://dx.doi.org/10.17098/amj.497477 Y2 - 2019 ER -
EndNote %0 Ankara Medical Journal Importance of Sodium Levels for Geriatric Patients Presented to the Emergency Department with a Simple Fall %A Tolga Öz , Ayhan Özhasenekler , Gül Pamukçu Günaydın , Yavuz Otal , Gülhan Kurtoğlu Çelik , Selçuk Coşkun , Fatih Tanrıverdi , Şervan Gökhan %T Importance of Sodium Levels for Geriatric Patients Presented to the Emergency Department with a Simple Fall %D 2018 %J Ankara Medical Journal %P -2148-4570 %V 18 %N 4 %R doi: 10.17098/amj.497477 %U 10.17098/amj.497477
ISNAD Öz, Tolga , Özhasenekler, Ayhan , Pamukçu Günaydın, Gül , Otal, Yavuz , Kurtoğlu Çelik, Gülhan , Coşkun, Selçuk , Tanrıverdi, Fatih , Gökhan, Şervan . "Acil Servise Basit Düşme Şikayetiyle Gelen Geriatrik Hastalarda Sodyum Seviyesinin Önemi". Ankara Medical Journal 18 / 4 (Aralık 2018): 637-645. http://dx.doi.org/10.17098/amj.497477