Prevalence of geriatric syndromes among people aged 65 years and older at four community clinics in Moscow

Abstract

BackgroundGeriatric syndromes (GSs) are common in older adults and have a significant effect on their quality of life, disability, and use of health care resources. Few studies have assessed the prevalence of GSs in Russia. The aim of this study is to assess the prevalence of GSs among older adults living in the community in Moscow.MethodsA cross-sectional study was conducted in four community clinics in Moscow. A total of 1,220 patients completed a screening questionnaire, and 356 of them also underwent a comprehensive geriatric assessment (CGA).ResultsThe mean age of the 1,220 participants was 74.9±6.1 years; 75.5% were women. Based on the questionnaire, 58.3% reported visual or hearing impairment, 58.2% cognitive impairment, 46% mood disorder, 42% difficulty walking, 28.3% urinary incontinence, 21.3% traumatic falls (over the previous year), and 12.2% weight loss. The mean number of GSs per patient was 2.9±1.5. Based on CGA, a decline in Instrumental Activity of Daily Living score was identified in 34.8% of the patients, a risk of malnutrition (Mini-Nutritional Assessment score, 17–23.5) in 25.8%, probable cognitive impairment (Mini-Mental State Examination score <25) in 8.6%, and symptoms of depression (15-item Geriatric Depression Scale score >5) in 36.2%. On the whole, patients demonstrated good mobility (average walking speed, 1±0.2 m/s) and hand grip strength (23.9±6.4 kg in women and 39.1±8.3 kg in men), but poor balance (only 39.4% were able to maintain their balance on one leg for 10 s or more).ConclusionThe results of this study demonstrate a high prevalence of GSs among community-dwelling people aged 65 years and older in Moscow. The results provide a better understanding of the needs of older adults in Russia and can facilitate planning for medical and social assistance for this population.

The Effects of Orthostatic Hypotension on Functional Status Parameters in Elderly and Very Elderly People

“…Возникновение одного гериатрического синдрома повышает риск развития других таких синдромов [1]. Известно, что гериатрические синдромы не только снижают качество жизни пожилых людей, но и повышают риск формирования зависимости от помощи окружающих, риск госпитализаций и смерти [2,3].…”

Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study

“…Geriatric syndromes (GSs) are clinical conditions in elderly adults that do not fit into discrete disease categories and whose prevalence increases with age and physical frailty [ 1 ]. Although different conditions, such as incontinence, functional decline, or delirium, have been included under the heading of GSs, the concept is difficult to state [ 2 , 3 ]. An accepted definition of GSs is multifactorial health conditions that occur when the effects of impairments accumulate in multiple elderly systems [ 1 ].…”

“…Falls in the elderly are also reported as a GS. It is known that about 30–40% of persons above 65 years old suffer at least one fall a year [ 3 , 4 , 5 , 6 ], and 50% of them fall again after the first event [ 7 ].…”

“…Persons living in long-term care institutions have much higher rates of falls than the general population over 65 years [ 5 , 8 ]. Furthermore, falls among those in institutions also tend to result in more serious complications [ 9 , 10 ], such as significant effects on increased hospitalization rates, disability, increased mortality, and higher overall costs [ 3 , 11 , 12 , 13 ].…”

A análise e a caracterização de uma população de idosos com perda auditiva e queixa de tontura

“…A ansiedade, o estresse e a depressão funcionam como transtornos psicossomáticos desencadeantes das doenças vestibulares (Best, Henn, Tschan, & Dieterich, 2009;Godemann, Linden, Neu, Heipp, & Dörr, 2004). Um estudo populacional com 1220 idosos em Moscou (Tkacheva, Runikhina, Ostapenko, Sharashkina, Mkhitaryan, Onuchina, Lysenkov, Yakhno, & Press, 2018) confirmando a ligação com a população de idosos, com perda auditiva e tontura.…”