Evaluation of Neurological Disabilities by the Disability Scale Published on 16.12.2010

Güzel, Vildan; Çabalar, Murat; Selçuk, Özlem; Topcular, Nejla Sozer; Bozkurt, Dilek; Güveli, Betül Tekin; Yayla, Vildan

doi:10.5152/imj.2014.24993

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“…Several studies from Turkey that have evaluated the neurological causes of disability, as determined by a health board in a tertiary center, have reported that stroke and dementia were two of the most common neurological diseases, consistent with the findings of our study (6,21,22). The patient populations of these studies were younger than that of our study's, and included all severity levels.…”

Section: Neurological Diseasessupporting

confidence: 91%

Safety of Outpatient Herniorrhaphy in the Geriatric Patient: A Retrospective Comparative Study

Ünal¹

2018

tjgeri

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Introduction:Aging of the population leads to an increasing number of older people with a severe disability, in need of long-term care, which is a major public health problem. Herein, we attempted to find out the main pathologies that cause severe disability, including neuromusculoskeletal disability, in elderly and young adults.Materials and Method: In this descriptive observational study, we retrospectively reviewed the medical records of 20,790 subjects admitted to the Health Council of the İzmir Atatürk Training and Research Hospital over the last two years. Subjects identified as severely disabled and >18 years old were in §cluded. Age-(19-64 or 65+ years) and gender-specific causes of severe disability were identified.Results: Overall, 1,117 (631 female, 486 male) subjects were severely disabled. Mean age was 65.9±18.1 years; 60% were >65 years old. Main pathologies leading to severe disability were nervous system (61%), eye (11%), mental and behavioral (9.3%), musculoskeletal (8.4%), neoplasms (2.8%), respiratory (2.7%) and other diseases. Distribution of the pathologies were statistically different between age subgroups (p<0.001), but not between gender subgroups (p>0.05). Dementia and stroke were the most frequent neurological conditions. Knee osteoarthritis was the leading musculoskeletal cause of severe disability.Conclusion: This study may provide a baseline indication of pathologies commonly causing severe disability. Most severely disabled subjects were female and of older age. Neurological diseases were the most frequent causes of severe disability. Preventive and rehabilitative health service planning should be undertaken to decrease the disability caused by these conditions. Keywords: Disability; Aged; Adult; Turkey Giriş: Nüfusun yaşlanması, artan sayıda, ağır yeti yitimi olan, uzun süreli bakım gerektiren ileri yaştaki populasyona neden olur ve büyük bir halk sağlığı problemidir. Bu çalışmada yaşlı ve genç erişkin popülasyonda ağır yeti yitimine neden olan genel ve nöromusküler ana patolojileri belirlemek amaçlanmıştır.Gereç ve Yöntem: Bu tanımlayıcı gözlemsel çalışmada son iki yılda İzmir Atatürk Eğitim ve Araştırma Hastanesi sağlık kuruluna başvuran 20,790 hastanın tıbbi kayıtları retrospektif olarak incelenmiştir. Ağır yeti yitimi olarak tanımlanan 18 yaş üzeri vakalar çalışmaya dahil edilmiştir. Yaş (19-64 yaş ve 65 yaş ve üzeri) ve cins spesifik ağır yeti yitimi sebepleri belirlenmiştir.Bulgular: Toplamda 1,117 (631 kadın, 486 erkek) ağır yeti yitimi olan hasta saptanmıştır. Ortalama yaş 65.9±18.1 yıl idi. Vakaların %60'ı 65 yaş ve üzeri idi. Ağır yeti yitimine sebep olan ana patolojiler sinir sistemi (%61), göz (%11), ruhsal ve davranışsal (%9.3), kas iskelet (%8.4), neoplazmlar(%2.8), solunum (%2.7) ve diğer daha seyrek görülen hastalıklar idi. Patolojilerin dağılımı yaş grupları arasında farklılık gösterirken(p<0.001) cinsiyet açısından farklılık saptanmamıştır. Demans ve strok ağır yeti yitimine en sık sebep olan nörolojik hastalıklardı. Diz osteoartriti ağır yeti yitimine en sık nede...

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Section: Neurological Diseasessupporting

confidence: 91%

Safety of Outpatient Herniorrhaphy in the Geriatric Patient: A Retrospective Comparative Study

Ünal¹

2018

tjgeri

View full text Add to dashboard Cite

show abstract

Evaluation of Neurological Disabilities by the Disability Scale Published on 16.12.2010

Cited by 1 publication

References 0 publications

Safety of Outpatient Herniorrhaphy in the Geriatric Patient: A Retrospective Comparative Study

Safety of Outpatient Herniorrhaphy in the Geriatric Patient: A Retrospective Comparative Study

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