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Ann Geriatr Med Res > Volume 13(2); 2009 > Article
Journal of the Korean Geriatrics Society 2009;13(2):89-94.
DOI: https://doi.org/10.4235/jkgs.2009.13.2.89    Published online June 30, 2009.
Clinical Analysis of Elderly Patients with Acute Abdominal Pain in Emergency Department
Hyun Don Eom, Sung Soo Oh, Sang Heon Park, Seung Il Yoo, Jin Ho Jung, Hyung Sub Won
1Department of Emergency Medicine, National Police Hospital, Seoul, Korea. eumhd@medigate.net
2Department of Occupational and Environmental Medicine, Wonju Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju, Korea.
급성 복통을 주소로 응급실에 내원한 노인환자에 대한 임상적 고찰
Abstract
BACKGROUND
As the elderly population increases, elderly patients visiting emergency departments (ED) with acute abdominal pain will also likely increase. The underlying causative diseases in these older patients are different from younger patients, usually more serious. Thus, correct diagnosis is very important, but difficult. There needs to be a better understanding of the characteristics of the elderly patient with acute abdominal pain seen in the ED.
METHODS
We retrospectively reviewed the medical records of 98 elderly patients (>or=65 years) and 109 adult controls (<65 years) visiting an ED at one general hospital looking at the final diagnoses, characteristics of abdominal pain, admissions, and surgeries.
RESULTS
Hepatobiliary tract diseases and bowel obstruction were more common in the elderly patients. The elderly had more admissions and surgeries than younger patients. In addition, they were more likely to have a fatal disease such as myocardial infarction.
CONCLUSION
There is a difference in the underlying diseases causing acute abdominal pain in the elderly patients versus younger patients. In terms of frequency of admission and surgery, the elderly present with more serious and fatal diseases. We must consider these features when seeing an elderly patient with acute abdominal pain in an ED.
Key Words: Aged, Abdominal pain, Emergency department
초 록

연구배경: 노인인구가 증가함에 따라 응급실을 방문하는 노인환자의 수도 증가 할 것이다. 노인환자군의 급성 복통의 원인은 젊은 사람들과 다른 것으로 알려져 있고, 또한 입원율과 수술률이 높아 내원 당시 진단이 매우 중요하다. 따라서 응급실 방문한 노인환자의 특성에 대한 연구가 필요할 것이다.

방법: 65세 이상의 노인환자(98명, 이하 노인군)와 65세 이하의 환자(109명, 이하 대조군)들을 대상으로 후향적 의무 기록을 조사하였다. 노인군과 대조군에 있어 질환군과 수술률, 입원율을 비교하였다.

결과: 노인군이 대조군에 비해 간담도계 질환, 장폐색이 많았으며, 입원 및 수술이 필요한 질환을 가진 경우가 많았다. 또한 급성 심근경색 등의 치명적인 다른 질환이 관찰되었다.

결론: 노인환자에게 있어 급성 복통을 유발하는 질병군이 성인환자와 차이가 있으며, 입원과 수술을 필요로 하는 경우가 많아 중증도가 높고, 또한 치명적인 질환들을 동반할 수 있어 응급실에서 환자를 접근할 때 이러한 특성을 고려해야 할 것이다.



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