Clinical Characteristics of Geriatric syndromes in the Elderly with Diabetes Mellitus at Geriatric Clinic, Saraburi Hospital
Keywords:
Diabetes mellitus, Geriatric syndromes, The elderlyAbstract
Thailand is experiencing an aging society at the time, with the elderly population often having multiple chronic diseases, and diabetes mellitus (DM) being the most prevalent. A comprehensive assessment of the elderly included not only managing chronic diseases but also identifying geriatric syndromes. This study aimed to explore the clinical characteristics of the elderly patients with DM who attended the Geriatric Clinic at Saraburi Hospital.
This retrospective study collected data from elderly patients attending the Geriatric Clinic at Saraburi Hospital from January 1 to December 31, 2022. The analysis focused on the prevalence and characteristics of geriatric syndromes, including polypharmacy, falls, cognitive impairment, depression, malnutrition, and urinary incontinence, based on DM status. The Chi-square test was employed to analyze the relationship between geriatric syndromes and DM status.
The results revealed that, among a total of 237 participants, the average age was 74.26±6.92 years, and the majority were female (73.00%). 36.63% had DM. Polypharmacy prevalence in the DM group (78.00%) was significantly higher than the non-DM group (31.40%) (p=0.000). Falls were more prevalent in the DM group (50.00%) compared to the non-DM group (36.50%) (p=0.038). The prevalence of urinary incontinence in the DM group (38.00%) was significantly higher than that in the non-DM group (16.80%) (p=0.000). The overall number of geriatric syndromes in the DM group was significantly higher than that in the non-DM group (p=0.004).
In conclusion, elderly individuals with DM exhibited a higher prevalence of geriatric syndromes, particularly polypharmacy, falls, and urinary incontinence, compared to those without DM.
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มูลนิธิสถาบันวิจัยและพัฒนาผู้สูงอายุไทย (มส.ผส.). สถานการณ์ผู้สูงอายุไทย พ.ศ.2564. นครปฐม: สถาบันวิจัยประชากรและสังคม มหาวิทยาลัยมหิดล. 2565.
มูลนิธิสถาบันวิจัยและพัฒนาผู้สูงอายุไทย. สถานการณ์ผู้สูงอายุไทย พ.ศ.2558. กรุงเทพฯ: อัมรินทร์พริ้นติ้ง แอนด์พับลิชชิ่ง; 2559.
ประเสริฐ อัสสันตชัย. ปัญหาสุขภาพที่พบบ่อยในผู้สูงอายุและการป้องกัน. พิมพ์ครั้งที่ 3. กรุงเทพฯ: บริษัท ยูเนี่ยนครีเอชชั่น จำกัด; 2556.
วีรศักดิ์ เมืองไพศาล, บรรณาธิการ. การป้องกันการประเมินและการดูแลผู้ป่วยสมองเสื่อม. กรุงเทพฯ: ห้างหุ้นส่วนจำกัด ภาพพิมพ์; 2556.
American Diabetes Association. Older adults: standards of medical care in diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S195-207.
Chetthakul T, Deerochanawong S, Suwanwalaikorn S, Kosachunhanun N, Ngarmukos C, Rawdaree P, et al. Thailand Diabetes Registry Project: Prevalence of diabetic retinopathy and associated factors in type 2 diabetes mellitus. J Med Assoc Thai. 2006;89(Suppl1):S27-36.
Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group. Retinopathyand nephropathy in patients with type 1 diabetes four years after a trial of intensive therapy. N Engl J Med. 2000;342:381-9.
Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HAW. 10-Year Follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008;359:1577-89.
Zakin E, Abrams R, Simpson DM. Diabetic neuropathy. Seminars in neurology. 2019;39(5):560-569.
Pratipanawatr T, Rawdaree P, Chetthakul T, Bunnag P, Ngarmukos C, Benjasuratwong Y, et al. Smoking and death in Thai diabetic patients: the Thailand Diabetic cohort. J Med Assoc Thai. 2013;96:280-7.
Araki A, Ito H. Diabetes mellitus and geriatric syndromes. Geriatr Gerontol Int 2009;9:105-14.
Korean Diabetes Association. Elderly diabetes mellitus. 3rded. Seoul: Korean Diabetes Association; 2018.
Yoo HJ. Clinical implications of geriatric syndromes. J Korean Med Assoc 2014;57:738-42.
Bourdel-Marchasson I, Berrut G. Caring for the elderly diabetic patient with respect to concepts of successful aging and frailty. Diabetes Metab. 2005;31 Spec No 2:5S13-5S19.
Moon S, et al. Clinical features of geriatric syndromes in older Koreans with diabetes mellitus. Ann Geriatr Med Res. 2019;23(4):176.
Petrofsky JS, Cuneo M, Lee S, Johnson E, Lohman E. Correlation between gait and balance in people with and without Type 2 diabetes in normal and subdued light. Med Sci Monit. 2006;12(7):CR273-81.
de Souza Moreira B, Ferreira Sampaio R, Rossana Cavalcanti Furtado S, Correa Dias R, Noce Kirkwood R. The relationship between diabetes mellitus, geriatric syndromes, physical function, and gait: a review of the literature. Curr Diabetes Rev. 2016;12(3):240-51.
Remelli F, Ceresini MG, Trevisan C, Noale M, Volpato S. Prevalence and impact of polypharmacy in older patients with type 2 diabetes. Aging Clin Exp Res. 2022;34(9):1969-83.
Dobrică EC, Găman MA, Cozma MA, Bratu OG, Pantea Stoian A, Diaconu CC. Polypharmacy in type 2 diabetes mellitus: insights from an internal medicine department. Medicina. 2019;55(8):436.
Schwartz AV, Hillier TA, Sellmeyer DE, Resnick HE, Gregg E, Ensrud KE, et al. Older women with diabetes have a higher risk of falls: a prospective study. Diabetes Care. 2002;25:1749-54.
Volpato S, Leveille SG, Blaum C, Fried LP, Guralnik JM. Risk factors for falls in older disabled women with diabetes: the Women's Health and Aging Study. J Gerontol A Biol Sci Med Sci. 2005;60:1539-45.
Arvanitakis Z, Wilson RS, Schneider JA, Bienias JL, Evans DA, Bennett DA. Diabetes mellitus and progression of rigidity and gait disturbance in older persons. Neurology. 2004;63:996-1001.
Menz HB, Lord SR, St George R, Fitzpatrick RC. Walking stability and sensorimotor function in older people with diabetic peripheral neuropathy. Arch Phys Med Rehabil. 2004;85:245-52.
Hsu A, Conell-Price J, Stijacic Cenzer I, Eng C, Huang AJ, Rice-Trumble K, Lee SJ. Predictors of urinary incontinence in community-dwelling frail older adults with diabetes mellitus in a cross-sectional study. BMC Geriatr. 2014;14(1):1-9.
Helen Ebbesen M, Hannestad YS, Midthjell K, Hunskaar S. Diabetes and urinary incontinence–prevalence data from Norway. Acta Obstet Gynecol Scand. 2007;86(10):1256-62.
Unverzagt FW, et al. Prevalence of cognitive impairment: data from the Indianapolis Study of Health and Aging. Neurology. 2001;57(9):1655-62.
Ponte C, Almeida V, Fernandes L. Suicidal ideation, depression and quality of life in the elderly: study in a gerontopsychiatric consultation. Span J Psychol. 2014;17:E14.
Shpata V, Ohri I, Nurka T, Prendushi X. The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients. Clin Interv Aging. 2015;10:481-6.
Vetta F, Ronzoni S, Taglieri G, Bollea MR. The impact of malnutrition on the quality of life in the elderly. Clin Nutr. 1999;18(5):259-67
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