The frequency of common hidden disease in the elderly

BACKGROUND: With the rapid increase in the number of the aged population, curable or controlled disease were treated as aging process because of the difficulty of early detection and treatment of disease and the specificity of elderly patients. We help manage elderly patients by studying their frequency of common known disease and hidden disease that would enable the curable diseases to be detected early, and noncurable disease to be controlled. METHODS: The subjects included 128 patients over 60 years old who had completed structured questionnaires and we reviewed chart records among 208 patients registered from January 1997 to July at the Health Screening Center of a general hospital in Kyonggi-do. Known diseases were based on charts recorded through structured questionnaires and hidden diseases were based on health screening results and overall geriatric assessment data. RESULTS: The number of patients was 128 in which male was 47 and female was 81. The ratio between male and female was 1: 1.72 and the average age was 66.0 years. In the order of frequency the most common known diseases were hypertension, arthritis, G-I disturbance, diabetes mellitus, chronic obstructive pulmonary disease, heart disease, depression and the hidden diseases they were arthritis, G-1 disease, depressive mood, malnutrition, hypertension, osteoporosis, hearing loss, hypercholesterolemia, hypomagnesemia, incontinence, anemia, decreased cognitive function. CONCLUSION: We assessed the characteristics of multiple pathology in geriatric patients and realized that it was important t manage aggressively those with a hidden disease that can be treatable after early detection through overall geriatric assessement.

Prevalence of Depressive Mood and its Associated Factors in the Elderly

BACKGROUND: It was known that physical illness and depression due to cognitive function defects increase in the elderly, This study was designed to evaluate the prevalence of depressive mood, associated factors and to help understanding recent trends of the depressive elderly. METHODS: We selected 108 subjects over 65-year-old who visited Health Promotion Center, Pundang CHA General Hospital for geriatric health evaluation from Mar. 1996 to Feb. 1997. We analyzed Geriatric Evaluation Record to Know the effect of sociodemographic factors, life styles and geriatric medical factors by Geriatric Depression Scale(GDS). RESULTS: The result showed that depressive mood appeared 20(37.0%) in male, 35(64.8%) in female and 55(50.9%) in total among 108 subjects. Factors associated with depressive mood of the elderly were occupation(p<0.05), regular exercise(p<0.001), nutritional status(p<0.05), functional status and alcohol drinking. CONCLUSIONS: The prevalence of depressive mood of the elderly was 50.9%, and the depressive mood have been affected more for the elderly who was out of work, not doing regular exercises and got high nutritional risk. Further study is required to know other factors influencing on depressive mood of the elderly.