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노인 환자에서 하지부종의 원인 및 기저질환 분석

Other Titles
 Etiologies and Underlying Diseases of Leg Edema in Elderly Patients 
Authors
 한승규  ;  기연경  ;  문성우  ;  윤창연  ;  이은영  ;  주영수  ;  한인미  ;  이은영  ;  김창오 
Citation
 Journal of the Korean Geriatrics Society (노인병), Vol.18(2) : 78-84, 2014 
Journal Title
 Journal of the Korean Geriatrics Society (노인병) 
ISSN
 1229-2397 
Issue Date
2014
Keywords
Leg edema ; Elderly
Abstract
Background: Leg edema is a common symptom among elderly patients with multiple underlying diseases. This study was aimed to investigate the etiologies and underlying diseases of leg edema in elderly patients.Methods: We retrospectively reviewed medical records of 247 patients aged over 65, who visited an Emergency Department of a tertiary hospital due to leg edema from January 2010 to December 2012. Results: A total of 226 patients with complete medical records were included. The most common cause of leg edema in elderly patients was renal failure (42 cases, 18.6%), followed by heart failure (37 cases, 16.4%), and deep vein thrombosis (32 cases, 14.2%). However, the etiologies were not established in 66 cases (29.2%). Patients with leg edema caused by renal and heart failure had renal (40 cases, 95.2%) and cardiovascular diseases (29 cases, 78.4%), respectively, while others had diabetes mellitus and trauma. Patients with leg edema caused by deep vein thrombosis had underlying conditions such as cancer (13 cases, 40.6%), trauma, surgery within 1 year, and diabetes mellitus. Overall, chronic bilateral edema (120 cases, 53.1%) was most commonly observed form of leg edema in elderly patients. Deep vein thrombosis, cellulitis, and lymphedema usually caused unilateral edema, whereas systemic diseases such as renal failure, heart failure, and liver cirrhosis caused bilateral edema. Conclusion: Leg edema in elderly patients is usually caused by systemic diseases such as renal and heart failure closely related to underlying diseases. Therefore, it is important to consider the variety of underlying diseases, when approaching the cause and treatment of leg edema in elderly patients.
Files in This Item:
T201402335.pdf Download
DOI
10.4235/jkgs.2014.18.2.78
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kee, Youn Kyung(기연경)
Kim, Chang Oh(김창오) ORCID logo https://orcid.org/0000-0002-0773-5443
Moon, Sung Woo(문성우) ORCID logo https://orcid.org/0000-0001-9917-9802
Yoon, Chang Yun(윤창연)
Lee, Eun Young(이은영)
Joo, Young Su(주영수) ORCID logo https://orcid.org/0000-0002-7890-0928
Han, Seung Gyu(한승규)
Han, In Mee(한인미)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99263
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