RESUMO
The burden of diseases in later life is high and the elderly are affected by multiple illnesses, frequently leading to hospitalization. The purpose of this study was to draw an overall picture of the clinical situation in elderly patients hospitalized for acute care. This was a cross-sectional, descriptive study performed in a three-month period in 2010 in Ahvaz Petroleum Hospital. Two hundred consecutive elderly patients admitted to the hospital were assessed for medical history, BMI, CBC, blood chemistry, and ECG, and were tested by Geriatric Depression Scale, Abbreviated Mental Test Score, Activities of Daily Living, and Informant Questionnaire of Cognitive Decline in Elderly questionnaires. Mean age of patients was 71 +/- 8 years, and 67% were female. There was a history of depression in 9%, sleep disturbance in 70%, hearing problems in 23%, vision problems in 59%, memory impairment in 20%, overweight/obesity in 74%, cancer in 9%, and pain in 36% of patients. Ischemic ECG changes, abnormal Hb, positive CRP, and abnormal BUN/Creatinine ratio were seen in 30%, 34%, 20%, and 25% of patients, respectively. Forty-nine percent were on more than five drugs and 17% were ADL-dependent. Seventy-eight percent had normal GDS score. Abnormal AMTS scores suggestive of cognitive impairment were seen in 10%. Sixty-six percent were transferred to medical wards, while 34% were transferred to surgical wards. The existence of multiple simultaneous disturbances in hospitalized elderly patients necessitates proper training of physicians and medical staff for acute care services in the field of geriatric medicine
RESUMO
This research was conducted to investigate serum lipid levels of Tehranian people. 2000 participants' ages more than 60 years [1198 females and 802 males] who were living in Tehran, selected by r and om sampling process. Data, in the cross - section study [Nov. 2000 to March 2001] were used to determine Serum Lipid Levels: Total cholesterol [TC], High - density lipoprotein cholesterol [HDL - C], Low - density Lipoprotein Cholesterol [LDL - C], and Triglycerides [TG], Samples were Fast at least [12 - 14] hrs, the values were analyzed by sex and age. Mean Serum Triglycerides [TG] Concentration of older people above 60 years was 181 mg / dl; TG was significantly greater in Females than males [187 vs. 173 mg / dl, P <. 000].- Mean Serum TG Concentration in elderly Females decreases with increasing age, this declining was significant, [TGofdecades7,8,9were192,182,144 mg/dl-P <.001]. - Mean Serum TG Concentration in elderly males decreases with increasing age. But this declining was not significant [decades 7, 8, 9 were 179, 166, 153 mg / dl]. - Mean Serum Total Cholesterol [TC] Concentration of older people above 60 years was 218 mg / dl. TC was significantly greater in females than males. [228 vs. 203 mg / dl, P <. 000]. - Mean Serum TC Concentration in elderly Females decreases with increasing age, this declining was significant, [TC of decades 7, 8, 9 - were 230, 227, 210 mg / dl - P <. 004]. - Mean Serum TC Concentration in elderly males decreases with increasing age,this declining was significant, [TCofdecades7,8,9,were206, 198, 193,P<.004]. - Mean Serum HDL - c Concentration of older people above 60 years was 47 mg / dl, HDL - c was Significantly greater in Females than males [49 vs. 44 mg / dl P <. 000]. - Mean Serum HDL - c Concentration in elderly Female had no Significant Changes with increasing age [HDL - c. F decades 7, 8, 9 were 50, 48, 46 mg / dl]. - Mean Serum HDL - c Concentration in elderly male had not Significant Changes with increasing age [HDL - c of decades 7,8,9,were44,44,44mg/dl]. - Mean Serum LDL - c Concentration of older people above 60 years was 138 mg / dl. LDL - c was significantly greater in females than males [145 vs 128 mg / dl P <. 000]. - Mean Serum LDL - c Concentration in elderly Female had no Significant Changes with increasing age [LDL - c of decades 7, 8, 9 were 144, 147, 141 mg/ dl]. - Mean Serum LDL - c Concentration in elderly male had no significant Changes with increasing age [LDL - c of decades 7, 8, 9 were 130, 128, 118 mg/ dl]. 63.4% of Population had TC values above 200 mg / dl, and 55.8% had LDL - c values above 130 mg / dl, that due to NCEP guidelines is a high risk group for cardiovascular disease [CVD]. Because CVD events are increased by elevated Total Cholesterol and LDL Cholesterol, and high prevalence of Lipoproteinemia in older people in Tehran, design and execution of Comprehensive Geriatric assessment is needed to reduce patients at high risk of Cardiac events