Assessment of diagnosis and treatment of geriatric patients in otorhinolaryngology
Keywords:Geriatrics, Otorhinolaryngology, Epidemiology
Aim: Otorhinolaryngological problems worsen the social interaction of the elderly and cause addiction and depression in patients. There are a limited number of studies in the literature that examine the otorhinolaryngological disorders of the geriatric population. Through analysis of ENT patients' demographic features, diagnostic distributions, and service processes in ENT inpatient ward, this study aims to obtain data that can guide the efforts in improving future service offered for these patients.
Methods: In this cross-sectional study, the records of patients aged 65 years and over who were consulted from outpatient or emergency clinics and other departments, such as the intensive care unit to the ENT Department of KSBU Evliya Çelebi Training and Research Hospital between 01.01.2017 and 31.12.2019 (including 31.12.2019) were scanned retrospectively. Diagnoses, laboratory, radiological and audio-vestibular evaluations, and treatment processes of the patients included were analyzed.
Results: Among 12509 patients included in the study, 5792 were female (46.3%) and 6717 (53.7%) were male. The most frequent consultation to the ENT outpatient clinic was due to otological complaints with 8594 (68.7%) patients. The main tests used in the evaluation of patients were 5272 audiometric tests, 1585 laboratory tests (hemogram - biochemistry), and 508 computed tomography. The most common diagnoses were hearing loss (24.89%), followed by cerumen impaction (22.07%). Various surgical interventions were performed on 332 (2.65%) patients included in the study. Most common surgical operations were head/neck surgery (134 surgeries), and the most common surgical intervention was tracheotomy (46 patients).
Conclusion: Majority of geriatric patients are outpatients and frequently present with autological complaints. Surgical operation was performed to geriatric patients mostly due to oncological disorders.
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