대구 경북지역에서 진단된 노령자 폐암의 임상적 특징과 예후

김현숙 ( Hyun Sook Kim ),현대성 ( Dae Sung Hyun ),김경찬 ( Kyung Chan Kim ),이상채 ( Sang Chae Lee ),정태훈 ( Tae Hoon Jung ),박재용 ( Jae Yong Park ),김창호 ( Chang Ho Kim ),차승익 ( Seung Ick Cha ),이관호 ( Kwan Ho Lee ),정진홍 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.1

연구배경: 폐암은 우리나라 암 사망원인 질환의 가장 높은 비율을 차지하는 질환으로 특히 노령 인구에서 증가하는 추세이다. 그러나 노령의 폐암 환자는 동반된 질환, 노령에 따른 장기 기능의 저하 등의 이유로 적절한 치료를 받지못하는 경우가 많다. 이에 70세 이상의 노령 폐암 환자의 임상적 특징과 치료에 따른 생존기간 등을 알아보고자 한다. 방법: 2005년 1월부터 2005년 12월까지 대구, 경북지역에 소재하고 있는 대학병원 및 종합병원(경북대학병원, 구미 순천향병원, 대구가톨릭대학병원, 대구파티마병원, 동산의료원, 영남대학병원)에서 세포학적 혹은 조직학적으로 원발성 폐암을 진단받은 706명의 환자들을 70세 이상 환자군과 70세 미만 환자군으로 나누어 후향적으로 연구하였다. 결과: 전체 환자 중 70세 이상의 환자는273명(38.7%)이었다. 70세 이상의 환자는 70세 미만보다 호흡곤란의 증상이 많았으며(p<0.001), 만성폐쇄성폐질환의 빈도가 높았고(p<0.001), 활동도가 좋은 경우가 적었다(p<0.001). 비소세포폐암 환자의 중앙생존기간은 70세 미만의 환자와 70세 이상의 환자에서 유의한 차이를 보였지만(962일 vs 298일, p=0.001), 한 가지라도 치료를 받았던 환자들을 대상으로 했을 때는 두 군간에 의미 있는 차이가 없었다(1,109일 vs 708일, p=0.14). 결론: 70세 이상의 비소세포폐암 환자에서 환자의 활동도 등을 고려하여 적극적인 치료를 시행하는 것이 바람직할 것으로 생각된다. Background: Lung cancer is the leading cause of cancer death in South Korea since the year 2000 and it is more common in elderly patients, with a peak incidence at around 70∼80 years of age. However, these elderly patients receive treatment less often than do the younger patients because of organ dysfunction related to their age and their comorbidities, and they show poor tolerance to chemotherapy. The aims of this study were to analyze the clinical characteristics and treatment-related survival of elderly patients with lung cancer. Methods: In this retrospective study, we analyzed the clinical data of 706 lung cancer patients who were diagnosed at hospitals in Daegu and Gyeongsangbukdo from January 2005 to December 2005. We compared the clinical characteristics and outcomes of the patients who were aged 70 years and older (elderly patients) with those clinical characteristics and outcomes of the younger individuals. Results: The median age of the patients was 68 years (from 29 to 93) and the elderly patients were 38.7% (n=273) of all the study``s patients. Squamous cell carcinoma was the most common type of lung cancer in both the elderly and younger patient groups. Elderly patients had more symptoms of dyspnea and chronic obstructive pulmonary disease (COPD) than the younger patients (p<0.001 and p<0.001, respectively). A good performance status (ECOG 0-1) was less common for the elderly patients (p<0.001). The median survival of the non-small cell lung cancer (NSCLC) patients was significantly higher in the younger patient group than in the elderly patient group (962 days vs 298 days, respectively, p=0.001). However, the median survival of the NSCLC patients who received any treatment showed no significant difference between the younger patient group and the elderly patient group (1,109 days vs 708 days, respectively, p=0.14). Conclusion: Our data showed that appropriate treatment for selected elderly patients improved the survival of patients with NSCLC. Therefore, elderly NSCLC patients with a good performance status should be encouraged to receive appropriate treatment.

Current characteristics of dialysis therapy in Korea: 2015 registry data focusing on elderly patients

( Dong-chan Jin ),( Sung-ro Yun ),( Seoung Woo Lee ),( Sang-woong Han ),( Won Kim ),( Jongha Park ) 대한신장학회 2016 Kidney Research and Clinical Practice Vol.35 No.4

Because of increases in the elderly population and diabetic patients, the proportion of elderly among dialysis patients has rapidly increased during the last decades. The mortality and morbidity of these elderly dialysis patients are obviously much higher than those of young patients, but large analytic studies about elderly dialysis patients` characteristics have rarely been published. The registry committee of the Korean Society of Nephrology has collected data about dialysis therapy in Korea through an Internet online registry program and analyzed the characteristics. A survey on elderly dialysis patients showed that more than 50% of elderly (65 years and older) patients had diabetic nephropathy as the cause of end-stage renal disease, and approximately 21% of elderly dialysis patients had hypertensive nephrosclerosis. The proportion of elderly hemodialysis (HD) patients with native vessel arteriovenous fistula as vascular access for HD was lower than that of young (under 65 years) HD patients (69% vs. 80%). Although the vascular access was poor and small surface area dialyzers were used for the elderly HD patients, the dialysis adequacy data of elderly patients were better than those of young patients. The laboratory data of elderly dialysis patients were not very different from those of young patients, but poor nutrition factors were observed in the elderly dialysis patients. Although small surface area dialyzers were used for elderly HD patients, the urea reduction ratio and Kt/V were higher in elderly HD patients than in young patients. Copyright ⓒ 2016. The Korean Society of Nephrology. Published by Elsevier. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

초고령 환자의 Warfarin 유지용량

남주연,최경숙,정영미,남궁형욱,이병구 한국병원약사회 2007 병원약사회지 Vol.24 No.3

Warfarin is the most frequently prescribed oral anticoagulant in Korea. Dosage is individualized for each patient because it has the narrow therapeutic index and multiple patient variables such as age, sex, weight, drug interaction, underlying disease and nutritional status. So far, several studies have provided data on age-based warfarin dosages. However, there is no standard guideline for warfarin maintenance dosages in very elderly Korean patients. The aims of the study are to describe warfarin maintenance dosages for them and to determine difference of maintenance dosages between elderly and very elderly patients. Electronic Medical Records(EMRs) of patients enrolled in Anti-Coagulation Service(ACS) in Seoul National University Bundang Hospital(SNUBH) from 10th May, 2003 to 31st August, 2006 were reviewed. Subjects should have had a targeted INR of 2.0-3.0, and two consecutive INR values(INR1 and INR2) within the targeted range with at least 7 days apart. Patients who had factors affecting warfarin maintenance dosages were excluded. Also, patients were divided into two groups according to the age : the elderly patients(65-75 years of age) and the very elderly patients(> 75 years of age). A total of 252 patient EMRs were reviewed, and 128 patients(77 males; 51 females) met the criteria for inclusion in the study. The age(mean ± S.D.) of the elderly patients was 69.3 ± 2.6 years and that of the very elderly patients was 79.7 ± 3.9 years. Atrial fibrillation was the most common indication for warfarin use. The mean warfarin maintenance dosage was significantly lower with increasing age : the weekly dose(mean ± S.D.) of the elderly atients was 27.4 ± 6.6mg, while that of the very elderly patients was 23.4 ± 8.1mg. There was no significant difference between two groups in INR1, INR2, weight, number of medication taken, serum albumin concentration and platelet count. The very elderly patients require lower warfarin maintenance dosages than the elderly patients when there was no other factor affecting dosage but age. Further study, Standard guideline for warfarin maintenance dosages in very elderly Korean patients will be stablished due to increasing the number of patients.

위 종양을 가진 고령 환자에서 내시경 점막하 박리술의 유용성 및 안정성

이응갑,전성우,이순학,조한진,정민규,김성국,오종택,배락천,장선익 대한소화기내시경학회 2009 Clinical Endoscopy Vol.38 No.6

Background/Aims: Elderly patients often have high operative risk due to their comorbid diseases, and the feasibility of performing endoscopic submucosal dissection (ESD) for such patients should be investigated. The aim of this study is to evaluate the efficacy and safety of performing ESD in elderly patients. Methods: From 2005 to 2007, 269 patients with gastric neoplasm were treated by ESD in our hospital. These patients were divided into the elderly patients who were 65 years of age or older and the younger patients. The number of enrolled elderly patients was 123. The en bloc complete resection rate and the complications were assessed and compared with those of the younger patients. Results: The average age of the old age group of patients was 71.1. Of these patients, 53.7% had comorbid diseases and 51.2% revealed adenocarcinoma. The en bloc plus complete resection rate was 85.4%. Perforation during ESD occurred in 4.1% of the patients, and this was immediately closed with endoclips and then it was managed by conservative medical treatment. Bleeding occurred in 17.9% and there were no patients with severe bleeding. The en bloc plus complete resection rate and the complication rate for the elderly patients were not significantly different from those of the younger patients. Conclusions: The present study shows that ESD could be a safe and reliable treatment for gastric neoplasms in elderly patients. 목적: 위 종양이 있는 고령 환자들은 동반된 질환에 의한 수술의 위험성이 증가하므로, 치료 방법의 선택이 중요하다. 내시경 점막하 박리술은 수술 후 동반될 수 있는 합병증 및 사망률이 낮고, 일괄절제 및 완전절제의 장점이 있다. 저자들은 선종 및 조기 위암을 가진 고령의 환자에서 내시경 점막하 박리술의 유용성 및 안정성에 대해 알아보고자 하였다. 대상 및 방법: 조사기간 본원에서 점막하 박리술(전기절개도를 이용한 내시경 점막하 박리법 및 전기절개도를 이용한 점막 절개 및 점막하 박리 후 올가미 절제법)을 시행 받은 268명을 대상으로 하였으며, 65세 이상의 고령군은 123명이었다. 내시경 점막하 박리술의 절대적 적응증은 1) 종양의 크기와 모양에 관계없이 이전 조직 검사에서 선종으로 진단된 경우, 2) 이전 내시경 검사에서 궤양을 동반하지 않는 분화된 점막 병변으로 하였다. 고령군과 비고령군에서 일괄절제율, 완전절제율 및 합병증 발생률을 후향적으로 비교하였다. 결과: 고령군의 평균 나이는 71.1 (65∼87)세였으며, 53.7% (66/123)에서 한 가지 이상의 동반된 질환을 가지고 있었다. 조직검사 상 51.2% (63/123)에서 선암으로 최종 진단되었다. 일괄절제율은 98.4% (121/123), 완전절제율은 86.2% (106/123)로 일괄, 완전절제가 동시에 이루어진 경우는 85.4% (105/123)에서 이루어졌다. 천공 및 출혈의 합병증은 22.0% (27/123)에서 발생했다. 천공은 4.1% (5/123)에서 발생했으나 내시경 치료 및 보존 치료로 회복되었다. 출혈은 17.1% (21/123)에서 발생했으며, 수혈이 필요할 정도의 대량 출혈은 한 건도 발생하지 않았다. 내시경 점막하 박리술을 시행 받은 고령 환자에서 일괄절제 및 완전절제율과 천공 및 출혈의 합병증 발생률은 비고령군과 비교 시 유의한 차이가 없었다. 결론: 고령 환자의 위종양 치료에 있어 내시경 점막하 박리술은 안전하고 유용한 치료법이다.

Safety of Gastroenterologist-Guided Sedation with Propofol for Upper Gastrointestinal Therapeutic Endoscopy in Elderly Patients Compared with Younger Patients

( Masaya Nonaka ),( Takuji Gotoda ),( Chika Kusano ),( Masakatsu Fukuzawa ),( Takao Itoi ),( Fuminori Moriyasu ) 대한소화기학회 2015 Gut and Liver Vol.9 No.1

Background/Aims: Propofol sedation for elderly patients during time-consuming endoscopic procedures is controversial. Therefore, we investigated the safety of using propofol in elderly patients during upper gastrointestinal therapeutic endoscopy. Methods: The medical records of 160 patients who underwent therapeutic endoscopic procedures under gastroenterologist- guided propofol sedation at a single institution were retrospectively reviewed. The subjects were divided into two groups: a younger group, patients <75 years old; and an elderly group, patients ≥75 years old. The two groups were compared with respect to the therapeutic regimen, circulatory dynamics, and presence/absence of discontinuation of propofol treatment. Results: Although the number of patients with liver dysfunction was higher in the elderly group, there were no other significant differences in the baseline characteristics, including the American Society of Anesthesiologists classification, between the elderly and younger groups. The average maintenance rate of continuous propofol infusion was lower in the elderly patients. No statistically significant differences were found in the occurrence of adverse events between the elderly and younger groups. None of the patients returned to a resedated state after the initial recovery from sedation. Conclusions: Gastroenterologist-guided propofol sedation in elderly patients can be safely achieved in the same manner as that in younger patients, even for timeconsuming upper gastrointestinal therapeutic endoscopic procedures. (Gut Liver 2015;9:38-42)

고령군 뇌동맥류 환자의 치료

박현선,이재환,김진영,신용삼,주진양,허승곤,이규창,Park, Hyeon Seon,Lee, Jae Whan,Kim, Jin Young,Shin, Yong Sam,Joo, Jin Yang,Huh, Seung Kon,Lee, Kyu Chang 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.6

Objectives : A clinical analysis was performed to provide management strategy and to improve management outcome of elderly patients with intracranial aneurysm. Patients and Methods : We reviewed medical records of 746 consecutive patients with intracranial aneurysm who were admitted from July 1991 to December 1996. They were divided into two age groups : elderly(120 patients aged 65 years or older) and non-elderly(626 patients aged 64 years or younger). We investigated the differences between the two groups in clinical characteristics, management outcome and surgical results. Results : Female(80.0%), internal carotid artery aneurysm(48.9%), poor clinical grade(Hunt and Hess Grade IV, V : 39.8%), postoperative subdural fluid collection(38.2%), and postoperative hydrocephalus(39.7%) were more frequent in the elderly patients. There were no significant differences in the incidence of hypertension, multiple aneurysm, unruptured aneurysm, rebleeding, delayed ischemic neurological deficits, postoperative hemorrhage, and low density on the postoperative brain CT scan. In some cases, surgical clipping of ruptured aneurysm could not be performed due to moribund state or refusal of surgery by the elderly patient's family. Both management outcome and surgical results in elderly aneurysm patients at 3 months after rupture were worse than those of the non-elderly group. The most common reason of unfavorable outcome was poor clinical grade in both groups, while serious medical illness causing unfavorable outcome was more common in the elderly group. Conclusion : Surgical treatment of a ruptured aneurysm should not be avoided in elderly patient solely on the basis of advanced age. If the patients are in good clinical grade, early aneurysm surgery followed by early ambulation should be recommended. Further improvements in outcome may be achieved by thorough knowledge of poor resilience of brain, CSF flow dynamics, and diminished cardiopulmonary reserve in elderly patients with intracranial aneurysm.

Are the elderly patient’s changes in the health-related quality of life one year after gastrectomy for stomach cancer different from those in young patients?

Dong-Seok Han,Jaeil Ahn,Hye Seong Ahn 대한외과학회 2021 Annals of Surgical Treatment and Research(ASRT) Vol.100 No.1

Purpose: Gastrectomy for elderly patients can significantly deteriorate the health-related quality of life (HRQoL). There was no report comparing HRQoL of elderly patients with young patients after gastrectomy for gastric cancer. This study assessed the differences in the changes of HRQoL at one year after gastrectomy according to age. Methods: From May 2014 to Feb 2016, we prospectively enrolled patients undergoing gastrectomy for gastric cancer. They completed the European Organization for Research and Treatment of Cancer and gastric questionnaires preoperatively and at postoperative 1, 3, 6, 9, and 12 months. Results: We included 57 elderly patients (≥70 years old) and 74 younger patients. The elderly had similar demographic, surgical, and pathological characteristics with young patients except that elderly had more comorbidity, laparoscopic gastrectomies, and lesser postoperative chemotherapy. One month after gastrectomy, the score of global health status/quality of life, physical, role, and social functioning were significantly impaired in elderly patients. Among them, physical and role functioning were more impaired than those of young patients. The scores of physical functioning, role functioning, cognitive functioning, and social functioning were not fully recovered till 1 year after surgery. There was a significant age group difference in the changes in physical function over the 1-year follow-up. Conclusion: Elderly patients’ global health status/quality of life and social functioning significantly decreased at postoperative 1 month and recovered by 6 months after gastrectomy. There was a significant age-specific difference in physical functioning throughout the 1-year follow-up. Surgeons need to pay more attention to recovery of the elderly patients’ HRQoL after gastrectomy.

노인 당뇨병환자의 자기관리 실태 및 방해요인

최경애,장수미,남홍우 대한당뇨병학회 2008 Diabetes and Metabolism Journal Vol.32 No.3

Background: Diabetes has a critical effect on elderly diabetic patients’ quality of life. Elderly diabetic patients have many difficulties in diabetes self-management because their physical, psychological and social functions are decreased as a result of the aging process. Therefore, we evaluated the current status of self-management and barriers in elderly diabetic patients Methods: The sample was 124 elderly diabetic patients(over 61 years) who visited a hospital and two senior welfare centers in Seoul from July to August 2006. The results of the study were analyzed by descriptive statistics, ANOVA, T-test, and hierarchical regression. Results: 1) Diabetes self-management was composed of insulin injection, diet, exercise, foot management, smoking and drinking alcohol. An average score of self-management in the elderly diabetic patients was 4.5784. In demographic variables, only job status showed a significant effect on self-management. 2) Barriers such as 'forgetting taking diet and medication', 'being interrupted by others', and 'lack of family and social support' were significant factors in diabetes self-management. 3) These barriers for diabetes self-management were still significant in the case of controlling demographic and clinical variables. Conclusion: Diabetic educator should identify the significant factors that affect patient's self-management such as whether they have a full-time job, or the type of their job. In addition, diabetes education should focus on assertiveness training to deal with various interpersonal barriers and empowerment for enhancing patient's self-efficacy. These approaches would benefit patients who experience barriers of diabetes self-management(KOREAN DIABETES J 32:280-289, 2008) Background: Diabetes has a critical effect on elderly diabetic patients’ quality of life. Elderly diabetic patients have many difficulties in diabetes self-management because their physical, psychological and social functions are decreased as a result of the aging process. Therefore, we evaluated the current status of self-management and barriers in elderly diabetic patients Methods: The sample was 124 elderly diabetic patients(over 61 years) who visited a hospital and two senior welfare centers in Seoul from July to August 2006. The results of the study were analyzed by descriptive statistics, ANOVA, T-test, and hierarchical regression. Results: 1) Diabetes self-management was composed of insulin injection, diet, exercise, foot management, smoking and drinking alcohol. An average score of self-management in the elderly diabetic patients was 4.5784. In demographic variables, only job status showed a significant effect on self-management. 2) Barriers such as 'forgetting taking diet and medication', 'being interrupted by others', and 'lack of family and social support' were significant factors in diabetes self-management. 3) These barriers for diabetes self-management were still significant in the case of controlling demographic and clinical variables. Conclusion: Diabetic educator should identify the significant factors that affect patient's self-management such as whether they have a full-time job, or the type of their job. In addition, diabetes education should focus on assertiveness training to deal with various interpersonal barriers and empowerment for enhancing patient's self-efficacy. These approaches would benefit patients who experience barriers of diabetes self-management(KOREAN DIABETES J 32:280-289, 2008)

고령자 담석증의 임상적 고찰

차상우(Sang Woo Cha),천갑진(Gab Jin Chun),박용순(Yong Soon Park),송동화(Dong Hwa Song),조영덕(Young Deok Cho),김진오(Jin Oh Kim),봉형근(Hyung Keun Bong),조주영(Joo Young Cho),김연수(Yun Soo Kim),이준성(Joon Seong Lee),이문성(Moon Sun 대한소화기학회 1996 대한소화기학회지 Vol.28 No.2

N/A Background/Aims: Gallstone is uncommon before adolescence, and its incidence increases v:ith age. In elderly patients, one of the important characteristics of the ga]lstone disease is that they often have bile duct stones causing acute obstructive cholangitis. Another is that they could be accompained by other diseases. Methods: We analyzed 2,154 patients surgical]y or radiologically proven gallstone patients at the Soon Chun Hyang University Hospita] from l984 to 1994 and compared the clinical characteristics of elderly patients group(over 60 years) with younger patients group(under 60 years). Results: The peak incidence of gallstone (fisease wos noted in the 6th decade and the mean age was 55 years. Elderly patients group were 40.6%(874 cases) and younger patients group were 59.4%(l,280 cases'). Male to female ratio of eler]y patients vras I:1.IO. The location of stones was gallbladder(GB) in l,395 cases(64.9%), multiple sites in 416 cases(19.3%), common bile duct(CBD) in 214 cases(9.9%) and intrahepatic duct(IHD) in 129 cases(5.9%). In elderly patients group, the ]ocation of stones was multiple sites in l86 cases(2l.3%)and CBD in 120 cases(l3.7%). Frequency of stones in multiple sites and GB was significontly higher in elderly patients group than younger patients group(pO.OJ). The prominent clinical manifestations were right upper quadrant abdominal pain(24.5%), epigastric pain(19.4%), and no symptoms(l0.8%). In elderly patients group, chilling and jaundice were significantly higher than younger patients group(p 0.01). The associated diseases were cardiac diseases(l3.7%), diabetes me]litus(8.1%), malignancy (7.3%), liver cirrhosis(6.4%), and hepatitis(5.2%). Cardiac diseases, respiratory diseases, diabetes rnellitus and malignancy were more frequently associated in elder]y patients group than in younger group(p0.01). The incidence of complication was 10.7%(230/2,154)and mortality rate was 1.1% (24/2,154). In elderly patients group, the incidence of complication* and mortality* was signifi- cantly higher than younger patients group(*: p0.01; **: p0.05). Conclusions: The incidence of stones in CBD and mutiple sites, complication and morta]ity rate were higher, and chilling and jaundice were more frequently noted in elderly patients group than younger patients group. Our results suggest that ear]y diagnosis and proper treatment migbt be necessary in elderly patients with the gallstone disease. (Korean J Gastroenterol 1996; 28:260-266)

응급실 내원 노인정신과 환자의 특징

고영주(Young Ju Ko),전진숙(Jin Sook Cheon),변현우(Hyun Woo Byun),이지상(Ji Sang Lee),김강률(Kang Ryul Kim),오병훈(Byoung Hoon Oh) 대한생물치료정신의학회 2010 생물치료정신의학 Vol.16 No.2

Objectives : The numbers of geriatric patients visiting emergency department have been increasing with the increase of geriatric population, especially among those with psychiatric problems. The aims of this study are to know the frequency and trend of visiting emergency department among elderly psychiatric patients, to analyse their demographic and clinical characteristics, and to identify related factors. Methods : Among elderly psychiatric patients with age over 60(N=276) who had visited Emergency Medical Center, Kosin University Gospel Hospital from 2000 thru 2009, medical records or electronic medical records of 187 cases were analysed by three psychiatrist who were blind to those patients. Results : 1) The numbers of elderly psychiatric patients were gradually increasing for 10 years versus total numbers of patients(0.18% in 2000, 0.25% in 2009) and versus total numbers of geriatric patients(0.81% in 2000, 0.87% in 2009). However, The increase of elderly psychiatric patients versus total numbers of psychiatric patients became so rapid as 2.5-3 times in 2006(7.58% in 2000, 27.54% in 2009). 2) Most frequent demographic and clinical characteristics of the elderly psychiatric patients visiting emergency department for 10 years were sixties(66.9%), urban dwellers(92.5%), visting during weekdays(67.9%) and stay for 6-24 hours(43.3%)(p<0.05, respectively). The managements were resulted in discharge against medical advice(30.5%), admission to other department(26.7%), discharge after management(19.8%), admission to psychiatric ward(16.6%), transfer to other hospital(3.7%) and being expired(2.7%). 3) The most frequent reasons for visiting emergency department of elderly psychiatric patients were suicidal attempt(13.4%), pain(10.7%), consciousness change(10.7%), continuos alcohol drinking(10.2%) in order. The most frequent psychiatric diagnoses were alcohol dependence(20.9%), depression(19.3%), adjustment disorder(11.2%), delirium(10.7%), anxiety disorder(9.6%) and dementia(8.6%). The most frequent comorbities were cardiovascular diseases(27.3%), hepatic and gastrointestinal diseases(13.9%), neurological diseases(12.3%), endocrinological diseases(10.7%), respiratory diseases(8.6%), renal and urinary diseases(7.5%) and cancer(7.0%) in order. 4) There was significant correlation between psychiatric diagnosis and gender of elderly psychiatric patients visiting emergency department. The causes were significantly correlated with route, arrival time and stay hours. The route of visiting emergency department was significantly correlated with arrival time and stay hours. There was significant correlation between stay hours and management in the emergency department. Conclusion : Elderly psychiatric patients required much time and resources in the emergency department. To solve the rapidly growing problems related to the emergency care for the elderly psychiatric patients, analysing data of visiting emergency department at first and then active preparation of medical personnel shoud be preceded.