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Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı

Year 2018, Volume: 1 Issue: 1, 8 - 13, 15.05.2018

Abstract

Amaç:. Bu çalışmanın amacı toplumdaki yaşlı bireylerde yaşa göre malnutrisyon, demans, düşme, polifarmasi, üriner inkontinans, sarkopeni, kırılganlık gibi geriatrik sendromların sıklığının gösterilmesidir. Metod: Geriatri polikliniğine başvuran 2191 hasta çalışmaya kabul edildi. Hastaların demografik özellikleri, kullandıkları ilaç sayısı, son bir yıl içerisinde düşme olup olmadığı, üriner inkontinansının olup olmadığı retrospektif olarak sorgulandı. Hastalara ayrıntılı geriatrik değerlendirme amacıyla yapılan günlük yaşam aktiviteleri, Mini Nütrisyonel Değerlendirme (MNA), Mini Mental Durum Muayenesi (MMSE), Montreal Kognitif Değerlendirme Ölçeği (MOCA), Kognitif Durum Testi (COST) testleri gözden geçirildi. MNA kısa formunda 7 puan ve aşağısı alan hastalarda malnütrisyon olduğu kabul edildi. Beş ve üzeri ilaç kullanımı olanlarda polifarmasi olduğu belirtildi. Beyin görüntülemesi ve kognitif testleri ile Mental Bozuklukların Tanısal ve Sayımsal El Kitabı IV (DSM-4) kriterlerine göre demans tanısı alan hastalar tarandı. Bunun yanı sıra hastalarda kırılganlık ve sarkopeninin değerlendirilmesi için Fried fiziksel kırılganlık ölçeği, biyoimpedans değerleri, 4 metre yürüme hızı ve el kavrama gücü kullanıldı. Sarkopeni tanısı Avrupa Yaşlılarda Sarkopeni Çalışma Grubu (EWGSOP) kriterleri ile belirlendi. Sonuçlar: Çalışmaya katılan hastalarda geriatrik sendrom sıklıkları sırası ile polifarmasi %55, malnütrisyon %9, depresyon %33, demans %26, üriner inkontinans %46, düşme %33, sarkopeni ve kırılganlık %25 olarak görüldü. Hastalar 60-69, 70-79 ve ≥80 yaş olarak üç gruba ayrıldığında depresyon hariç bütün sendromların yaşla birlikte anlamlı olarak daha sık görüldüğü tespit edildi. Aynı anda hastalarda 3 ve daha fazla sendrom görülme sıklığının özellikle ≥80 yaşta belirginleştiği bulundu. Sonuç: Geriatrik sendromlar yaşlılarda özellikle artan yaşla sıklıkla karşımıza çıkmaktadır. Bu sendromların yalnızca geriatristler tarafınca değil, bütün sağlık basamaklarında tanınması ve önlemlerin alınması gereklidir.

References

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  • 3. Inouye, S.K., et al., Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc, 2007. 55(5): p. 780-91.
  • 4. Fried, L.P., et al., Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci, 2001. 56(3): p. M146-56.
  • 5. Soysal, P., et al., Inflammation and frailty in the elderly: A systematic review and meta-analysis. Ageing Res Rev, 2016. 31: p. 1-8.
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  • 18. Cesari, M., et al., Frailty syndrome and skeletal muscle: results from the Invecchiare in Chianti study. Am J Clin Nutr, 2006. 83(5): p. 1142-8.
  • 19. Selekler K., C.B., Uluc S., Power Of Discrimination Of Montreal Cognitive Assessment (MOCA) Scale In Turkish Patients With Mild Cognitive Impairment And Alzheimer's Disease. Turkish Journal of Geriatrics. 2010; 13 (3) 166-171.
  • 20. Gungen, C., et al., [Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population]. Turk Psikiyatri Derg, 2002. 13(4): p. 273-81.
  • 21. Babacan-Yildiz, G., et al., COST: Cognitive State Test, a brief screening battery for Alzheimer disease in illiterate and literate patients. Int Psychogeriatr, 2013. 25(3): p. 403-12.
  • 22. Lawton, M.P. and E.M. Brody, Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 1969. 9(3): p. 179-86.
  • 23.Tinetti, M.E., Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc, 1986. 34(2): p. 119-26.
  • 24. Guigoz, Y., The Mini Nutritional Assessment (MNA) review of the literature--What does it tell us? J Nutr Health Aging, 2006. 10(6): p. 466-85; discussion 485-7.
  • 25. Durmaz, B., et al., Validity and Reliability of Geriatric Depression Scale - 15 (Short Form) in Turkish older adults. Northern Clinics of Istanbul, 2018. 4(3): p. (inpress). doi: 10.14744/nci.2017.85047
  • 26. Collard, R.M., et al., Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc, 2012. 60(8): p. 1487-92.
  • 27. Eyigor, S., et al., Frailty prevalence and related factors in the older adult-FrailTURK Project. Age (Dordr), 2015. 37(3): p. 9791.
  • 28. Bennett, A., et al., Prevalence and impact of fall-risk-increasing drugs, polypharmacy, and drug-drug interactions in robust versus frail hospitalised falls patients: a prospective cohort study. Drugs Aging, 2014. 31(3): p. 225-32.
  • 29. Safran, D.G., et al., Prescription drug coverage and seniors: findings from a 2003 national survey. Health Aff (Millwood), 2005. Suppl Web Exclusives: p. W5-152-w5-166.
  • 30. Plassman, B.L., et al., Prevalence of dementia in the United States: the aging, demographics, and memory study. Neuroepidemiology, 2007. 29(1-2): p. 125-32.
  • 31. Roberts, R.O., et al., Urinary incontinence in a community-based cohort: prevalence and healthcare-seeking. J Am Geriatr Soc, 1998. 46(4): p. 467-72.
  • 32. Munch, T., et al., Pain and falls and fractures in community-dwelling older men. Age Ageing, 2015. 44(6): p. 973-9.
  • 33. Naseer, M., H. Forssell, and C. Fagerstrom, Malnutrition, functional ability and mortality among older people aged 60 years: a 7-year longitudinal study. Eur J Clin Nutr, 2016. 70(3): p. 399-404.
  • 34. Blazer, D.G., Depression in late life: review and commentary. J Gerontol A Biol Sci Med Sci, 2003. 58(3): p. 249-65.
  • 35. Djernes, J.K., Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatr Scand, 2006. 113(5): p. 372-87.
  • 36. Bolt, K. and A. Bergman, Systems biology of aging. Adv Exp Med Biol, 2015. 847: p. 163-78.
Year 2018, Volume: 1 Issue: 1, 8 - 13, 15.05.2018

Abstract

References

  • 1. Durham. RH, eds. Encyclopedia of Medical Syndromes. New York: Harper and Brothers, 1960
  • 2. Tinetti, M.E., et al., Shared risk factors for falls, incontinence, and functional dependence. Unifying the approach to geriatric syndromes. Jama, 1995. 273(17): p. 1348-53.
  • 3. Inouye, S.K., et al., Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc, 2007. 55(5): p. 780-91.
  • 4. Fried, L.P., et al., Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci, 2001. 56(3): p. M146-56.
  • 5. Soysal, P., et al., Inflammation and frailty in the elderly: A systematic review and meta-analysis. Ageing Res Rev, 2016. 31: p. 1-8.
  • 6. Cruz-Jentoft, A.J., et al., Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing, 2010. 39(4): p. 412-23.
  • 7. Bulut, E.A., et al., Vitamin B12 deficiency might be related to sarcopenia in older adults. Exp Gerontol, 2017. 95: p. 136-140.
  • 8. Cesari, M., et al., Sarcopenia and physical frailty: two sides of the same coin. Front Aging Neurosci, 2014. 6: p. 192.
  • 9. Cruz-Jentoft, A.J., et al., Nutrition, frailty, and sarcopenia. Aging Clin Exp Res, 2017. 29(1): p. 43-48.
  • 10. Swift, C.G., The role of medical assessment and intervention in the prevention of falls. Age Ageing, 2006. 35 Suppl 2: p. ii65-ii68.
  • 11. Vaughan, C.P., et al., Urinary incontinence in older adults. Mt Sinai J Med, 2011. 78(4): p. 558-70.
  • 12. Ayello, E.A. and C.H. Lyder, Protecting patients from harm: preventing pressure ulcers in hospital patients. Nursing, 2007. 37(10): p. 36-40; quiz 40-1.
  • 13. Tekin, L., L. Ozcakar, and A.T. Isik, Delirium: a critical diagnosis for every member of the rehabilitation team. Rehabil Nurs, 2011. 36(5): p. 214-5.
  • 14. Inouye, S.K., Delirium in older persons. N Engl J Med, 2006. 354(11): p. 1157-65.
  • 15. Parazzini, F., et al., [Urinary incontinence: frequency and diagnostic and therapeutic approach in general practice in Italy]. Arch Ital Urol Androl, 2001. 73(3): p. 160-7.
  • 16. Janssen, I., et al., Estimation of skeletal muscle mass by bioelectrical impedance analysis. J Appl Physiol (1985), 2000. 89(2): p. 465-71.
  • 17. Chien, M.Y., T.Y. Huang, and Y.T. Wu, Prevalence of sarcopenia estimated using a bioelectrical impedance analysis prediction equation in community-dwelling elderly people in Taiwan. J Am Geriatr Soc, 2008. 56(9): p. 1710-5.
  • 18. Cesari, M., et al., Frailty syndrome and skeletal muscle: results from the Invecchiare in Chianti study. Am J Clin Nutr, 2006. 83(5): p. 1142-8.
  • 19. Selekler K., C.B., Uluc S., Power Of Discrimination Of Montreal Cognitive Assessment (MOCA) Scale In Turkish Patients With Mild Cognitive Impairment And Alzheimer's Disease. Turkish Journal of Geriatrics. 2010; 13 (3) 166-171.
  • 20. Gungen, C., et al., [Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population]. Turk Psikiyatri Derg, 2002. 13(4): p. 273-81.
  • 21. Babacan-Yildiz, G., et al., COST: Cognitive State Test, a brief screening battery for Alzheimer disease in illiterate and literate patients. Int Psychogeriatr, 2013. 25(3): p. 403-12.
  • 22. Lawton, M.P. and E.M. Brody, Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 1969. 9(3): p. 179-86.
  • 23.Tinetti, M.E., Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc, 1986. 34(2): p. 119-26.
  • 24. Guigoz, Y., The Mini Nutritional Assessment (MNA) review of the literature--What does it tell us? J Nutr Health Aging, 2006. 10(6): p. 466-85; discussion 485-7.
  • 25. Durmaz, B., et al., Validity and Reliability of Geriatric Depression Scale - 15 (Short Form) in Turkish older adults. Northern Clinics of Istanbul, 2018. 4(3): p. (inpress). doi: 10.14744/nci.2017.85047
  • 26. Collard, R.M., et al., Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc, 2012. 60(8): p. 1487-92.
  • 27. Eyigor, S., et al., Frailty prevalence and related factors in the older adult-FrailTURK Project. Age (Dordr), 2015. 37(3): p. 9791.
  • 28. Bennett, A., et al., Prevalence and impact of fall-risk-increasing drugs, polypharmacy, and drug-drug interactions in robust versus frail hospitalised falls patients: a prospective cohort study. Drugs Aging, 2014. 31(3): p. 225-32.
  • 29. Safran, D.G., et al., Prescription drug coverage and seniors: findings from a 2003 national survey. Health Aff (Millwood), 2005. Suppl Web Exclusives: p. W5-152-w5-166.
  • 30. Plassman, B.L., et al., Prevalence of dementia in the United States: the aging, demographics, and memory study. Neuroepidemiology, 2007. 29(1-2): p. 125-32.
  • 31. Roberts, R.O., et al., Urinary incontinence in a community-based cohort: prevalence and healthcare-seeking. J Am Geriatr Soc, 1998. 46(4): p. 467-72.
  • 32. Munch, T., et al., Pain and falls and fractures in community-dwelling older men. Age Ageing, 2015. 44(6): p. 973-9.
  • 33. Naseer, M., H. Forssell, and C. Fagerstrom, Malnutrition, functional ability and mortality among older people aged 60 years: a 7-year longitudinal study. Eur J Clin Nutr, 2016. 70(3): p. 399-404.
  • 34. Blazer, D.G., Depression in late life: review and commentary. J Gerontol A Biol Sci Med Sci, 2003. 58(3): p. 249-65.
  • 35. Djernes, J.K., Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatr Scand, 2006. 113(5): p. 372-87.
  • 36. Bolt, K. and A. Bergman, Systems biology of aging. Adv Exp Med Biol, 2015. 847: p. 163-78.
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Articles
Authors

Esra Ateş Bulut

Zehra Kosuva Öztürk This is me

Publication Date May 15, 2018
Submission Date May 15, 2018
Published in Issue Year 2018 Volume: 1 Issue: 1

Cite

APA Ateş Bulut, E., & Kosuva Öztürk, Z. (2018). Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı. Geriatrik Bilimler Dergisi, 1(1), 8-13.
AMA Ateş Bulut E, Kosuva Öztürk Z. Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı. JoGS. May 2018;1(1):8-13.
Chicago Ateş Bulut, Esra, and Zehra Kosuva Öztürk. “Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı”. Geriatrik Bilimler Dergisi 1, no. 1 (May 2018): 8-13.
EndNote Ateş Bulut E, Kosuva Öztürk Z (May 1, 2018) Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı. Geriatrik Bilimler Dergisi 1 1 8–13.
IEEE E. Ateş Bulut and Z. Kosuva Öztürk, “Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı”, JoGS, vol. 1, no. 1, pp. 8–13, 2018.
ISNAD Ateş Bulut, Esra - Kosuva Öztürk, Zehra. “Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı”. Geriatrik Bilimler Dergisi 1/1 (May 2018), 8-13.
JAMA Ateş Bulut E, Kosuva Öztürk Z. Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı. JoGS. 2018;1:8–13.
MLA Ateş Bulut, Esra and Zehra Kosuva Öztürk. “Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı”. Geriatrik Bilimler Dergisi, vol. 1, no. 1, 2018, pp. 8-13.
Vancouver Ateş Bulut E, Kosuva Öztürk Z. Ayaktan Kliniğe Başvuran 60 Yaş Üstündeki Hastalarda Geriatrik Sendrom Prevalansı. JoGS. 2018;1(1):8-13.

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