2017, Cilt 43, Sayı 1, Sayfa(lar) 007-012

The Comparison of Patients with Abdominal Pain in Emergency Department at the Age of 45-64 with 65 and 65+ and the Evaluation of the Relationship Between the Diagnosis and Physiological Changes
Dilek KOSTAK MERT1, Vahide Aslıhan DURAK2, Fatma ÖZDEMİR2, Erol ARMAĞAN2
1Sinop Atatürk Devlet Hastanesi, Acil Servis, Sinop
2Uludağ Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Bursa
Keywords: Emergency Department. Abdominal pain. Elderly. Physiological changes

We aimed to evaluate the relationship between the abdominal pain causes and the physiological changes that occur in different age groups for the patients with non-traumatic abdominal pain. 1607 patients were included in the study. Age groups and the other complaints accompanying the abdominal pain, vital signs, comorbid diseases, consultations, diagnoses and results were compared. In the age 65 and above group, blood pressure changes, pulse and temparature rise and the the need for consultation were higher than the age 45-64 group (p<0.001). Abdominal pain with elevation of body temperature or higher pulse was found to be more in the age 65 and above group in non-surgical diagnoses (p<0.05). The incidence of ileus with abdominal pain in both age groups was higher in diagnosis ended with surgery. Admission to hospital was higher in older group whether discharge was higher in 45-64 age group (p<0.001). It was found that; physicians should be aware of the physiological changes that occur within aging period to distinguish between the patients with abdominal pain and the urgent patologic conditions.