Lorenza Martínez GL, d´Hyver DC

Language: Spanish
References: 23
Page: 23-28
PDF size: 361.72 Kb.

ABSTRACT

Objective: To determine de prevalence of geriatric syndromes among women living in a residence for the elder and compare them to those in a hospital in a geriatric ward.
Patients and methods: Descriptive, transversal study of older women living in a residence to which a geriatric assessment was performed.
Results: 171 patients were included, with an average of 84 years of age, all of them women. The assessment permitted identifying 23 geriatric syndromes. The most frequent of them was foot disease with a prevalence of 93%, the least frequent where fecal incontinence, delirium, hydroelectrolitic disturbances and abuse or mistreatment with no report of any of them. Comparatively, falls, depression and cognitive impairment had the same prevalence in the residence and the hospital.
Conclusions: Geriatric Syndromes prevalence in our population is determined by socioeconomical status, culture and age. Knowing the frecuency of the main geriatric syndromes allows us to develop educational programs, health promotion programs, physical activity programs or individual interventions that could improve quality of live of one or every member of the community.

REFERENCES

1. García T, López JA, Villalobos JA, d´Hyver C. Prevalencia de síndromes geriátricos en ancianos hospitalizados. Med Intern Mex 2006;22(5):369-374.

2. Hazzard WR, Blass JP, Halter J, Ouslander JG, Tinetti Mary E. Principles of Geriatric Medicine & Gerontology. 5th ed. New York: McGraw-Hill, 2003;p:1487-1498.

3. Landefeld S, Palmer RM, Johnson MA, Johnston BC, Lyons W. Current Geriatric Diagnosis & Treatment. 1st ed. New York: McGraw- Hill, 2004;p:53-122.

4. Rubenstein LZ, Josephson K. The epidemiology of falls and syncope. Clin Geriatr Med 2002;18:141-158.

5. D´Hyver C, Gutiérrez LM. Geriatría. 1ª ed. México: El Manual Moderno, 2005;p:479-573.

6. McCusker J, Cole M, Dufouil C. The prevalence and correlates of major and minor depression in older medical in patients. J Am Geriatr Soc 2005;53:1344-1353.

7. Carlson J, Kent Z, Bettencourt D. Measuring frailty in the hospitalized elderly: Concept of Functional Homeostasis. Am J Phys Med Rehabil 1998;77:252-257.

8. Inouye SK. Prevention of delirium in hospitalized older patients: risk factors and targeted intervention techniques. Ann Med 2000;23:257-263.

9. Hirvensalo M, Rantanen T, Heikkinen E. Mobility difficulties and physical activity as predictors of mortality and loss of independence in the community-living older population. J Am Geriatr Soc 2000;48:493-498.

10. Ebly E, Hogan D, Parhad I. Cognitive impairment in the nondemented elderly: results from the Canadian study of health and aging. Arch Neurol 1995;52:612-619.

11. Remes JM, Sáenz P, Riaño D y col. Incontinencia fecal en adultos mayores. Rev de Investigación Clínica 2004;56(1):21-26.

12. Lerman-Garber I, Villa AR, Martínez CL. The prevalence of obesity and its determinants in urban and rural aging Mexican populations. Obesity Research 1999;7:402-406.

13. Gresset J, Baumgarten M. Prevalence of visual impairment and utilization of rehabilitation services in the visually impaired. Population of Quebec. Optometry Vision Science 2002;79:416-423.

14. Evans G. The aged foot. Reviews Clinical Gerontology 2002;12:175-180.

15. Fernández GN, Días Armesto D, Pérez Hernández B, Rojas Pérez A. Polifarmacia en el anciano. ActaMédica 2002;10:1-2.

16. Weuve JL, Boult C, Morishita L. The effects of outpatient geriatric evaluation and management on caregiver burden. Gerontologist 2000;40:429-436.

17. Pichardo FA, Pedrero NL. Síndrome del viejo y cuidador maltratado. Com Med Funsalud Mex 1996:2:20-25.

18. Kingma J, Ten Duis HJ. Severity of injuries due to accidental fall across the life span: a retrospective hospital-based study. Perceptual and Motor Skills 2000;90:62-72.

19. Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clinical Geriatric Medicine 2002;18:141-58.

20. McClure R, Turner C, Peel N, Spinks A, Eakin E, Hughes K. Intervenciones basadas en la población para la prevención de lesiones relacionadas con caídas en personas ancianas (Cochrane Review). En: Biblioteca Cochrane Plus, Issue 3, CD004441.

21. Villalpando BJM, Pineda M, Palacios P, Reyes J, et al. Incidence of delirium, risk factors and long-term survival of elderly patients hospitalized in a medical specialty teaching hospital in Mexico City. Int Psychogeriatrics 2003;15:325-336.

22. Chávez-Delgado ME, Virgen-Enciso M, Pérez-Guzmán, Celis-de-la-Rosa M, Castro-Castañeda S. Delirio en pacientes hospitalizados. Rev Med Inst Mex Seguro Soc 2007;45(4):321-328.

23. Using Nontraditional Risk Factors in Coronary Heart Disease Risk Assessment: U.S. Preventive Services Task Force Recommendation Statement. Annals of Internal Medicine 2009;151(7).