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Fundamento: El nivel de conocimiento sobre lesiones premalignas en la población geriátrica es un factor significativo que incide en la prevención, evitando la progresión a un cáncer bucal. Objetivo: Identificar el nivel de conocimiento de los pacientes geriátricos sobre las lesiones premalignas bucales. Metodología: Entre septiembre de 2019 y junio de 2021 se realizó un estudio observacional descriptivo transversal en el Consultorio Médico de la Familia # 12 del municipio Cabaiguán, provincia Sancti Spíritus. La población estuvo constituida por 158 pacientes geriátricos y mediante un muestreo probabilístico aleatorio simple la muestra quedó conformada por 80. Se aplicaron métodos del nivel teórico, empírico, estadístico y matemático. Las variables utilizadas fueron edad, sexo, escolaridad, nivel de conocimiento sobre factores de riesgo y signos clínicos, conocimientos sobre el autoexamen bucal y la conducta a seguir. Resultados: Se constató que el nivel de conocimientos sobre factores de riesgo fue regular y sobre signos clínicos y forma y frecuencia del autoexamen bucal fue mal. La mayoría de la muestra en estudio conocía donde acudir y afirmó haber recibido información al respecto. Conclusiones: En su mayoría el nivel de conocimientos sobre lesiones premalignas se observó entre regular y mal con un descenso significativo del nivel de conocimientos en los pacientes de edades más avanzadas.
Background: The knowledge level about premalignant lesions in the geriatric population is a significant factor that influences on prevention, avoiding progression into mouth neoplasms. Objective: To diagnose the knowledge level in geriatric patients about buccal premalignant lesions. Methodology: A cross-sectional descriptive observational study was conducted between September 2019 and June 2021 at the Family Medical Office # 12 of Cabaiguán municipality, Sancti Spíritus province. The population was constituted by 158 geriatric patients and by means of a simple random probabilistic sampling, the sample was made up by 80. Theoretical, empirical, statistical and mathematical methods were applied. The used variables were age, sex, schooling, risk factors and clinical signs knowledge, knowledge of buccal self-examination and conduct to be followed. Results: The knowledge level about risk factors was found to be regular and on clinical signs and form and frequency of buccal self-examination was bad. The majority of the sample under study knew where to go and affirmed that they had received information about it. Conclusions: Mostly the knowledge level of premalignant lesions was observed to be regular to bad with a significant decrease in the knowledge level in more elderly patients.
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Background: Geriatric patients are at a greater risk of developing adverse drug reaction (ADR) because of changed metabolic activity and renal status associated with aging. As most of the elderly patients suffer from multiple chronic diseases (Diabetes, Hypertension, Arthritis, constipation, peptic ulcer disease, etc.), they are under polypharmacy and the risk of ADRs is exacerbated by multiple medications. Metabolic ADRs include weight gain, hypoglycemia, hyponatremia, hypokalemia, and the endocrinal abnormality are the frequent cause of hospital admission in geriatric patients. Most metabolic ADRs due to drugs are treatable. There are few such studies conducted in India regarding metabolic ADR in geriatric patients. Hence, this study aims to evaluate the metabolic ADRs encountered in geriatric patients with the following objectives in Odisha. Aim and Objectives: The prevalence and spectrum of metabolic ADRs in geriatric population were studied. The causality assessment, severity assessment, and preventability were done using standard scales. Materials and Method: This was a prospective and observational study conducted from September 2016 to September 2018 in Department of Pharmacology in collaboration with Department of Geriatric Medicine and Department of Medicine of SCB Medical College and Hospital. All geriatric patients (?60 years) with ADR, reporting to the above departments, were included in the study. The detailed information of type of ADRs and its characteristics was filled up in Suspected ADR Reporting Form designed by Indian pharmacopeia commission version 1.3. The incidence and spectrum of metabolic ADRs were observed. Their causality, severity, and preventability were evaluated by the WHO-UMC System, Hartwig’s Severity Scale, and Schumock Thornton Preventability Scale, respectively. Result: A total of 236 ADRs were reported in 2 years, out of which 28.8% were metabolic ADRs. Metabolic ADRs were more reported in young old patients and often encountered ADR was hypoglycemia 73.5% due to use of oral anti diabetics. About 29% of the metabolic ADRs had a causal relation of probable association. About 94.2% were moderate in severity and 89.7% metabolic ADRs could be probably preventable. Conclusion: There was a probable causal association of metabolic ADR with the drug used and they were moderate verity. The metabolic ADRs found in our study can be preventable with appropriate means.
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Background: A lot of comorbid conditions and health problems result from unhealthy dietary habit and sedentary lifestyle in all age group, but more among geriatric population. Due to progressive fragility, weakness, and comorbidities, there is gradual decrease in overall physical activity in elderly which again leads to different health problems and this vicious cycle is going on. There was scarcity of evidences related to dietary pattern and physical activity of elderly population particularly in West Bengal. Aim and Objectives: The present study was conducted for estimating the physical activity level of the study participants and to determine its relationship with the sociodemographic profile and dietary consumption pattern. Materials and Methods: Observational descriptive cross-sectional epidemiological study was conducted in Geriatric Outpatient Department of Medical College and Hospital, Kolkata, from August 1, 2022, to October 31, 2022, among 124 participants aged 60 years and above attended OPD in first 2 months of study period. IPAQ-SF questionnaire was used for assessment of physical activity. Analysis was done in Microsoft Excel and SPSS (version 20) software. Results: Larger proportion (52.4%) participants belonged to HEPA active (Category 3) according to physical activity status. Age of the participant, place of residence and socioeconomic status and consumption of green leafy vegetables, other vegetables, fruits, flesh food and egg, milk and milk products, and sugar and jaggery were significantly associated with physical activity. Conclusion: In the present study, significant proportion (32.3%) was minimally active which should be dealt properly. Physical activity should be promoted to all elder persons as a part of healthy lifestyle.
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Background : Anticholinergic burden in Geriatric population is of great concern throughout the Globe, yet often neglected. There are previous studies to assess the Anticholinergic burden, carried out in specific population, though its prevalence in general population is difficult to interpret. Polypharmacy remains one of the major causes contributing to the increased burden in Anticholinergic score among Geriatrics. Multiple co-morbidities and the prevalence of Multiple Chronic Diseases are the responsible factors which imbibe Multiple Drug Therapy in Geriatric population. Anticholinergic burden in older adults has been associated with Cognitive impairment, Delirium, Dizziness and Confusion, Falls and increased hospitalizations. However, Anticholinergic-acting drugs are often advised in Geriatric population. In this study an attempt was made to understand the Anticholinergic burden score among Geriatric population. Methods : This study is a descriptive cross-sectional study, which was done, in a period of six months among 62 Geriatric patients attending a therapeutics clinic of a private clinical pharmacology OPD for first time. Patients were noted for their comorbidities and anticholinergic burden was calculated, based on the Anticholinergic Cognitive Burden scale. Results were statistically analyzed. Results : Clinically significant anticholinergic burden was observed in 22.58% population. The most frequently prescribed drug was found to be alprazolam followed by amitriptyline and theophylline. Among the comorbidities hypertension and diabetes was commonly seen in majority of the population. Conclusion : Co-professional care at clinical pharmacology OPD with assessment of anticholinergic burden of geriatric prescriptions and advices on rational de-prescribing with suggestions on safer alternatives would be beneficial for treating physicians to optimize therapy.
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Advances in the medical field and healthcare sector during the last few decades have resulted in increased longevity. Increased lifespans have in turn led to a rapid global rise of the elderly population. However, ensuring the health and quality of life, especially in the context of chronic age-related ailments, among the growing geriatric population is a challenge. Ageing is associated with several changes in body composition including a decline in the lean body mass usually accompanied by an increase in body fat content which have a bearing on the nutrient requirements for the elderly. The nutrient requirements currently recommended for Indian adults are primarily computed using a factorial approach, that considers the cumulative loss of nutrients and is adjusted for optimal body weights and bioavailability. It is logical that physiological and metabolic changes associated with ageing influence several of these factors: body weight, lean mass, energy expenditure, nutrient retention and bioavailability and thus alter nutrient requirements compared to the adult population. Acknowledging these age-related changes, some international organizations have suggested nutrient requirements specific to the elderly. Given the contextual differences in physiology, caution needs to be exercised in adopting these guidelines for the Indian elderly. In addition, in the Indian context, there is sparse information on the diet and nutrient intakes vis-à-vis nutritional status and physiology of the elderly. This status paper highlights some of the pertinent issues related to nutritional requirements for the elderly that advocate a need for deriving nutritional requirements for the elderly in India
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Background: Altered hepatic, renal and GIT function along with multiple comorbidities makes use of certaindrugs inappropriate in geriatric population. Identification and rectification of mistakes and lacunae in thecurrent prescribing pattern is crucial for ensuring appropriate and rational prescribing. Purpose: To study theprescribing pattern and medication inappropriateness in geriatric patients in a tertiary care teaching hospital.Material and Methods: Details of the prescribed drugs were obtained from the files of the 60 hospitalisedgeriatric patients and the prescribing pattern was studied. Medication inappropriateness was assessed and theinappropriate drugs were classified into various categories using Beers criteria given by American GeriatricSociety. Number of prescriptions having potential for drug interactions was also calculated. Results: Averagenumber of drugs per prescription was 7.7 with antibiotics being the most commonly prescribed drugs.49.13% were prescribed by brand names. 12.12% drugs were prescribed inappropriately and 20% prescriptionshad one or more inappropriate drug. Potential drug-drug interactions that should be avoided in older adultswere found in 11.6% prescriptions. Conclusion: A considerable fraction of the prescriptions of geriatricpatients were inappropriate and incidence of polypharmacy was very high. There is a pressing need to educatethe physicians about the mistakes in the prescribing pattern of geriatric patients and the adverse effect it canhave on the health of these patients.
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BACKGROUND There has been increasing prevalence of mental health problems in the elderly, with stressful life events being a precipitating factor and hence impairing the quality of life.METHODS263 patients of age 60 years and above attending psychiatry outpatient department and admitted in medical wards were included in the study. Patients with MMSE score ≥24 were included in the study. MINI PLUS was used to assess the psychiatric morbidity. Life events were assessed by PSLES. Statistical analysis was done using SPSS. Descriptive statistics and chi-square test were used for analysis.RESULTSOut of 263 patients, 207 (78.7%) were in the age group 60-69 yrs. The common psychiatric morbidity was found to be depression (43%), substance use disorders (16.7%) and anxiety spectrum disorders (15.5%). The most common precipitating stressful life events were family conflict (9.5%), son or daughter leaving home (8.7%), death of spouse (6.5%) and financial loss (6.5%). The common psychiatric morbidity precipitated by stressful life events were depression (44.4%) and substance use (18.2%) followed by anxiety and stress related disorders (22.2%).CONCLUSIONSThe above study emphasizes that psychiatric morbidity is common in the geriatric population, of which depression is the most common mental health problem. Stressful life events can lead to mental health problems. These factors impair the quality of life of the elderly. Hence it necessitates psychiatrists and physicians to recognize mental health problems at the earliest and provide the necessary support to improve the quality of life.
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Hip trauma is a significant cause of morbidity and mortalityamong elderly patients. In the United States approximately30lakhs hip fractures occur each year and this number isincreasing each year along with the increased number ofelderly population. The management of hip trauma usuallydepends on the surgical management. However evidencesuggests that even with prompt surgical interventions, thepost operative complications are common and patient face agreat difficulty in post operative rehabilitation. Recently, someof the randomized trials have suggested that preoperativerehabilitation in the form of exercise or the physiotherapyis associated with improved postoperative pain score anddecreased hospital stay in elderly frail patients and in patientswith associated co morbidities such as diabetes, cardiovascular,or respiratory complications. In this present review wewill outline the importance of preoperative rehabilitationin management of different types of hip trauma based onprevious study summaries. We will also try to evaluate theimportance of such rehabilitation therapy in final outcome ofthe patients after surgery
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Background: Domestic injury is an injury, which takes place in the home or in its immediate surroundings and more generally, all injury not connected with traffic, vehicles or sport. It is a worldwide public health problem. Geriatric population is more vulnerable to domestic injury. Objectives of this study are to estimate the incidence and to identify the correlates, if any, of domestic injuries among geriatric population and to study the consequences of domestic injuries among study subjects.Methods: Community-based descriptive study with longitudinal design. Multistage random sampling was adopted in the study. One block was selected by simple random sampling method then cluster sampling method (30/7) was used considering village as cluster. Three cross-sectional surveys were conducted in study subjects. Data was collected with the help of pre-designed, pre-tested, semi-structured schedule by paying house-to-house visits and review of records.Results: The subjects under study comprised of 210 elderly individuals, out of which 27 faced domestic injuries and three study subjects faced injury twice in study period. So, total number of injured was 30. Incidence rate was calculated to be 142.85 injuries per thousand persons per year. Fall was most common type of domestic injury. According to the consequence of injury, impairment was found in 13 cases out of them two injured cases were suffered from permanent disability.Conclusions: Incidence was estimated to be higher than what was found in other studies. Fall was the most common type of domestic injury. Marital status, use of central nervous system depressant drugs and co-morbidities were found to have positive association with injury.
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Background: This study was conducted to determine the drug utilization pattern among geriatric inpatients in general medicine department of the hospital.Methods: An observational, prospective study was conducted for a period of six months (November 2016 to April 2017) among 200 geriatric patients; demographic details, education, occupation, diagnosis and drug details were recorded. The drugs were categorized by anatomical therapeutic classification (ATC) and defined daily dose (DDD) was calculated. The World Health Organization (WHO) prescribing indicators were assessed.Results: The majority of the patients (59%) were in age group of 60-69 years. Cardiovascular diseases were common among geriatrics. Most commonly prescribed drug was Pantoprazole (81.7%). Drugs were assigned with ATC/DDD codes according to the guidelines of WHO. Drugs prescribed by their generic names were 56.64% and 43% of drugs that were included in the National Essential Medicines List.Conclusions: Clinical pharmacist have to collaborate and work together with physicians in selecting and adjusting the dose among geriatric population in order to reduce development of potential adverse drug reactions, serious drug related complications and drug interaction.
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Anaemia is one of the commonest hematological disorders prevalent in elderly population of either sex. WHO suggested any condition with decline of haemoglobin is considered as anaemia. Ferritin an iron storage compound is considered as a well known marker of iron storage. Therefore the present study was designed to evaluate the role of serum ferritin in differential diagnosis of anaemia along with various indices of anaemia and their haematological profile in geriatric population. Methods: Complete blood count included the following: Hb level; and white cell indices such as total leucocyte count (TLC) and differential leucocyte count, as well as corrected TLC. All investigations were carried out on an automated cell counter. Serum ferritin was estimated by automated analyser. Results: The nutrition deficiency anaemia (47.5%) was most common type of anaemia among elderly population. Further, anaemia due to chronic disease (20.2%), Marrow infiltration (8.3%) and multiple myeloma (7.1%) were recorded in the elderly population. serum ferritin level was significantly low in iron deficiency anaemia (151±88 ng/ml) compare to other types of anaemia dual defficency anaemia (157±98 ng/ml). However, ferritin was significantly high in megaloblastic anaemia (210±101 ng/ml) and anaemia of chronic diseases (204±102 ng/ml). Conclusion: Findings of the current study revealed that ferritin can be an important marker for the differential diagnosis of anaemia in elderly population. Moreover, the diagnostic accuracy may be enhanced when PBF and bone marrow findings are combined with clinical examination and other relevant investigations. Biochemical investigation of serum ferritin along with other findings might be helpful in early diagnosis along with accurate aetiology of anaemia in elderly population.
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Se realizó un estudio descriptivo y transversal, desde noviembre de 2016 hasta abril de 2017, de los 166 adultos mayores pertenecientes al consultorio médico No 20 del Policlínico Carlos Juan Finlay del municipio de Santiago de Cuba, para evaluar la presencia de enfermedades bucodentales y los factores de riesgo. Para la recolección de la información se utilizó la encuesta de salud bucal de la Organización Mundial de la Salud y la historia de salud bucal familiar. Los hábitos nocivos como la deficiente higiene bucal y la dieta cariogénica, además de las enfermedades crónicas no transmisibles, fueron los factores de riesgo más comunes en esta población, en quienes la disfunción masticatoria y la caries dental constituyeron los problemas principales
A descriptive and cross-sectional study of 166 elderly belonging to the family doctor office No 20 of Carlos J Finlay Polyclinic in the municipality of Santiago de Cuba, was carried out from November, 2016 to April, 2017, to evaluate the presence of oral-dental diseases and risk factors. The survey of oral health from the World Health Organization and the medical record of family oral health were used for gathering the information. Harmful habits as poor oral hygiene and a cariogenic diet, besides non communicable chronic diseases, were the most common risk factors in this population, for whom masticatory dysfuntion and dental decay constituted the main problems
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Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Fatores de Risco , Odontologia Geriátrica , Doenças da Boca/epidemiologia , Higiene Bucal , Atenção Primária à Saúde , Estudos Transversais , Dieta Cariogênica/efeitos adversosRESUMO
Introduction@#The global trend of decreasing mortality and decreasing fertility, has brought about “Population Aging”. The steady increase in the number of geriatric patients calls for the need to improve the holistic management of illnesses of this population.@*Objective@#The objective of the study is to identify the common illnesses of geriatric patients seen at the Manila Doctors’ Hospital - Department of Family and Community Medicine Clinic at Barangay 662, Paco, Manila, from June 2011 to December 2016.@*Methods@#This a retrospective-descriptive study. Barangay 662, at Cristobal St., Paco, Manila, has been the adopted community of the MDH-DFCM since June of 2011. All patients aged sixty (60) years old and above seen at the said clinic were included in this study. Baseline demographics were obtained and patients’ charts were used as basis for this study. Frequency of consults and demographic data were tallied at the time of consult. Qualitative variables and percentages were analysed for this study@*Results@#Over a span of 6 years, the most common illness of geriatric patients seen at the MDH-DFCM Clinic were osteoarthritis (n=145), hypertensive cardiovascular disease (n=126) and hypertension stage 2 (n=124). There were more consults by female patients (69% n=458). Purok 4 had the most number of consults (28% n=144). According to the ICD-10, reasons for consult belonged to disease of the circulatory system (n=344). @*Conclusion@#This study concludes that the most common illnesses of geriatric patients seen at the MDH-DFCM Clinic at Barangay 662, Paco, Manila, from June 2011 to December 2016 were non-communicable diseases.
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Humanos , Doenças não TransmissíveisRESUMO
The current cross-sectional study was conducted over a period of on eyear. Eight villages were chosen from Miran Sahib zone of R.S Pura block using simple random sampling. A pre-designed, pre-structured and validated questionnaire was applied to all persons aged ?60 Years. A total of 418 subjects (191 males and 227 females) comprised the study population.64.40% of the respondents belonged to 60-69 year age group. Among the morbidity distribution in the study population, visual impairment (54.06%) was the most common, followed by hypertension (35.89%), arthritis (34.21%), diabetes mellitus (12.92%) and chronic obstructive pulmonary disease (5.50%). COPD was higher in males and arthritis was higher in females and the gender disease association was found to be statistically significant (p<0.05). The results have shown high morbidity in the study population especially of visual impairment and cardio-vascular diseases. Respiratory diseases especially COPD morbidity was higher in males, while arthritis morbidity was more in females.
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Introducción: en Cuba, como parte del Programa de Atención al Adulto Mayor, la atención comunitaria desarrolla acciones encaminadas a la atención integral al anciano, con el fin de mantenerlos activos en el seno de la comunidad e integrarlos a esta. Para ello es imprescindible concebir esta etapa de la vida como un período de desarrollo y crecimiento, rico en experiencias y conocimientos, lo que se revertiría en acciones preventivas que contribuyan a que los ancianos lleven una vida más plena, sintiéndose útiles y satisfechos a pesar de su avanzada edad, con una percepción positiva de la vejez, responsabilidad que debe asumir el personal de la salud de su comunidad por mantener una estrecha relación con ellos. Objetivos: caracterizar a la población geriátrica y, posteriormente, trabajar con ella en un proyecto comunitario. Métodos: estudio observacional, descriptivo y transversal en el Consultorio 6 del Policlínico Pedro Díaz Coello durante los meses enero-febrero de 2013. Se integraron al estudio todos los pacientes mayores de 60 años, escogiéndose la muestra de forma aleatoria simple, teniendo en cuenta los criterios de exclusión. Para la caracterización se revisaron las historias clínicas individuales, se aplicó la Escala de Depresión Yesavage y el test para determinar deterioro cognitivo en el anciano, Mini Mental. Resultados: predominaron los viejos jóvenes, funcionales con un mayor por ciento en el sexo femenino y sin deterioro cognitivo; la depresión estaba presente en la mayoría de ellos. Conclusiones: predominaron los viejos jóvenes, funcionales y sin deterioro cognitivo, con un mayor por ciento en el sexo femenino, la depresión estuvo presente en la mayoría de ellos(AU)
Introduction: In Cuba, as part of the Care Program for the Elderly, community care develops actions to provide comprehensive care to the elderly, in order to keep them active within the community and integrate them in it. This requires designing this stage of life as a period of development and growth, rich in experience and knowledge, which would be reversed in preventive actions that help the elderly lead a fuller life, feeling useful and satisfied despite their advanced age, with a positive perception of old age. This responsibility must assume by the health personnel in their community by maintaining a close relationship with them. Objectives: Characterize the geriatric population and then work with it in a community project. Methods: An observational, descriptive study was carried out at Doctor's Office 6 in Pedro Diaz Coello Polyclinic from January to February 2013. All patients older than 60 years joined the study. The sample was chosen at simple random, taking into account the exclusion criteria. Individual medical histories were reviewed to characterize the subjects in this study. Yesavage Depression Scale was applied as well as tests to determine cognitive impairment in the elderly. Results: Old youth predominated, with greater functional percent in women without cognitive impairment; depression was present in most of them. Conclusions: Old youth predominated, functional and without cognitive impairment, with a higher percent in women, depression was present in most of them(AU)
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Humanos , Idoso , Idoso de 80 Anos ou mais , Idoso/psicologia , Geriatria , Questionário de Saúde do PacienteRESUMO
Fundamento: la insuficiencia renal crónica se define como el daño estructural o funcional del riñón, evidenciado por marcadores de daño (orina, sangre o imágenes) por un período igual o mayor a tres meses. Entre el 8 al 10 % de la población general adulta tiene algún daño renal. Objetivos: conocer la incidencia y prevalencia de la enfermedad renal crónica en el adulto mayor, en el Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez Hernández. Métodos: se realizó un estudio de tipo, longitudinal, descriptivo, retrospectivo. La muestra la constituyó 274 pacientes que cumplieron los criterios de inclusión. Las variables utilizadas fueron: edad, sexo, color de la piel, peso, antecedentes patológicos personales, las causas de ingreso, los factores de progresión de la enfermedad renal crónica, hábitos tóxicos y valor de la creatinina. Para organizar los indicadores obtenidos se aplicó el método estadístico descriptivo, analizando la información mediante tablas de distribución de frecuencia, gráficos y las medidas de resumen como la media y la moda para las variables cuantitativas, y los números absolutos y el porcentaje para las variables cualitativa. Resultados: alta prevalencia hospitalaria de la enfermedad renal crónica en el adulto mayor, más frecuente en el sexo femenino y la raza blanca, coexisten muchos factores de riesgo, predominando hipertensión arterial, cardiopatías, diabetes mellitus, edad y hábito de fumar. Los factores de progresión más frecuentes encontrados fueron hipertensión arterial descompensada, hipoperfusión renal y sepsis. Conclusiones: existe una alta prevalencia hospitalaria de la enfermedad renal crónica en el adulto mayor, con un subdiagnóstico de la misma.
Founding principle: chronic renal insufficiency is defined as the kidney structural or functional damage, evidenced by markers of damage (urine, blood or images) for a period of three months or more. Between 8 and 10 % of the general adult population has some renal damage. Objective: to know the incidence and prevalence of the chronic renal disease in elder people, in the Teaching Clinic Surgical Hospital Comandante Faustino Pérez Hernández. Methods: a retrospective descriptive longitudinal study was carried out. The sample was formed by 274 patients fulfilling the inclusion criteria. The used variables were: age, sex, skin color, weight, personal pathological antecedents, entering cause, chronic renal disease´s progression factors, toxic habits and creatinine value. For organizing the obtained indicators we applied the descriptive statistic method, analyzing the information through frequency distribution tables, graphics resuming measures as average and mode for the quantitative variables, and absolute numbers and percentage for the qualitative variables. Results: high nosocomial prevalence of the chronic renal disease in elder people, more frequent in the female sex and white people; coexistence of many risk factors, predominating arterial hypertension, cardiopathies, diabetes mellitus, age and smoking. The most frequently found progression factors were de decompensated arterial hypertension, renal hypoperfusion and sepsis. Conclusions:there is high nosocomial prevalence of the chronic renal disease in elder people.
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Introduction: Elderly population contributed to 7% of total population of India in 2001and it will rise to 9% by 2016. In 2010,100 million people were aged above 60 years and by 2020 it will be 177 million. Ageing process is as such complex and multi-factorial. Chronic morbidities like diabetes and hypertension are becoming common health problems among the geriatric population. Aim : To assess the prevalence of diabetes and hypertension among geriatric population in a rural community of Tamilnadu. Materials and Methods: A cross-sectional study was conducted on 400 geriatric population at Attayampatti village, rural community in Salem district by using a pre-tested, semi-structured questionnaire. House to house visit was done on simple random basis. Their height and weight was measured and body mass index was calculated. The diabetic status was confirmed by using random blood sugar estimation and hypertension was assessed by using a standard sphygmomanometer apparatus. Results:The overall prevalence of diabetes among study population was 36% and the prevalence of hypertension was 59%. Among diabetes, the prevalence in males was 22% and in females it was 15%. Among hypertensives, the prevalence in males was 33.3% and in females it was 26.2%. Their mean BP was 140/100 and the mean random blood sugar was 180mgs/dl. Factors like age, BMI and smoking showed statistical significant association towards diabetes and hypertension. Conclusion:Early identification of chronic geriatric morbidities like diabetes and hypertension should be ensured through periodic screening and regular health checkups.
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BACKGROUND: Although rarely life threatening, dermatological diseases may have a considerable influence on a patient's quality of life and psychological well-being. As with morbidity and mental distress from other chronic diseases, a skin disorder can be the one of the main causes of depression in the geriatric population. OBJECTIVE: To determine the prevalence of depression in elderly patients with dermatological disease in Korea and to identify factors associated with depression. METHODS: Patients over the age of 60 years with dermatologic diseases were solicited for a questionnaire survey. The Geriatric Depression Scale (GDS) was used to obtain a patient-based measurement of depression. Additionally, demographic information and medical history were collected. RESULTS: The questionnaire was completed by 313 patients (39.94% men, mean age 69.04 years, mean disease duration 3.23 years). Dermatological disease overall had a significant effect on patients' depression (chi2=177.13, p<0.0001), with a mean GDS score of 12.35 (out of 30). The patients who had a GDS score greater than 10 was 62.3% which indicated increased prevalence of mild to severe depression when compared to the general population among whom only 22.22% percent have GDS score greater than 10. In the univariate analysis, physical health, education level, and the presence of concurrent diseases were risk factors for geriatric depression. However, we did not find any demographic or disease related variables that were independent predictors of depression. CONCLUSION: Geriatric patients with dermatological disease experience an increase burden of depression. Thus, it is important for clinicians to evaluate geriatric patients with dermatologic diseases for depression.
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Idoso , Humanos , Masculino , Doença Crônica , Depressão , Coreia (Geográfico) , Prevalência , Qualidade de Vida , Fatores de Risco , Pele , Inquéritos e QuestionáriosRESUMO
BACKGROUND: Although rarely life threatening, dermatological diseases may have a considerable influence on a patient's quality of life and psychological well-being. As with morbidity and mental distress from other chronic diseases, a skin disorder can be the one of the main causes of depression in the geriatric population. OBJECTIVE: To determine the prevalence of depression in elderly patients with dermatological disease in Korea and to identify factors associated with depression. METHODS: Patients over the age of 60 years with dermatologic diseases were solicited for a questionnaire survey. The Geriatric Depression Scale (GDS) was used to obtain a patient-based measurement of depression. Additionally, demographic information and medical history were collected. RESULTS: The questionnaire was completed by 313 patients (39.94% men, mean age 69.04 years, mean disease duration 3.23 years). Dermatological disease overall had a significant effect on patients' depression (chi2=177.13, p<0.0001), with a mean GDS score of 12.35 (out of 30). The patients who had a GDS score greater than 10 was 62.3% which indicated increased prevalence of mild to severe depression when compared to the general population among whom only 22.22% percent have GDS score greater than 10. In the univariate analysis, physical health, education level, and the presence of concurrent diseases were risk factors for geriatric depression. However, we did not find any demographic or disease related variables that were independent predictors of depression. CONCLUSION: Geriatric patients with dermatological disease experience an increase burden of depression. Thus, it is important for clinicians to evaluate geriatric patients with dermatologic diseases for depression.
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Idoso , Humanos , Masculino , Doença Crônica , Depressão , Coreia (Geográfico) , Prevalência , Qualidade de Vida , Fatores de Risco , Pele , Inquéritos e QuestionáriosRESUMO
BACKGROUND: With the development of medical science and technology, the proportion of the aged in the population has significantly increased. For the same reasons, concerns regarding skin aging and skin diseases in the geriatric population has increased. OBJECTIVE: To evaluate the recognition of skin health and disease in the elderly. METHODS: On April 2009, 190 elderly persons were asked to complete a questionnaire in 5 senior welfare centers in the city of in Korea. The questions included: satisfaction with the subject's own skin; treatment-seeking behavior; knowledge and common sense about representative skin problems; efforts taken to achieve healthy skin. RESULTS: Among the elderly, 44.74% were dissatisfied with their own skin. The most complained about skin diseases in the elderly were pruritus and xerosis. Also, interest in esthetic problems such as wrinkles and pigmentation was high. On the question of whether they visit a dermatologic clinic when they develop skin problems, 40.53% of subjects said that they visited the dermatologic clinic. However, this means that 59.47% did not visit a dermatologic clinic. A somewhat unexpected finding was that knowledge of skin diseases and esthetic problems were plentiful in the geriatric population. Among the elderly, 81.05% did something to achieve skin health such as using a moisturizer or sunscreen. CONCLUSION: The present study contributes to our understanding of the recognition of dermatologic problems in the geriatric populations. Dermatologists and society should pay more attention to the provision of correct information and appropriate treatments for skin diseases in the elderly.