Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

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search.filters.applied.f.rights: search.filters.rights.info:eu-repo/semantics/closedAccessSubject: search.filters.subject.Geriatrics

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    Assessment of Geriatric Patients' Satisfaction on Hearing Aids and Their Influence on Quality of Life
    (2014) Akin Senkal, Ozgul; Kose, Aysen; Aksoy, Songul; https://orcid.org/0000-0002-3554-8274; Ozgul
    Introduction: The use of hearing aids is one of the few efficient solutions for hearing loss in the elderly; modern hearing aids are effective in minimizing the negative consequences of hearing loss in daily functioning. Materials and Method: This study used the Short Form-36 Quality of Life survey to determine the effects of hearing aid use on the short-term general well-being of persons aged 65 and older with sensorineural or mixed type hearing loss. Satisfaction with hearing aid use was evaluated using the Abbreviated Profile of Hearing Aid Benefit survey. Results: Hearing aids not only increased communicative ability, but also boosted self-confidence. A unilateral hearing aid was found to be 75% useful in quiet places where communication was easy. An overall assessment of the Short Form -36 Quality of Life (SF-36) survey of the unilateral hearing aid users did not reveal any significant effect of the duration of hearing aid use on quality of life (p>0.05). Conclusion: In order to increase the level of satisfaction with hearing aids, the use of binaural aids should be supported. Depending on the degree of hearing loss, geriatric individuals may need to get professional help when using hearing assistance devices (for environmental factors). The International Classification of Functioning framework can provide a holistic perspective on the evaluation of hearing aid use of the elderly. Therefore, it is recommended that valid surveys be adapted for use with geriatric individuals.
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    Analysis of the Use of Resources and Features of Presentations and the Trends in Geriatric Patients Presenting to the Emergency Department: 2011-2015
    (2016) Akbuga Ozel, Betul; Mamak Ekinci, Elmas Burcu; Kayipmaz, Afsin Emre; Kocalar, Ummu Gulsum; Celikel, Elif; Kavalci, Cemil; 0000-0003-2529-2946; AAE-4242-2020; AAC-2597-2020; AGG-1308-2022
    Introduction: The purpose of the present study was to evaluate presentation and resource utilization at the emergency department by patients >= 65 years of age and the associated trends over the years. Materials and Method: This is a descriptive and retrospective study. Data related to patients >= 65 years of age who presented to emergency department of an urban university hospital between January 1, 2011 and December 31, 2015 were gathered from the hospital information management system. The data were analyzed using SPSS v17.0 software. Results: A total of 29,298 (20.3%) of emergency department visits were made by patients >= 65 years of age. The composition of this group of patients was predominantly female and within the 65-74-year-old age group. A 25% increase in the number of emergency department visits by geriatric patients was observed between 2011 and 2015. Among the geriatric presentations, 76.5% had urgent conditions and 9.3% were admitted to the hospital. Most of the non-urgent patients were females of 65-74 years of age (p<0.05). Female patients had the highest wait times before evaluation by a physician and the highest non-admission rates (p>0.05). Patients of 75-84 years of age had the highest total costs as a group, whereas patients >= 85 years of age had the highest per-patient costs. Conclusion: Resource utilization, length of emergency department stay, and hospital costs increased with geriatric patients' age. Analysis of the frequency of ED use and of resource utilization by geriatric patients would allow patient-centered and cost-effective planning for emergency department care.