226 GATA Acil Dahiliye Kliniðinde üst gastrointestinal sistem kanamasý nedeniyle 1998-2005 yýllarý arasýnda takip edilen hastalarýn sosyodemografik özelliklerinin incelenmesi Oktay Sarý (*), Alpaslan Tanoðlu (**), Volkan Ýnal (***), H.Ýrem Türkoðlu (*), Bekir Öztürk (****), Kenan Saðlam (*) Giriþ Üst gastrointestinal sistem (GÝS) kanamalarý; sýk karþýlaþýlan, geliþen týbbi imkanlara raðmen %10'lara va- ran oranlarda ölümle sonuçlanabilen yaygýn saðlýk so- runlarýndan birisidir. Tedaviye yönelik endoskopik ve anjiyografik geliþmelere raðmen, üst GÝS kanamalarý hala önemli bir ölüm ve morbidite kaynaðýdýr (1-3). * GATF Aile Hekimliði AD ** GATF Ýç Hastalýklarý BD *** GATF Ýç Hastalýklarý BD Acil Dahiliye Kliniði ****GATF Týbbi Onkoloji BD Ayrý basým isteði: Dr. Oktay Sarý, GATF Aile Hekimliði AD, Etlik- 06018, Ankara Email: okitaysari72@yahoo.com Makalenin geliþ tarihi: 14.06.2007 Kabul tarihi: 17.09.2007 ARAÞTIRMA Gülhane Týp Dergisi 2007; 49: 226-231 © Gülhane Askeri Týp Akademisi 2007 Özet Üst gastrointestinal sistem kanamalarý, anlamlý ölüm oraný ve morbiditeleriyle sýk karþýlaþýlan týbbi bir acildir. Bu çalýþ- mada üst gastrointestinal sistem kanamasý nedeniyle 1998- 2005 yýllarý arasýnda takip ettiðimiz hastalarýn sosyode- mografik özelliklerini retrospektif olarak incelemeyi amaçladýk. Çalýþma süresince GATA acil servisine baþvuran yaklaþýk 7000 hastadan, üst gastrointestinal sistem kana- masý tanýsý konmuþ 898 hasta çalýþmaya alýndý. Hastalarýn ortalama yaþý 52.5±21.3 yýl idi (16-103 yýl). Hastalarýn 480'i erkek (%53.5), 418'i kadýndý (%46.5) ve 335 hasta evli (%37.3), 563 hasta bekardý (%62.7). Olgularda en büyük gru- bu 350 hasta (%39) ile asker aileleri oluþturmaktaydý. Öð- renim durumlarýna göre incelendiðinde, lise mezunu olanlar 241 olgu ile (%26.8) en yüksek grubu oluþturmaktaydý. En- doskopik tanýlarýna göre hastalar incelendiðinde en büyük grubu 289 olgu ile (%32.2) duodenal ülser tanýsý konan olgu- lar oluþturmaktaydý. Ýlk kez kanama geçiren olgularýn sayýsý 636 (%70.8) olarak saptandý. Hastalarýn ortalama yatýþ süre- si 4.1±6.2 gün idi. Hastalarýn sosyodemografik özellikleri üst gastrointestinal sistem kanamalarýnýn ölüm oraný ve morbi- ditesinde önemli rol oynamaktadýr. Bizim sonuçlarýmýz bu doðrultuda literatürle uyumlu bulunmuþtur. Anahtar kelimeler: Cinsiyet, sosyodemografik özellikler, üst gastrointestinal sistem kanamasý, yaþ Summary Analysis of the sociodemographic characteristics of the patients followed-up with the diagnosis of upper gas- trointestinal bleeding at the Department of Emergency Internal Medicine of GATA between 1998 to 2005 Upper gastrointestinal system bleeding is a commonly encountered medical emergency with significant morbidity and mortality. In this study we aimed to retrospectively ana- lyze the sociodemographic characteristics of the patients we followed-up with the diagnosis of upper gastrointestinal sys- tem bleeding between 1998 to 2005. Of approximately 7000 cases admitting to the Department of Emergency of GATA during the study period, 898 cases diagnosed to have upper gastrointestinal system bleeding were included in the study. The mean age of the patients was was 52.5±21.3 years (16- 103 years). Of all the patients 480 were male (53.5%) and 418 were female (46.5%), and 335 were married (37.3%) and 563 were single (62.7%). Of the cases most (n=350) were mil- itary persons' family (39%). When analyzed according to edu- cational status, most of the people (241 cases) graduated from high school (26.8%). When the patients were examined according to endoscopic diagnoses, cases with duodenal ulcer (n=289) were the largest group (32.2%). Number of cases with first bleeding was 636 (70.8%). Mean hospitaliza- tion period of the patients was 4.1±6.2 days. Socio-demo- graphic characteristics of the patients play an important role in mortality and morbidity of the patients with upper gas- trointestinal system bleeding. Our results are in accordance with the literature findings. Key words: Gender, sociodemographic characteristics, upper gastrointestinal bleeding, age