Turkish Journal of Geriatrics 2014 , Vol 17, Issue 3
A RETROSPECTIVE ANALYSIS OF 65 YEARS OLD AND OVER FORENSIC CASES WHO WERE ADMITTED TO THE EMERGENCY DEPARTMENT
Tanzer KORKMAZ1, Zerrin ERKOL2, Nurettin KARAMANSOY3
1Abant İzzet Baysal Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı BOLU
2 Abant İzzet Baysal Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı BOLU
3Abant İzzet Baysal Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı BOLU
Introduction: The objective of this study was to analyze the characteristics of geriatric forensic cases who were admitted to the Emergency Department and to investigate them from the forensic perspective in order to develop prevention programs.

Materials and Method: Patient charts, forensic reports and computerized patient records of geriatric forensic cases, who were admitted to our emergency department from 01.01.2008 to 30.06.2012, were investigated retrospectively.

Results: A total 143 forensic geriatric cases with a median age of 71.00±0.50 were included in the study. The most common incidents were traffic accidents (48.3%) and falls (26.6%). The mean time period for reaching the hospital was 109.2±237.3 minute; more than half (n=75) of the cases suffered head and neck injuries; no consultations from other departments were required for the majority of cases (70.6%), and 58% were discharged from the Emergency Department. Fractures (26.6%) and soft tissue injuries (24.5%) were the most common medical diagnoses; tendon cuts were not encountered in falls and traffic accident cases, and soft tissue injuries and intracranial hemorrhages were not encountered in penetrating injury cases. Intracranial hemorrhages were more common among fall cases, and soft tissue injuries were more common in traffic accident cases.

Conclusion: Our investigation revealed that traffic accidents and falls were the most common forensic cases among the geriatric age group. Educational initiatives and legal measures addressing the safety of elders, when seriously and determinedly conducted, will help to reduce injuries in the geriatric age group. Keywords : Emergency Medical Services; Legal cases; Geriatrics; Wounds and Injuries