MỘT SỐ YẾU TỐ LIÊN QUAN VỚI HỘI CHỨNG DỄ BỊ TỔN THƯƠNG TRÊN NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG CAO TUỔI CÓ YẾU TỐ NGUY CƠ TIM MẠCH RẤT CAO TẠI BỆNH VIỆN LÃO KHOA TRUNG ƯƠNG

Abstract

Objectives: To explore some related factors with frailty syndrome in elderly typ 2 diabetic with very high cardiovascular risk factors according to Edmonton Frail Scale (EFS). Subject and methods:  A cross- sectional study on patients with diabetes ≥ 60 years old with very high cardiovascular risk factors who came for examination and treatment at the National Geriatric Hospital. Subjects were diagnosed for Frailty syndrome using the EFS scale. Some related factors were assessed, including socialdemographic, diabetes, cardiovascular factors and geriatric syndromes. Result: A total of 289 older patients were recruited in the study. The rate of Frailty syndrome was 32,2 %. In multivariable logistic regressionHbA1c ≥ 7.5% (OR 3.0, 95%CI 1.1 – 8.0), multicomorbidity (OR 1.5, 95%CI: 1.1 – 2.2), dependence in activities daily living (ADL OR 3.3, 95%CI 1.5 – 7.1; IADL OR 3.3, 95%CI 1.5 – 7.9) and cognitive impairment (OR 5.4, 95%CI 2.4 – 11.9) were signitficantly associated with higher odd ratio of having frailty. Conclusion: Screening for Frailty syndrome is recommended for older diabetic patients having very high cardiovascular risk factors, especially for patients having uncontrolled diabetes, dependency, multicomorbidity and cognitive impairment.