Pub Date : 2020-12-31DOI: 10.31086/TJGERI.2020.180
R. Eke, Mehmet Özen, Yasin Altun, H. Ellidağ
Materials and Method: The retrospective study reviewed 1981 patients aged 65–104 years who were bedridden and followed at University of Health Sciences, Antalya Training and Research Hospital Family Medicine Clinic from 2016 to 2018. Due to the effects on studied test parameters, patients with anemia were excluded from the study, and 898 patients included. The baseline variables red cell distribution width, mean platelet volume, platelet-to-lymphocyte ratio, and neutrophil-tolymphocyte ratio were compared between survivors and non-survivors.
{"title":"INVESTIGATION OF THE RELATIONSHIP BETWEEN MORTALITY AND RED CELL DISTRIBUTION WIDTH, MEAN PLATELET VOLUME, PLATELET-TO-LYMPHOCYTE RATIO, AND NEUTROPHIL-TO-LYMPHOCYTE RATIO IN GERIATRIC PATIENTS","authors":"R. Eke, Mehmet Özen, Yasin Altun, H. Ellidağ","doi":"10.31086/TJGERI.2020.180","DOIUrl":"https://doi.org/10.31086/TJGERI.2020.180","url":null,"abstract":"Materials and Method: The retrospective study reviewed 1981 patients aged 65–104 years who were bedridden and followed at University of Health Sciences, Antalya Training and Research Hospital Family Medicine Clinic from 2016 to 2018. Due to the effects on studied test parameters, patients with anemia were excluded from the study, and 898 patients included. The baseline variables red cell distribution width, mean platelet volume, platelet-to-lymphocyte ratio, and neutrophil-tolymphocyte ratio were compared between survivors and non-survivors.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"367 1","pages":"424-433"},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87408928","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}
Pub Date : 2020-12-31DOI: 10.31086/TJGERI.2020.182
Burcu Talay Mustafaoğlu, Ş. Gülen, Fatih Birtekoçak
Materials and Method: 61 stable patients (ages of 65-84) were included. Demographic data, body mass index, comorbidities, annual number of exacerbations were recorded. Pulmonary function test, six-minute walk test and Tilburg Frailty Test were performed in all cases. Patients were classified into groups A,B,C&D according to GOLD chronic obstructive lung disease guideline by annual exacerbation rate and dyspnea score. Neutrophil lymphocyte ratio, high sensitive C-reactive protein, IL-6, 8OH-dG, IL-18 levels were studied in serum.
{"title":"FACTORS AFFECTING FRAILTY SYNDROME IN ELDERLY CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS AND ITS RELATIONSHIP WITH SYSTEMIC INFLAMMATION","authors":"Burcu Talay Mustafaoğlu, Ş. Gülen, Fatih Birtekoçak","doi":"10.31086/TJGERI.2020.182","DOIUrl":"https://doi.org/10.31086/TJGERI.2020.182","url":null,"abstract":"Materials and Method: 61 stable patients (ages of 65-84) were included. Demographic data, body mass index, comorbidities, annual number of exacerbations were recorded. Pulmonary function test, six-minute walk test and Tilburg Frailty Test were performed in all cases. Patients were classified into groups A,B,C&D according to GOLD chronic obstructive lung disease guideline by annual exacerbation rate and dyspnea score. Neutrophil lymphocyte ratio, high sensitive C-reactive protein, IL-6, 8OH-dG, IL-18 levels were studied in serum.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"116 1","pages":"446-454"},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90564469","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}
Pub Date : 2020-12-31DOI: 10.31086/TJGERI.2020.183
Gülay İlkhan Dasdemir, Hakan Çelikhisar, Asli Kilavuz
Results: A total of 1248 patients were included in the study. 28.9% of the patients did not receive any treatments, 47.2% of the patients received non-surgical treatment and 23.9% of the patients received surgical treatment. The 5-year overall survival rates of the untreated group, non-surgical group and surgical group were 7%, 10% and 32%, respectively (p <0.0001). According to the results of multivariable analysis, surgical treatment was an important factor in increasing overall survival when compared to the non-surgical treatment.
{"title":"THE EFFECT OF SURGICAL TREATMENT ON SURVIVAL IN GERIATRIC PATIENTS WITH STAGE I SMALL-CELL LUNG CANCER","authors":"Gülay İlkhan Dasdemir, Hakan Çelikhisar, Asli Kilavuz","doi":"10.31086/TJGERI.2020.183","DOIUrl":"https://doi.org/10.31086/TJGERI.2020.183","url":null,"abstract":"Results: A total of 1248 patients were included in the study. 28.9% of the patients did not receive any treatments, 47.2% of the patients received non-surgical treatment and 23.9% of the patients received surgical treatment. The 5-year overall survival rates of the untreated group, non-surgical group and surgical group were 7%, 10% and 32%, respectively (p <0.0001). According to the results of multivariable analysis, surgical treatment was an important factor in increasing overall survival when compared to the non-surgical treatment.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"127 1","pages":"455-462"},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85748341","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}
Pub Date : 2020-09-30DOI: 10.31086/tjgeri.2020.176
Zeynep Şişli
{"title":"PROTECTING OLDER WORKERS HEALTH IN LEGAL TERMS COMPARATIVELY EUROPEAN ACQUIS IN THE LIGHT OF ILO R162","authors":"Zeynep Şişli","doi":"10.31086/tjgeri.2020.176","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.176","url":null,"abstract":"","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"52 1","pages":"393-400"},"PeriodicalIF":0.3,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74117989","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}
Pub Date : 2020-06-01DOI: 10.31086/tjgeri.2020.164
Meltem Özden Yüce, S. Arslan, Gözde Işık, O. Demir
Late pathological fractures of the mandible associated with the extraction of an impacted third molar and osteomyelitis of the jaw feature rarely in the scientific literature. Indeed, most information on the subject is to be found in the form of case reports. Fractures of this kind may occur in regions where the bone has weakened because of an underlying pathological process, which has developed slowly. Predisposing factors of this complication are believed to be multifactorial but, in the older age group, reduced bone elasticity, bone atrophy, risk of osteoporosis, and potential of tooth ankylosis can weaken the mandible, possibly increasing the rate of fractures. In this study, we report a case of chronic osteomyelitis with a mandibular angle fracture in an elderly male as a rare complication of an odontogenic cystic lesion associated with the extraction of a mandibular third molar. Spontaneous healing occurred with the use of an antibiotic therapy until the second surgical intervention. Attention is focused on the possible risk indicators and preventive measures.
{"title":"PATHOLOGICAL MANDIBULAR ANGLE FRACTURE: SPONTANEOUS HEALING IN A CASE OF OSTEOMYELITIS AFTER THIRD MOLAR EXTRACTION","authors":"Meltem Özden Yüce, S. Arslan, Gözde Işık, O. Demir","doi":"10.31086/tjgeri.2020.164","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.164","url":null,"abstract":"Late pathological fractures of the mandible associated with the extraction of an impacted third molar and osteomyelitis of the jaw feature rarely in the scientific literature. Indeed, most information on the subject is to be found in the form of case reports. Fractures of this kind may occur in regions where the bone has weakened because of an underlying pathological process, which has developed slowly. Predisposing factors of this complication are believed to be multifactorial but, in the older age group, reduced bone elasticity, bone atrophy, risk of osteoporosis, and potential of tooth ankylosis can weaken the mandible, possibly increasing the rate of fractures. In this study, we report a case of chronic osteomyelitis with a mandibular angle fracture in an elderly male as a rare complication of an odontogenic cystic lesion associated with the extraction of a mandibular third molar. Spontaneous healing occurred with the use of an antibiotic therapy until the second surgical intervention. Attention is focused on the possible risk indicators and preventive measures.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"17 1","pages":"283-290"},"PeriodicalIF":0.3,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78375542","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}
Pub Date : 2020-06-01DOI: 10.31086/tjgeri.2020.152
Ç. A. Beyoğlu, S. Teksoz
Materials and Method: After obtaining local ethical committee approval, the perioperative data of geriatric patients who had total thyroidectomy between January 2016 and December 2018 were evaluated. Patients’ age, sex, body mass index, American Society of Anesthesiologists score, preoperative systemic disease or medical comorbidities such as thyroid hormone dysfunction and electrolyte imbalance, difficult airway, operation time, preoperative vocal cord paralysis and thyroid malignancy were evaluated. Patients with respiratory or cardiovascular complications 30 days after surgery were evaluated about the effect of demographic data by using one –way ANOVA test.
{"title":"INVESTIGATION OF THE EFFECT OF PREOPERATIVE DEMOGRAPHIC CHARACTERISTICS ON RESPIRATORY AND CARDIOVASCULAR COMPLICATIONS AFTER A THYROIDECTOMY IN GERIATRIC PATIENTS; A RETROSPECTIVE STUDY","authors":"Ç. A. Beyoğlu, S. Teksoz","doi":"10.31086/tjgeri.2020.152","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.152","url":null,"abstract":"Materials and Method: After obtaining local ethical committee approval, the perioperative data of geriatric patients who had total thyroidectomy between January 2016 and December 2018 were evaluated. Patients’ age, sex, body mass index, American Society of Anesthesiologists score, preoperative systemic disease or medical comorbidities such as thyroid hormone dysfunction and electrolyte imbalance, difficult airway, operation time, preoperative vocal cord paralysis and thyroid malignancy were evaluated. Patients with respiratory or cardiovascular complications 30 days after surgery were evaluated about the effect of demographic data by using one –way ANOVA test.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"88 1","pages":"180-187"},"PeriodicalIF":0.3,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90500278","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}
Pub Date : 2020-06-01DOI: 10.31086/tjgeri.2020.163
Adem Sancı, Basak Gulpinar
Immunoglobulin G4-related sclerosing ureteral disease is a rare benign disorder characterised by fibrosis and lymphoplasmacytic infiltration in the ureter. A 70-year-old man with a single functional kidney and left flank pain was diagnosed with IgG4-related ureteral disease that presented as a unilateral ureteral mass. Left hydronephrosis and a 25 × 23 × 26 mm left midureteral mass were found. No malignancy was found on ureteroscopy and urinary cytology did not reveal any neoplastic cells. A 2 cm midureteral stenosis was found in the left ureter on retrograde pyelography. It was not a ureteral stricture but was the result of periureteral inflammation and fibrosis caused by immunoglobulin G4-related sclerosing disease. Initial endoscopic ablation-obliteration therapy was unsuccessful, and after 6 weeks the patient was treated by robotic ureteroureterostomy. Most plasma cells in the excised ureteral segment were IgG4-positive. Serum IgG4 was 273 mg/dL (normal range: 85–120 mg/dL). The histology of the ureteral segment resembled retroperitoneal fibrosis and the histopathology of the stricture included IgG4-positive cells, fibrosis and ureteritis. The patient was treated with oral azathioprine for 6 months. No evidence of recurrence was seen on ureteroscopy or abdominopelvic computed tomography at the 3-month or 1-year follow-up.
{"title":"IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT","authors":"Adem Sancı, Basak Gulpinar","doi":"10.31086/tjgeri.2020.163","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.163","url":null,"abstract":"Immunoglobulin G4-related sclerosing ureteral disease is a rare benign disorder characterised by fibrosis and lymphoplasmacytic infiltration in the ureter. A 70-year-old man with a single functional kidney and left flank pain was diagnosed with IgG4-related ureteral disease that presented as a unilateral ureteral mass. Left hydronephrosis and a 25 × 23 × 26 mm left midureteral mass were found. No malignancy was found on ureteroscopy and urinary cytology did not reveal any neoplastic cells. A 2 cm midureteral stenosis was found in the left ureter on retrograde pyelography. It was not a ureteral stricture but was the result of periureteral inflammation and fibrosis caused by immunoglobulin G4-related sclerosing disease. Initial endoscopic ablation-obliteration therapy was unsuccessful, and after 6 weeks the patient was treated by robotic ureteroureterostomy. Most plasma cells in the excised ureteral segment were IgG4-positive. Serum IgG4 was 273 mg/dL (normal range: 85–120 mg/dL). The histology of the ureteral segment resembled retroperitoneal fibrosis and the histopathology of the stricture included IgG4-positive cells, fibrosis and ureteritis. The patient was treated with oral azathioprine for 6 months. No evidence of recurrence was seen on ureteroscopy or abdominopelvic computed tomography at the 3-month or 1-year follow-up.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"61 1","pages":"278-282"},"PeriodicalIF":0.3,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84477830","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}
Pub Date : 2020-03-31DOI: 10.31086/tjgeri.2020.146
N. Yilmaz, Selçuk Mülazımoğlu, S. Oner, Erkay Nacar, O. Yılmaz
Introduction: Endonasal endoscopic sinus surgeries performed on elderly patients can be challenging due to anatomical variations, and can be studied using preoperative computed tomography. The aim of the present study was to evaluate paranasal sinus anatomical differences in elderly patients compared to a younger control group. Materials and Methods: We retrospectively evaluated paranasal computed tomography scans of 47 elderly patients (>65 years old) (Elderly group) and 47 younger patients (Control group) for midfacial skeletal size (interzygomatic buttress distance, nasion-basion distance), anatomical variations, dimensions, and paranasal sinus volumes. Results: The mean age of the Elderly group was 69.89 years (65-81 years) and the mean age of the Control group was 33.15 years (20-49 years). There was no significant difference in midfacial size between the two groups. The prevalence of Keros Type III olfactory fossa was significantly higher in the Elderly group than in the Control group (p<0.05). The Elderly group had a significantly lower mean maxillary sinus volume (p<0.01) and mean anteroposterior diameter of the sphenoid sinus (p<0.01) compared to the Control group. Furthermore, there was no significant difference in the maxillary sinus volume between the elderly edentulous and dentulous patients(p>0.05). Conclusion: Elderly patients have more Keros Type III olfactory fossa, which confers a higher risk of iatrogenic cerebrospinal fluid leakage during endoscopic sinus surgery. The preoperative detailed evaluation of computed tomography scans of elderly patients should include, but not be limited to, the ethmoid roof for deep olfactory fossa, and the sphenoid sinus for its narrow anterioposterior dimention.
{"title":"PARANASAL SINUS ANATOMICAL DIFFERENCES IN ELDERLY PATIENTS","authors":"N. Yilmaz, Selçuk Mülazımoğlu, S. Oner, Erkay Nacar, O. Yılmaz","doi":"10.31086/tjgeri.2020.146","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.146","url":null,"abstract":"Introduction: Endonasal endoscopic sinus surgeries performed on elderly patients can be challenging due to anatomical variations, and can be studied using preoperative computed tomography. The aim of the present study was to evaluate paranasal sinus anatomical differences in elderly patients compared to a younger control group. Materials and Methods: We retrospectively evaluated paranasal computed tomography scans of 47 elderly patients (>65 years old) (Elderly group) and 47 younger patients (Control group) for midfacial skeletal size (interzygomatic buttress distance, nasion-basion distance), anatomical variations, dimensions, and paranasal sinus volumes. Results: The mean age of the Elderly group was 69.89 years (65-81 years) and the mean age of the Control group was 33.15 years (20-49 years). There was no significant difference in midfacial size between the two groups. The prevalence of Keros Type III olfactory fossa was significantly higher in the Elderly group than in the Control group (p<0.05). The Elderly group had a significantly lower mean maxillary sinus volume (p<0.01) and mean anteroposterior diameter of the sphenoid sinus (p<0.01) compared to the Control group. Furthermore, there was no significant difference in the maxillary sinus volume between the elderly edentulous and dentulous patients(p>0.05). Conclusion: Elderly patients have more Keros Type III olfactory fossa, which confers a higher risk of iatrogenic cerebrospinal fluid leakage during endoscopic sinus surgery. The preoperative detailed evaluation of computed tomography scans of elderly patients should include, but not be limited to, the ethmoid roof for deep olfactory fossa, and the sphenoid sinus for its narrow anterioposterior dimention.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"27 1","pages":"129-137"},"PeriodicalIF":0.3,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84721145","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}
Pub Date : 2020-03-24DOI: 10.31086/tjgeri.2020.133
D. Şahin, Nüket Örnek Büken
{"title":"DEATH ANXIETY AND CONCEPT OF GOOD DEATH IN THE ELDERLY","authors":"D. Şahin, Nüket Örnek Büken","doi":"10.31086/tjgeri.2020.133","DOIUrl":"https://doi.org/10.31086/tjgeri.2020.133","url":null,"abstract":"","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":"34 1","pages":"18-26"},"PeriodicalIF":0.3,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79150890","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}
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