B. Arslan, T. Yılmaz, V. Erol, B. Tuncalı, H. Gülay
{"title":"CAN CHOLECYSTECTOMY BE PERFORMED AS SAFELY IN ELDERLY PATIENTS AS IT IS IN YOUNG PATIENTS","authors":"B. Arslan, T. Yılmaz, V. Erol, B. Tuncalı, H. Gülay","doi":"10.31086/TJGERI.2020.132","DOIUrl":"https://doi.org/10.31086/TJGERI.2020.132","url":null,"abstract":"88 Introduction: In this study, we aimed to compare the surgical outcomes between elderly and young patients undergoing surgery for gallstone disease and determine variations in patient characteristics, if any. Materials and Method: Data of patients who underwent surgery for gallstone disease at a single center between 2010 and 2018 were analyzed retrospectively. Two patient groups were evaluated: patients <65 years and ≥65 years. Patient characteristics, preoperative outpatient clinic data, surgical data, and postoperative data were collected. Results: In total, 1,198 patients with a mean age of 54.77 ± 15.03 (15–91) years were assessed. Comorbid conditions, including cardiovascular disease, pulmonary disease, renal disease, and diabetes mellitus were significantly more common in elderly patients (p<0.001). Acute cholecystitis in the preoperative period was noted in 15.36% of young patients and in 30.4% of elderly patients (p<0.001). Need for emergency surgery was higher in elderly patients than in young patients [13.86% (47) and 9.31% (80), respectively] (p=0.021). Laparoscopic cholecystectomy and open cholecystectomy were performed in 98.37% and 1.04% of young patients, respectively, and in 92.62% and 3.53% of elderly patients, respectively (p<0.001). Among factors affecting the length of hospital stay in elderly patients, the duration of hospitalization was significantly longer in elderly patients who underwent emergency surgery, open surgery, needed additional surgery, and who had high American Society of Anesthesiologists scores (p<0.001, p<0.001, p=0.013, p<0.001, respectively). Conclusion: Complications rates associated with cholecystectomy are similar between young and elderly patients when appropriate surgical preparations are performed. Surgery for gallstone disease can be performed safely in elderly patients with low morbidity and mortality rates.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"11 1","pages":"8-17"},"PeriodicalIF":0.3,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73938211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DO SURGICAL PATIENTS OLDER THAN 90 YEARS MORE BENEFIT FROM INTENSIVE CARE UNIT","authors":"M. Arikan","doi":"10.31086/tjgeri.2020.138","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.138","url":null,"abstract":"Materials and Methods: In this study, medical records of patients aged ≥90 years admitted to intensive care unit, between January 2015 and January 2018, were retrospectively reviewed. Demographic data, reason for admission (medical or surgical), Acute Physical and Chronic Health Evaluation II (APACHE II) score, need for and duration of mechanical ventilation, need for inotropic agents, duration of intensive care unit stay, and mortality rate were recorded.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"90 1","pages":"60-65"},"PeriodicalIF":0.3,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76362541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aylin Güneşli, M. Yılmaz, Çiğdem Yalçın, N. Tekkarışmaz, Ö. Alkan
{"title":"EVALUATION OF EPICARDIAL FAT AND CAROTID AND FEMORAL INTIMA-MEDIA THICKNESSES IN GERIATRIC PATIENTS WITH END-STAGE RENAL DISEASE","authors":"Aylin Güneşli, M. Yılmaz, Çiğdem Yalçın, N. Tekkarışmaz, Ö. Alkan","doi":"10.31086/TJGERI.2020.136","DOIUrl":"https://doi.org/10.31086/TJGERI.2020.136","url":null,"abstract":"Introduction: Although atherosclerotic cardiovascular diseases and cardiovascular risks are known to increase in patients with end-stage renal disease, it is not clear whether these risks increase in the geriatric patient population as well. This study aims to evaluate these risks in geriatric patients with end-stage renal disease by evaluating epicardial fat and carotid and femoral intima-media thicknesses, known as markers, for subclinical atherosclerosis and cardiovascular risks.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"69 1","pages":"42-50"},"PeriodicalIF":0.3,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79134102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Yurtogullari, E. Koçan, G. Vural, Ş. Gümüşyayla, M. Babademez, K. Bozdemir
{"title":"THE RELATIONSHIP OF PRESBYCUSIS WITH COGNITIVE FUNCTIONS","authors":"S. Yurtogullari, E. Koçan, G. Vural, Ş. Gümüşyayla, M. Babademez, K. Bozdemir","doi":"10.31086/tjgeri.2020.140","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.140","url":null,"abstract":"Materials and Method: Presbycusis was diagnosed by routine biochemical, hormone, and audiological tests in patients aged ≥50 years with hearing loss who were admitted to the ear-nose-throat outpatient clinic. Cognitive impairment was examined by a neurologist; all patients received the Mini-Mental State Examination and Clock Drawing Test. Patients with dementia caused by metabolic and toxic disorders, and patients with depression who scored >10 on Beck’s depression scale were excluded from the study.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"30 1","pages":"75-81"},"PeriodicalIF":0.3,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76149780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ramazan Gündüz, Betül Üstün, A. Şan, H. G. Karataş, M. Akyüz
{"title":"ALKAPTONURIA DIAGNOSED IN A GERIATRIC PATIENT; A CASE REPORT","authors":"Ramazan Gündüz, Betül Üstün, A. Şan, H. G. Karataş, M. Akyüz","doi":"10.31086/tjgeri.2020.148","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.148","url":null,"abstract":"Alkaptonuria is a hereditary and metabolic disease which is characterised by ocranosis, arthritis and aciduria. It is a rare clinical condition which has an estimated incidence varies from 1/ 250,000 to 1/1000000 live births. This autosomal recessive disorder occurs as a result of homogentisic acid dioxygenase enzyme deficiency which takes part in tyrosine metabolism. This case report aimed to present a geriatric patient who had diagnosed alkaptonuria. A 69 years old male was admitted to our department with knee-shoulder pain and range of motion (ROM) limitation. His medical history revealed that he had both mechanical and inflammatory joint pain for 22 years. The examination of his eyes were compatible with blue sclera and there was also bluish black discoloration on the ears. He had also hearing loss. Qualitative 24 hours collected urine examination showed dark black discoloration. The patient was diagnosed as alkaptonuria. A physical therapy programme were planned to the patient by our department. Clinicians should be aware of this pathology and the diagnosis should be confirmed by clinical, laboratory and radiological examinations.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"57 1 1","pages":"147-152"},"PeriodicalIF":0.3,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79800566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Irmak, N. Adıguzel, E. Tunçay, F. Kargın, O. Mocin, G. Gungor, Z. Karakurt
{"title":"RETROSPECTIVE ANALYSIS OF COST AND FACTORS AFFECTING MORTALITY IN ELDERLY PATIENTS IN THE INTENSIVE CARE UNIT","authors":"I. Irmak, N. Adıguzel, E. Tunçay, F. Kargın, O. Mocin, G. Gungor, Z. Karakurt","doi":"10.31086/tjgeri.2020.137","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.137","url":null,"abstract":"Materials and Methods: This retrospective cohort study included patients aged over 65 years admitted to the tertiary intensive care unit. The demographics including age, gender, body mass index, comorbidities, Glasgow coma scale scores, acute physiology and chronic health evaluation II, the Charlson comorbidity index scores, diagnosis, blood gas analysis results, type of mechanical ventilation, length of stay in the intensive care unit (ICU), time of death and cost of ICU stay were obtained from the government electronic mortality declaration system.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"59 1","pages":"51-59"},"PeriodicalIF":0.3,"publicationDate":"2020-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82934088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CHARLES BONNET SYNDROME IN FUNGAL KERATITIS AND AGE-RELATED MACULAR DEGENERATION: A CASE REPORT","authors":"Özlem Dikmetaş, S. Kocabeyoğlu, M. Irkec","doi":"10.31086/TJGERI.2020.130","DOIUrl":"https://doi.org/10.31086/TJGERI.2020.130","url":null,"abstract":"","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"12 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2020-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74282384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Abitağaoğlu, C. Köksal, H. Çiyiltepe, Tamer Bayram, G. Turan, D. Arı
{"title":"FACTORS AFFECTING INTENSIVE CARE UNIT ADMISSION AND MORTALITY RATES OF GERIATRIC PATIENTS WHO UNDERGO EMERGENCY ABDOMINAL SURGERY","authors":"S. Abitağaoğlu, C. Köksal, H. Çiyiltepe, Tamer Bayram, G. Turan, D. Arı","doi":"10.31086/TJGERI.2020.117","DOIUrl":"https://doi.org/10.31086/TJGERI.2020.117","url":null,"abstract":"","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"19 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2020-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84016383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"BURDEN OF FAMILY CAREGIVERS OF THE ELDERLY AND FACTORS AFFECTING THEIR BURDEN","authors":"Birgül Korkmaz, Hulya Fırat Kılıç","doi":"10.31086/TJGERI.2020.126","DOIUrl":"https://doi.org/10.31086/TJGERI.2020.126","url":null,"abstract":"","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"9 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2020-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79629100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Kumbul, M. Tüz, S. Bircan, H. Yasan, M. Sivrice, Vural Akın
{"title":"SYNCHRONOUS MANTLE CELL LYMPHOMA OF LARYNX AND NASOPHARYNX","authors":"Y. Kumbul, M. Tüz, S. Bircan, H. Yasan, M. Sivrice, Vural Akın","doi":"10.31086/TJGERI.2020.129","DOIUrl":"https://doi.org/10.31086/TJGERI.2020.129","url":null,"abstract":"504 LARENKS VE NAZOFARENKSTE SENKRON MANTLE HÜCRELİ LENFOMA Mantle cell lymphoma is a variant of non-Hodgkin’s lymphoma and is known as a mature peripheral B-cell lymphoid neoplasm. Lymphomas of the larynx and nasopharynx are rare; mantle cell lymphoma is exceedingly rare. In most mantle cell lymphoma cases, the tumoral lymphoid cells express nuclear cyclin D1 due to a t(11;14) chromosomal translocation between an IGH gene and CCND1. This is considered to be an important genetic event in mantle cell lymphoma. There are case reports in the literature on various histologic types of nonHodgkin’s lymphomas which affect the nasopharynx and larynx simultaneously. However, to the best of our knowledge, mantle cell lymphoma involvement of the nasopharynx and larynx simultaneously has not been reported. In this case report, the detailed clinical manifestations and pathological findings of a mantle cell lymphoma patient have been presented along with a literature review of mantle cell lymphoma.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"26 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2020-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78932214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}